Skip to main content
Archives of Disease in Childhood logoLink to Archives of Disease in Childhood
. 1982 Jan;57(1):63–67.

Delayed clearance of pulmonary fluid in the neonate.

S Rimmer, J Fawcitt
PMCID: PMC2863254  PMID: 7065697

Abstract

A consecutive series of 647 routine neonatal chest x-ray films taken at a known time within 48 hours of birth was reviewed; 48% had been radiographed within 2 hours. Four hundred and twenty-seven had normal x-ray films, 147 showed evidence of delayed clearance of pulmonary fluid, and other diseases were present in 73. Excessive amounts of pulmonary fluid were not rare in neonates radiographed within 2 hours and were not necessarily associated with symptoms. Low birthweight and prematurity predisposed to delayed clearance of pulmonary fluid; with birthweights greater than 2.3 kg excess of pulmonary fluid was unlikely. Persistence of pleural fluid was more common in the right than the left lung. While radiologically there was no difference in the sex incidence of delayed clearance, symptoms were more common in boys.

Full text

PDF
63

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. ADAMS F. H., FUJIWARA T., ROWSHAN G. THE NATURE AND ORIGIN OF THE FLUID IN THE FETAL LAMB LUNG. J Pediatr. 1963 Nov;63:881–888. doi: 10.1016/s0022-3476(63)80218-8. [DOI] [PubMed] [Google Scholar]
  2. AHERNE W., DAWKINS M. J. THE REMOVAL OF FLUID FROM THE PULMONARY AIRWAYS AFTER BIRTH IN THE RABBIT, AND THE EFFECT ON THIS OF PREMATURITY AND PRE-NATAL HYPOXIA. Biol Neonat. 1964;7:214–229. doi: 10.1159/000239925. [DOI] [PubMed] [Google Scholar]
  3. Avery M. E., Gatewood O. B., Brumley G. Transient tachypnea of newborn. Possible delayed resorption of fluid at birth. Am J Dis Child. 1966 Apr;111(4):380–385. doi: 10.1001/archpedi.1966.02090070078010. [DOI] [PubMed] [Google Scholar]
  4. BOSTON R. W., HUMPHREYS P. W., REYNOLDS E. O., STRANG L. B. LYMPH-FLOW AND CLEARANCE OF LIQUID FROM THE LUNGS OF THE FOETAL LAMB. Lancet. 1965 Sep 4;2(7410):473–474. doi: 10.1016/s0140-6736(65)91428-5. [DOI] [PubMed] [Google Scholar]
  5. BURNARD E. D., JAMES L. S. Atrial pressures and cardiac size in the newborn infant. Relationships with degree of birth asphyxia and size of placental transfusion. J Pediatr. 1963 Jun;62:815–826. doi: 10.1016/s0022-3476(63)80095-5. [DOI] [PubMed] [Google Scholar]
  6. FAWCITT J., LIND J., WEGELIUS C. The first breath: a preliminary communication describing some methods of investigation of the first breath of a baby and the results obtained from them. Acta Paediatr Suppl. 1960 Mar;49(Suppl 123):5–17. doi: 10.1111/j.1651-2227.1960.tb05965.x. [DOI] [PubMed] [Google Scholar]
  7. FAWCITT J. Radiological findings in the lungs of premature infants. Arch Dis Child. 1956 Apr;31(156):119–123. doi: 10.1136/adc.31.156.119. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Hardie G., Kench J. E. Anti-IgG agglutinins in idiopathic respiratory distress syndrome of the newborn. Arch Dis Child. 1969 Dec;44(238):747–756. doi: 10.1136/adc.44.238.747. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Humphreys P. W., Normand I. C., Reynolds E. O., Strang L. B. Pulmonary lymph flow and the uptake of liquid from the lungs of the lamb at the start of breathing. J Physiol. 1967 Nov;193(1):1–29. doi: 10.1113/jphysiol.1967.sp008340. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. KARLBERG P., ADAMS F. H., GEUBELLE F., WALLGREN G. Alteration of the infant's thorax during vaginal delivery. Acta Obstet Gynecol Scand. 1962;41:223–229. doi: 10.3109/00016346209158099. [DOI] [PubMed] [Google Scholar]
  11. KARLBERG P. The adaptive changes in the immediate postnatal period, with particular reference to respiration. J Pediatr. 1960 May;56:585–604. doi: 10.1016/s0022-3476(60)80332-0. [DOI] [PubMed] [Google Scholar]
  12. Kuhn J. P., Fletcher B. D., DeLemos R. A. Roentgen findings in transient tachypnea of the newborn. Radiology. 1969 Mar;92(4):751–757. [PubMed] [Google Scholar]
  13. Steele R. W., Copeland G. A. Delayed resorption of pulmonary alveolar fluid in the neonate. Radiology. 1972 Jun;103(3):637–639. doi: 10.1148/103.3.637. [DOI] [PubMed] [Google Scholar]
  14. Sundell H., Garrott J., Blankenship W. J., Shepard F. M., Stahlman M. T. Studies on infants with type II respiratory distress syndrome. J Pediatr. 1971 May;78(5):754–764. doi: 10.1016/s0022-3476(71)80345-1. [DOI] [PubMed] [Google Scholar]
  15. Wesenberg R. L., Graven S. N., McCabe E. B. Radiological findings in wet-lung disease. Radiology. 1971 Jan;98(1):69–74. doi: 10.1148/98.1.69. [DOI] [PubMed] [Google Scholar]

Articles from Archives of Disease in Childhood are provided here courtesy of BMJ Publishing Group

RESOURCES