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KMID : 0364019960290070777
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Korean Journal of Thoracic and Cardiovascular Surgery
1996 Volume.29 No. 7 p.777 ~ p.779
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Surgical Closure of Patent Ductus Arteriosus in Premature Infant -A report of two cases-
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김삼현
서필원/박이태/이두선/장영표/박우성/강봉진
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Abstract
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Recently we operated on two cases of PDA in premature infant. In both cases, indomethacin therapy had failed to close the PDA.
The extremely small baby(body weight 540gm) died 28hrs postoperatively by unexpected intrathoracic bleeding probably due to coagulopathy related to septic condition ad thrombocytopenia.
The clinical course of the second case(body weight 1395gm)was complicated by ileal perforation secondary to necrotizing enterocolitis. The baby underwent segmental resection of ileum with ileostomy on the 8th hospital day. On the 34th hospital
day
surgical closure of the PDA was done and the ileostomy was repaired simultaneously. Ventilator weaning was possible on the postoperative 6th day. The baby discharged on the postoperative 33th day with the body weight of 2050gm.
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KEYWORD
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