Abstract:
METHODS: A newborn girl presented to the hospital on the first day of life because of respiratory failure. She was born at home at 37 weeks\' gestation with minimal prenatal care and was found to be small for gestational age. The patient was found to have partial sternal agenesis and sternal cleft, cutis aplasia, left facial hemangioma, micrognathia, wide-spaced nipples, and low-set ears. The mother\'s and baby\'s urine toxicology screening were positive for amphetamines. Chest radiographs on admission showed bilateral hazy opacities. CT scan of the chest showed an absent sternum with midline chest wall concavity. The patient was monitored preoperatively in the cardiac ICU for risks of arrythmia, respiratory failure, altered cardiac output, and acute cardiopulmonary decompensation.
摘要:
方法:一名新生女婴在出生后第一天因呼吸衰竭被送到医院就诊。她出生在怀孕37周的家中,只有很少的产前护理,被发现小于胎龄。病人被发现有部分胸骨发育不全和胸骨裂,角质发育不全,左侧面部血管瘤,小颌畸形,宽间隔的乳头,低耳朵。母亲和婴儿的尿液毒理学筛查苯丙胺阳性。入院时胸部X光片显示双侧朦胧混浊。胸部CT扫描显示胸骨缺失,中线胸壁凹陷。在心脏ICU术前监测患者的心律失常风险,呼吸衰竭,心输出量改变,和急性心肺代偿失调。