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A case of survived extremely preterm infant with severe bronchopulmonary dysplasia after comprehensive therapy

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Journal Title:
Chinese Journal of Perinatal Medicine
Key Word:
支气管肺发育不良;糖皮质激素类;解脲支原体;胃造口术;综合疗法;婴儿,早产;Bronchopulmonary dysplasia;Glucocorticoids;Ureaplasma urealyticum;Gastrostomy;Combined modality therapy;Infant, premature

Abstract´╝Ü This article reported the comprehensive management of an extremely preterm infant with severe bronchopulmonary dysplasia. The patient born at 26 +6 gestational weeks was transferred to Children's Hospital of Fudan University due to invasive mechanical ventilation dependence at 61 d after birth and was diagnosed with severe bronchopulmonary dysplasia. A comprehensive treatment plan was adopted, including appropriate fluid restriction, improving nutrition, glucocorticoid administration, using antibiotics against Ureaplasma urealyticum infection to reduce pulmonary parenchymal lesions and alleviating pulmonary hypertension. The preterm infant was successfully extubated to non-invasive ventilation and subsequently weaned to a high-flow nasal cannula. Then, the patient was discharged at 372 d after birth (correct gestational age nine months and six days). At the 3-month follow-up after discharge, the patient remained on high-flow oxygen, but with lower flow and concentration of oxygen. Moreover, the growth, development and lung images were significantly improved. Follow-up to correct gestational age one year and 11 months, the child was not on oxygen any more, but on rehabilitation due to language and motor development retardation.

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