Abstract
Forty newborns with severe shock and disseminated intravascular coagulation were randomized for treatment with heparin or placebo. Mortality was equal in both groups. The heparin group required significantly shorter periods of artificial ventilation. The coagulation system improved faster, and the coagulation pattern showed normal values in the treatment group. Due to the low number of cases, these differences could not be statistically confirmed.
Similar content being viewed by others
References
Cash, J. D., Turner, T. L.: Blood product infusions to maintain normal hemostasis parameters in low birth weight infants. Thromb. Haemostas. 38, 92 (1977) (Abstract)
Corrigan, J. J., Sell, E. J., Pagel, C.: Hageman factor and disseminated intravascular coagulation (DIC) in new borns and rabbits. Pediat. Res. 11, 916–920 (1977)
Göbel, U., Rich, P.: Partielle Thromboplastinzeit, Thromboplastinzeit, Fibrinogen, Thrombinzeit und Thrombozytenzahl bei gesunden und kranken Neugeborenen. Mschr. Kinderheik. 120, 484–488 (1972)
Göbel, U., Triebel, A., Petrich, C., Voss, H. von: Alpha1-Antitrypsin and Alpha2-macroglobulin in newborn infants. II. Relation to the coagulation system. Eur. J. Pediatr. 129, 125–132 (1978)
Göbel, U., Voss, H. von, Petrich, C., Jürgens, H., Oliven, A.: Etiopathology and classification of acquired coagulation disorders in the newborn infant. Klin. Wochenschr. 57, 81–86 (1979)
Gray, O. P., Ackerman, A., Fraser, A. J.: Intracranial haemorrhage and clotting defects in low birth-weight infants. Lancet 1968 I, 545–548
Hambleton, G., Appleyard, W. J.: Controlled trial of fresh frozen plasma in asphyxiated low birth weight infants. Arch. Dis. Child. 48, 31–35 (1973)
Künzer, W., Pringsheim, W., Niederhoff, H., Hendrich-Schäfer, G., Sutor, A. H.: Hirnblutungen beim Atemnotsyndrom. In: Das Atemnotsyndrom des Neugeborenen, C. Mietens (Hrsg.), S. 61–75, Stuttgart: Thieme 1977
Maak, B., Frenzel, J.: Ergebnisse der Heparinprophylaxe intravasaler Gerinnungsvorgänge bei mindergewichtigen Neugeborenen. Kinderärztl. Praxis 44, 56–60 (1976)
Markarian, M., Lubchenko, L. O., Rosenblüt, E., Fernandez, F., Lang, D., Jackson, J. J., Bannon, A. E., Lindley, A., Githens, J. H., Martorell, R.: Hypercoagulability in premature infants with special reference to the respiratory distress syndrome and hemorrhage. II. Effect of heparin. Biol. Neonate 17, 98–111 (1971)
Mondalou, H., Yeh, S.-Y., Hon, E. H., Forsythe, A.: Fetal and neonatal biochemistry and Apgar-Scores. Amer. J. Obstet. Gynecol. 117, 942–951 (1973)
Stehr, K.: Zur Pathogenese des Schocks im Kindesalter. Klin. Pädiatr. 188, 479–488 (1976)
Thomas, D. B., Burnard, E. D.: Prevention of intraventricular haemorrhage in babies receiving arteficial ventilation. Med. J. Austr. 1, 933–936 (1973)
Waltl, H., Födisch, H., Kurz, R., Hohenauer, L., Mittelstieler, G., Rössler, H.: Terminalisblutungen bei Frühgeborenen: Wirkungslosigkeit einer gerinnungsfördernden Prophylaxe. Mschr. Kinderheilk. 122, 192–197 (1974)
Weisbach, G., Lenks, H.: Defibrinierungssyndrome bei Neugeborenen. Helv. paediat. Acta 26, 78–87 (1971)
Author information
Authors and Affiliations
Additional information
With support of the “Ministerium für Wissenschaft und Forschung des Landes Nordrhein-Westfalen,” Federal Republic of Germany
Rights and permissions
About this article
Cite this article
Göbel, U., von Voss, H., Jürgens, H. et al. Efficiency of heparin in the treatment of newborn infants with respiratory distress syndrome and disseminated intravascular coagulation. Eur J Pediatr 133, 47–49 (1980). https://doi.org/10.1007/BF00444754
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF00444754