“Membrana hialina”

Abstract

This case report of " hyaline membrane " was presented at the Provincial Teaching Hospital Ambato in 2014, the same as described a new born preterm three hour sold, female, product first pregnancy, mother daughter 16 years, date of last menstruation (DLM) does not remember. It has an extrapolated corrected gestational age by ultrasound reporting 07/01/14 of 11 weeks pregnant, normal prenatal, receive iron and folic acid, tetanus immunization for 2 times, at 20 weeks of gestation pregnancy presents bleeding and secretion vaginal reason which prescribe ova and antibiotics not specified. 05/14/17 presents the sacred vaginal contraction type pain that is brought to the hospital where they decide to hospitalize Pelileo ; with rest , fluid therapy, also receives lung maturation for a single occasion ; the second day of hospitalization presents feeling of pushing occurring vaginal delivery of 30.2 weeks of gestational age , septic " in bed " with breech presentation , mother reports weak cry at birth, immediate cord clamping ; being transferred to the Provincial Teaching Hospital Ambato , where they find a newborn in good general condition, in termocuna with out support of oxygen with a SatO2 85 % , with a temperature of 34oC , respiratory rate of 78 per minute , heart rate of 160 per minute , thin, bluish skin , audible grunting, nasal flaring , chest retractions , decreased breath sounds regulate air intake, wet navel 2 arteries 1vena , female genitals , observed bruising to the buttocks and legs.

A weight of 1336g (P 50), size: 39 cm (50) and head circumference: 27 cm (P 50). Capillary glycemia: 67mg / dl Whose management was radiant warmer, mechanical ventilation, fluid, calciumgluconate65 mg IV c / 12 h and Ampicillin 33 mg IV c / 8h.

The chest radiograph reports decreased lung volume, diffuse nodular opacification with lattice pattern (ground glass appearance) and air bronchogram; compatible with hyaline membrane so Surfactant is administered 100 mg/kg endotracheal tube, showing a positive trend.