Roentgenographic Findings in Infants With Meconium Aspiration Syndrome

Vivian Harris, Tsu F. Yeh, Lawrence Lilien, Rosita S. Pildes, Gopal Srinivasan, Suma Pyati

Research output: Contribution to journalArticle

Abstract

Aspiration of meconium produces respiratory distress of various severity and outcome. To evaluate whether the initial chest roentgenogram (0 to 8 hours of age) can be used to predict the outcome, an analysis of 80 cases with clinical and roentgenographic features of aspiration syndrome was undertaken. Infiltration was seen in 62, consolidation or atelectasis in 44, hyperinflation in 37, air leak in 25, pleural effusion in 16, and increased cardiothymic shadow in 16. Consolidation or atelectasis, most commonly associated with thick meconium aspiration, appeared to be the most significant determinant of poor outcome. Infants who had consolidation or atelectasis were more ill, had lower pH, higher fraction of inspired oxygen, higher alveolar-arterial oxygen gradients, and required longer duration of oxygen intake than those infants who had no consolidation or atelectasis. Thus, the initial chest roentgenogram can be used for predicting outcome in infants with meconium aspiration syndrome.

Original languageEnglish
Pages (from-to)60-63
Number of pages4
JournalJAMA: The Journal of the American Medical Association
Volume242
Issue number1
DOIs
Publication statusPublished - Jul 6 1979
Externally publishedYes

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Meconium Aspiration Syndrome
Pulmonary Atelectasis
Oxygen
Thorax
Pleural Effusion
Air

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Roentgenographic Findings in Infants With Meconium Aspiration Syndrome. / Harris, Vivian; Yeh, Tsu F.; Lilien, Lawrence; Pildes, Rosita S.; Srinivasan, Gopal; Pyati, Suma.

In: JAMA: The Journal of the American Medical Association, Vol. 242, No. 1, 06.07.1979, p. 60-63.

Research output: Contribution to journalArticle

Harris, Vivian ; Yeh, Tsu F. ; Lilien, Lawrence ; Pildes, Rosita S. ; Srinivasan, Gopal ; Pyati, Suma. / Roentgenographic Findings in Infants With Meconium Aspiration Syndrome. In: JAMA: The Journal of the American Medical Association. 1979 ; Vol. 242, No. 1. pp. 60-63.
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