PPHN (Persistent pulmonary hypertension of the newborn) case study

of cough, shortness of breath, or pleuritic chest pain were interviewed by nurses who recorded clinical data pertaining to the present illness and past medical history. Chest radiographs were then obtained prior to physician evaluation.RESULTS: A total of 221 patients were enrolled in the study; 97% were men and the mean age was 62 (+/- 10.3) years. New clinically important radiographic abnormalities, defined as those necessitating acute intervention and/or follow-up evaluation, were identified for 77 (34.8%) of the 221 patients studied. Abnormalities included 39 (17.6%) cases of infiltrates

of forms of shock CARDIOGENIC SHOCKMyopathic (reduced systolic function)Acute myocardial infarctionDilated cardiomyopathyMyocardial depression in septic shockMechanicalMitral regurgitationVentricular septal defectVentricular aneurysmLV outflow obstruction (aortic stenosis, idiopathic hypertrophic subaortic stenosis)ArrhythmicEXTRACARDIAC OBSTRUCTIVE SHOCKPericardial tamponadeConstrictive pericarditisPulmonary embolism (massive)Severe pulmonary hypertension (primary or Eisenmenger)Coarctation of the aortaOLIGEMIC SHOCKHemorrhageFluid depletionDISTRIBUTIVE SHOCKSeptic shoc

The peak incidence is between 6 and 8 years. Patients typically present with nephrotic syndrome and benign urinary sediment.Microscopic hematuria is present in 20 to 30 percent.Hypertension and renal insufficiency are very rare.MCD (also called nil disease, lipoid nephrosis, or foot process disease) is so named because glomerular size and architecture are normal by light microscopy. Immunofluorescence studies are typically negative for immunoglobulin and C3.Mild mesangial hypercellularity and sparse deposits of C3 and IgM may be detected. Electron microscopy reveals characteristic diffu

of thrombosis not use in large artery Gortex medium-small diameter artery (6-10 mm diameter) III. AneurysmDefinition : irreversible dilatation of artery at least x 1 or x 1.5 diameterClassification and treatmentaccording morphology : True aneurysm(=surrounding by all layer of artery)False aneurysm(=only a portion of artery or surrounding tissue)according pathogenesis Non-specific = atherosclerotic : degeneration due to an arterial agingTraumatic Dissecting aneurysm ; longitudinal splitting of the layers of arterial wallsetiology) Hypertension / pregnancy / Marfan s syndrome / cystic

persistent fetal circulation, PFC) 또는 신생아 폐동맥 고혈압 존속증(persistant pulmonary hypertension of the newborn, PPHN)이라고 하는데, 만성 자궁내 조산소증으로 인하여 폐 세동맥(small pulmonary arteriole)의 평활근이 두꺼워짐으로써 폐동맥압이 상승하고 폐혈류가 감소하여, 심방(atrial level) 또는 동맥관(옃션 arteriosus)에서 우 → 좌 혈류가 증가하기 때문이다.진단은 preductal(우측 요골 동맥) 및 postductal(제대 동맥) 동맥혈의 산소 분압 차이를 측정함으로써 확인할 수 있다