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In their results among 100 patients with perinatal asphyxia, 20% patients had hyperammonemia above 90 mol/L, with a mean plasma level of 11741 mol/L in asphyxia stages 2 and 3.24 Transient hyperammonemia of the newborn is a condition of potentially severe hyperammonemia due to transient platelet activation and portosystemic shunting through a large ductus venosus

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