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abo blood group is associated with response to inhaled nitric oxide in neonates with respiratory failureabo血型与应对吸入一氧化氮在新生儿呼吸衰竭
ABO Blood Group Is Associated with Response to Inhaled
Nitric Oxide in Neonates with Respiratory Failure
1 1 2 1
George T. El-Ferzli , Mackenzie Dreher , Rakesh P. Patel , Namasivayam Ambalavanan *
1 Departments of Pediatrics, Centers for Free Radical Biology and Pulmonary Injury Repair Center, University of Alabama at Birmingham, Birmingham, Alabama, United
States of America, 2 Departments of Pathology, Centers for Free Radical Biology and Pulmonary Injury Repair Center, University of Alabama at Birmingham, Birmingham,
Alabama, United States of America
Abstract
Background: Inhaled nitric oxide (iNO) reduces death or need for extracorporeal membrane oxygenation (ECMO) in infants
with persistent pulmonary hypertension of the newborn (PPHN). However, the response to iNO is variable and only 50–60%
of infants demonstrate a response to iNO. It is not known why only some infants respond to iNO. Adults and children with
blood groups B or AB do not respond as well to iNO as those with blood groups O/A.
Methods/Principal Findings: To determine if blood group was associated with iNO response in newborn infants, a
retrospective medical record review was done of infants admitted to a regional NICU from 2002-9 with a diagnosis of PPHN.
Data were collected during the first twelve hours post-initiation of treatment. Of 86 infants diagnosed with PPHN, 23 infants
had blood group A [18 received iNO], 21 had group B [18 with iNO], 40 had group O [36 with iNO], and 2 had group AB
[both received iNO]. Change in PaO2/FiO2 was less in infants with blood group A, of whom less than half were responders
(DPaO /FiO .20%) at 12 h versus 90% of infants with either O or B. Race, sex, birth weight, gestational age, Apgar scores at
2
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