C-reactive protein and Platelets changes in preterm neonates with patent Ductus Arteriosus
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Abstract:
Introduction: This study aimed to investigate CRP and platelet count changes in preterm neonates with Patent Ductus Arteriosus on the seventh day of birth compared to the third day. Methods: This longitudinal study was conducted on fifty neonates with PDA complications in Afzalipour hospital in 2017-2018. All neonates underwent repeated echocardiography before the closure of their arterial duct and 2 cc of blood sample was taken from each neonate and was sent to the laboratory for platelet and CRP count test. Result: The mean of platelet was 296.17±18.08 on day 7, and it was significantly different compared to day 3 (195.49 ± 10.49). The arterial ducts of 15 neonates out of 50 patients with PDA were closed on the seventh day. The mean of CRP was significantly different in neonates with PDA (35.70) compared to neonates with closed arterial ducts (2.32) on day 7. Conclusions: The results of this study revealed that PDA is associated with a low number of platelets and high level of CRP in preterm neonates.
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[Preterm neonates with patent ductus arteriosus].
Como citar este artigo: Miyague NI. Persistência do canal arterial em recém-nascidos prematuros. J Pediatr (Rio J). 2005;81:429-30. O canal arterial é um largo vaso que comunica a artéria pulmonar com a aorta no feto. É uma estrutura de grande importância nesse período da vida, pois uma maior porção do débito ventricular combinado passa através dessa comunicação à aorta descendente e à placenta...
full textPatent ductus arteriosus in preterm neonates.
Failure of the ductus arteriosus to close within 48-96 hours of postnatal age results in a left to right shunt across the ductus and overloading of the pulmonary circulation. This is more likely to happen in premature neonates with respiratory distress syndrome. Deterioration in the respiratory status on day 3-4 in a ventilated neonate and unexplained metabolic acidosis may be the earliest indi...
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Background: Previous studies have considered patent ductus arteriosus (PDA) a common finding in premature infants, leading to complications such as intracranial hemorrhage, necrotizing enterocolitis and pulmonary dysplasia. The aim of this study was to assess and compare the efficacy of oral ibuprofen and intravenous acetaminophen in the closure of arterial duct in premature newborns. We also e...
full textPatent ductus arteriosus in premature neonates.
Persistent patency of the ductus arteriosus is a major cause of morbidity and mortality in premature infants. In infants born prior to 28 weeks of gestation, a haemodynamically significant patent ductus arteriosus (PDA) can cause cardiovascular instability, exacerbate respiratory distress syndrome, prolong the need for assisted ventilation and increase the risk of bronchopulmonary dysplasia, in...
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Background: Standard medical treatments for patent ductus arteriosus (PDA) closure are, including indomethacin/ibuprofen and surgical ligation. Nowadays, a new strategy to close PDA is the use of paracetamol. The present study aimed to describe the use of intravenous (IV) paracetamol for PDA closure in neonates who present a contraindication to ibuprofen or ibuprofen failure with no possibility...
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Journal title
volume 26 issue 4
pages 247- 252
publication date 2019-07-01
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