Pulmonary Excretion of Carbon Monoxide in the Human Newborn Infant as an Index of Bilirubin Production: III. Measurement of Pulmonary Excretion of Carbon Monoxide After the First Postnatal Week in Premature Infants
1 Department of Pediatrics, Stanford University School of Medicine, Stanford, California
Using a single pass, flow-through system, the excretion rate of endogenously produced carbon monoxide ([unknown]eCO) was measured as an index of bilirubin production in 41 Caucasian infants of various gestational ages after the first postnatal week. Twenty-one were
32 weeks gestation. The mean slope for the 25 premature infants with multiple [unknown]eCO determinations was -0.21 ± 0.11 (SE) µl/kg/hour per day (P < .025, one-tailed). Fifteen premature infants with at least three [unknown]eCO determinations during the first 30 days of life had an average decrease in total CO excreted of 1.33% per day compared to the extrapolated initial value of total CO excretion of 27.0 ± 2.0 (SE) µl/hour, giving a calculated maximum red cell life span of 75 days.
Accepted on March 12, 1979
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