التفاصيل البيبلوغرافية
| العنوان: |
Massive fetomaternal haemorrhage warranting novel use of tandem isovolumetric partial exchange transfusion and therapeutic hypothermia. |
| المؤلفون: |
Liggett, Connor J., Zven, Sidney E., Schulz, Elizabeth V., Stark, Christopher M. |
| المصدر: |
BMJ Case Reports; Dec2023, Vol. 16 Issue 12, p1-4, 4p |
| مستخلص: |
A newborn male infant was pale, hypotonic, and had respiratory distress after delivery. Venous cord blood gas revealed a severe metabolic acidosis. His initial examination was consistent with moderate encephalopathy and laboratory testing uncovered severe congenital anaemia (haematocrit 0.127 L/L). He met the clinical criteria for therapeutic hypothermia (TH) and required red blood cell transfusions, but due to the severity of his anaemia, an exchange transfusion was favoured to prevent transfusion-associated circulatory overload. There are no previous reports of these procedures completed in tandem, but the benefits were perceived to outweigh the risks. During the 72 hours of TH, the infant received an isovolumetric partial exchange transfusion and tolerated both treatments without any adverse clinical events. Kleihauer-Betke testing detected a massive chronic fetomaternal haemorrhage with 475mL (164mL/kg) of blood. A brain MRI completed prior to discharge was normal. At 6months of age, he is growing and developing normally. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
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