BACKGROUND. Pulmonary inflammatory processes may be important in the pathogenesis of BPD.

SUBJECTS. To monitor pulmonary inflammation we followed concentrations of prostacyclin as 6-keto-prostaglandin (6-keto-PG) and thromboxane (TxB2) in a total of 145 tracheal aspirates from 20 intubated preterm infants (gest.age 27.6±2.2 wks) during the first week.

RESULTS. 13 patients developed BPD. In them pulmonary concentrations of 6-keto-PG and TxB2 were lower during d 4-7 than in 7 patients surviving without BPD (Fig).

figure 1

Figure 1

CONCLUSION. Development of BPD may be associated with differences in pulmonary prostaglandin metabolism.