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Figure 1. A baby required active resuscitation when he was born at 26 weeks of gestation weighing 918 g. The Apgar scores were 2, 3, and 7 at 1, 5, and 10 minutes, respectively. The early neonatal period was complicated by systemic hypotension and respiratory distress syndrome. The infant was given inotropic support, surfactant, and antibiotics. A patent ductus arteriosus was surgically ligated after a trial of indomethacin failed. The infant was intubated and received oxygen for 51 days, and he achieved full enteral feeding on day 26. On day 52 extensive abdominal distention, bilious gastric aspirate, frank blood . . . [Full Text of this Article] |