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Title: Совершенствование диагностики постгипоксических изменений миокарда у новорожденных в раннем неонатальном периоде
Other Titles: Improvement the diagnostics of the newborns myocardium posthypoxic at the early neonatal period
Authors: Гончарь, Маргарита Александровна
Бойченко, Алена Дмитриевна
Кондратова, Ирина Юрьевна
Тесленко, Татьяна Александровна
Подгалая, Евгения Владимировна
Комова, В.А.
Keywords: новорожденные
транзиторная постгипоксическая ишемия миокарда
ранний неонатальный период
Issue Date: 2016
Citation: Совершенствование диагностики постгипоксических изменений миокарда у новорожденных в раннем неонатальном периоде / М. Гончарь, А. Бойченко, И. Кондратова, Т. Тесленко, Е. Подгалая, В. Комова // Охрана здоровья детей и подростков : Украинский межведомственный сборник. – 2016. – № 1. – С. 19–21.
Abstract: В статье представлены клинические и морфофункциональные изменения со стороны сердечно-сосудистой системы, выявленные у новорожденных после перенесенной асфиксии в раннем неонатальном периоде. У 25% новорожденных зарегистрированы изменения миокарда постгипоксического генеза
Description: Objective: to improve early diagnostics of the cardiovascular system condition in newborns after undergoing asphyxia in the early neonatal period. Materials and мethods: The study involved 40 newborns with gestational mean age 36±3,2 weeks who suffered an asphyxia during birth. The control group is 20 healthy newborn children with gestational age 39-40 weeks. Results. Discussion. The threat of termination of pregnancy was detected in 65.0±7.3% (p<0.05) іn women. Clinical manifestations on the part of the cardiovascular system in newborns after undergoing an asphyxia were not specific. Тhe Doppler revealed: 20.0±6.6% newborns had dilatation of the left ventricular cavity, 70.0±8.6% children had dilatation of the right ventricular (p<0.05), 60.0±8.4% (p<0.05) – regurgitation on tricuspid valve and 65.0±8.6% (p<0.05). 70.0±8.6% (p<0.05) newborns had pulmonary valve regurgitation and had increase the average pressure in pulmonary artery. Myocardial contractility decreased in 15.0±5.6% children. Systolic dysfunction was at 40% newborns; diastolic dysfunction had 45% children after undergoing asphyxia. Hypokinetic type of central hemodynamics recorded in 35% (p<0.05) of newborns and is a risk factor for the progression of myocardial dysfunction. Changes of the myocardium post hypoxic genesis are registered in 25% of newborns, of them in 60% of cases are typical ischemic changes of S-T complex. Ischemic S-T complex changes were transient character of and regressed by the second week of the life. Conclusions: Changes of the myocardium posthypoxic genesis are registered in 25% of newborns
Appears in Collections:Наукові праці. Кафедра педіатрії № 1 та неонатології

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