| A Study on Coagulopathy in High-risk Neonates. |
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Chae Sup Yoo1, H. W. Lee1, Keun Lee1, Moon Ja Kim2 |
1Department of Pediatrics, College of Medicine, Ewha Womans University, Seoul, Korea
2Department of Pediatrics, Incheon Red Cross Hospital, Incheon, korea |
| 고위험도 신생아의 응혈 이상증에 대한 연구 |
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유채섭1, 이혜원1, 이근1, 김문자2 |
1이화여자대학교 의과대학 소아과학교실
2인천 적십자병원 소아과 |
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Received: 14 November 1987 • Accepted: 25 July 1988 |
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| Abstract |
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Life threatening neonatal hemorrhage is a common problem in Nursery Intensive Care Unit. It is
associated with asphyxia, intracranial hemorrhage, and hyaline membrane disease, and develops to
D.I.C., which attributes to neonatal mortality and morbidity.
Clinical study was performed on 32 high-risk neonates and 20 mild illness cases, who had been
admitted to Department of Pediatrics, Ewha University Hospital, during the period of 2.6 years from
January, 1985, to June, 1987. The examined coagulation studies were platelet, P.T., P.T.T., Fi-
brinogen, and F.D.P. The follow-up studies were done at postnatal 48-72 hours, for treated 12 cases
and the cases who showed initial abnormal data.
The following results were obtained:
1) The coagulation studies which were done within postnatal 24hours showed abnormal platelet, P.
T.，P.T.T., Fibrinogen, and F.D.P. in high-nisk neonates more often than mild cases.
2) 5 cases were expired. 4 cases had intracranial hemorrhage and 1 had hyaline membrane disease.
There were clinical bleeding tendencies, and laboratory hypocoagulabilities in all cases.
3) Platelet concentrates, whole blood, or fresh frozen plasma were given to 12 cases, who developed
clinical and laboratory improvement after treatment.
4) The laboratory abnormalities tended to correct spontaneously in non-treated patients, who had
mildly abnormal laboratory data and no bleeding tenency.
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| Key Words:
Coagulopathy |
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