🚀 go-pugleaf

SOS BABY BOY'S LIFE AT RISK


Ibon Ascensor, three months old, is in a critical situation due to 
pulmonary hypertension,
for which doctors have not found any scientific cause. The first crisis 
took place when he
was already 3 months old. Only a prompt solution can save his life. 
Follows medical report.

We require:
	Information or references of any similar cases which could be 
helpful to us.
Send messages to:
	razcunaga@edunet.ibernet.es
	ofernandez@ibex.es

REPORT:
	Three month-old baby in hospital for showing the signs of sudden 
instauration with
moaning, cold sweating, pale skin with purple lips and disnea.

	In the three days before coming to hospital, difficulties in 
being fed.

	Family antecedents: four year-old brother with perinatal 
encephalopaty.
	Personal antecedents: 2700 grms. at birth, rest without interest.

	Evolution:	When he came in, he required an agressive 
treatment as he 
had the symptoms of multiorganic disfunction with severe metabolic excess 
of acid, which
is progressively solved in the following days. After that, he has 
presented some similar
sets of symptoms with a minor intensity, which he has overcome more 
easily.

	In the nest examinations the following points can be remarked:
	-Gastro-esopharic ebb, under treatment at present.
	-Cardiological examination:
		Examination: 2R reinforced, without heart murmur.
		Electrocardiogram: sinusal rhythm, QRS Axis +150�, right 
ventricle hypertrophy,
		repolarization upset: -negative in right ventricle.
		Eco 2 D Doppler color: enlargement of right cavities 
(Right Auricle and right Ventricle),
		flow of slight tricusp failure with a speedof 350/400 
cm/sec which proves
		hypertension in right ventricle.
		Retrogressive flow of slight pulmonary failure with a 
speed higher than 200 cm/sec.
		No structural anomalies.
	-Cateterism:				Pressure mm/Hg
		Saturation %			Right Auricle: 3
		VCS: 73				Right Ventricle: 74/3-8
		Right Auricle: 70		AP: 65/29/46
		MV: 73				Left Auricle: 4
		Right Ventricle: 69		Left Ventricle: 75/0-9
		Ap: 71
		RP: 71
		Left Auricle: 94
		Left Ventricle: 95
		Ao: 94

	An examination is to be made in order to discard an associated 
pathology, under
treatment with vessel-dilaters and sedatives.

	DIAGNOSYS: PULMONARY HYPERTENSION
		   HYPOXIC CRISES