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003 EG-GiCUC
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008 160217s2015 ua h f m 000 0 eng d
040 _aEG-GiCUC
_beng
_cEG-GiCUC
041 0 _aeng
049 _aDeposite
097 _aM.Sc
099 _aCai01.11.28.M.Sc.2015.Mo.E
100 0 _aMohamed Salah Thabet
245 1 0 _aEfficacy and safety of milrinone versus sildenafil in the management of moderate to severe peristent pulmonary hypertention in neonates /
_cMohamed Salah Thabet ; Supervised Zahraa Mohamed Ezz Eldein , Hanan Zekry Khaled , Tamer Abdelhamed Dihome
246 1 5 _aدراسة مدى كفاءة و مدى امان عقار الميلرينون وعقارالسيلدنافيل في علاج إرتفاع ضغط الشريان الرئوي في الاطفال حديثي الولاده
260 _aCairo :
_bMohamed Salah Thabet ,
_c2015
300 _a123 P. :
_bfacsimiles ;
_c25cm
502 _aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Pediatrics
520 _aBackground: Pulmonary hypertension in newborn (PPHN) is a critical problem facing neonatologists. Aim of the work: To determine the impact of management strategies on the outcome of PPHN. Patients and methods: Prospective descriptive study. 40 neonates with the diagnosis of PPHN who were admitted in NICUs in multi-centers from June 2014 to December 2014. Neonates divided into 2 equal groups one is treated by intravenous milrinone infusion and the other is treated by nasogastric sildenafil, it includes 33 males, 7 females; their mean gestational age was ±36.5weeks and the mean weight was 2.9 ± 0.5Kg. Results: Male neonates had higher incidence of PPHN 82.5% compared to females 17.5% .Neonates recived intravenous milrinone infusion shows statistical significant improvement than those recived nasogastric sildenafil in oxygenation index (OI)values 24 hrs after treatment(p{u2264}0.010), 48 hrs later (P{u2264} 0.001). Successful treatment was defined as drop of systolic pulmonary artery pressure (SPAP) below {u2264}40mmHg. There was statistical significant drop of SPAP after application ofmilrinone than sildenafil (P{u2264}0.040). The mortality rate was 10/40 neonates (25%)
530 _aIssued also as CD
653 4 _aBlood gases
653 4 _aPPHN
653 4 _aSystolic pulmonary artery pressure
700 0 _aHanan Zekry Khaled ,
_eSupervisor
700 0 _aTamer Abdelhamed Dihome ,
_eSupervisor
700 0 _aZahraa Mohamed Ezzeldein ,
_eSupervisor
856 _uhttp://172.23.153.220/th.pdf
905 _aAml
_eCataloger
905 _aNazla
_eRevisor
942 _2ddc
_cTH
999 _c55031
_d55031