| 英文摘要 |
We report a neonate with life-threatening anemia and HIE caused by massive FMT who was successfully treated with therapeutic hypothermia. This newborn presented with birth asphyxia, general hypotonia, undetectable blood pressure, marked metabolic acidosis, profound anemia (hemoglobin = 2.0 g/dL), and stage 2 HIE. Therapeutic hypothermia with a target temperature of 33°C was initiated at the age of 4 h for a total of 72 h. A Kleihauer–Betke test of maternal blood was positive and the estimated blood loss from the fetus to the mother was approximately 240 mL. He was extubated on day 7, and the general activity, muscle tone, and oral feeding improved gradually. The hearing test revealed normal hearing bilaterally. Neuro- logical development at 4 months of age was not delayed. Therefore, therapeutic hypothermia should be a choice for the treatment of critical newborn infants with massive FMT complicated with HIE. |
