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A case of bronchopulmonary dysplasia.

Journal of the Korean Pediatric Society 1989;32(11):1553-1559.
Published online November 30, 1989.
A case of bronchopulmonary dysplasia.
Sun A Chun, Byung Jun Choi, Bo Kyung Cho, Chung Sik Chun, Sung Hoon Cho
Department of Pediatrics, Catholic University Medical College, Seoul, Korea
기관지폐이형성증 1례 -Bronchopulmonary Dysplasia-
천선아, 최병준, 조보경, 전정식, 조성훈
가톨릭대학 의학부 소아과학교실
Received: 22 May 1989   • Accepted: 28 July 1989
Abstract
The development of respiratory management of the newborn has improved the survival rates of respiratory distress syndrome in these two decades. But the incidence of complication associated with this management has been increased. Although the pathogenesis of bronchopulmonary dysplasia has not been clearly established yet, bronchopulmonary dysplasia is one of the major complication of the mechanical ventilation. There are several factors in the development of bronchopulmonary dysplasia, which are positive airway pressure, O2 toxicity, pulmonary edema, and lung damage secondary to respiratory distress syndrome. The diagnosis of bronchopulmonary dysplasia is chiefly based on the clinical course and the radiological findings. Recently mechanical ventilaton is commonly used in Korea but there are a few case report of bronchopulmonary dysplasia. We report a case of bronchopulmonary dysplasia in a premature infant (gestational age:31 weeks, birth weight: 1670 gm) with a brief review of the literature. He had been managed with assisted ventilation (CPAP/IPPV) for 4 weeks and thereafter received oxygen therapy for 20 weeks.
Key Words: Assisted ventilation, Oxygen therapy, Prematurity, Bronchopulmonary dysplasia


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