NECROTIZING ENTEROCOLITIS OF NEWBORNS - PRESSING ISSUES AND FACTORS PROGNOSTICATING TREATMENT OUTCOME

A. A. Svirsky; Свирский Александр Анатольевич; I. A. Sevkovsky; Севковский Игорь Александрович; V. I. Averin; Аверин Василий Иванович; K. Yu. Marakhovsky; Мараховский Кирилл Юрьевич; A. M. Makhlin; Махлин Александр Михайлович; L. V. Valek; Валек Лариса Викторовна; E. V. Silina; Силина Елена Васильевна; E. V. Anisimova; Анисимова Елена Владимировна; E. V. Ustinovich; Устинович Екатерина Владимировна; V. Yu. Poleschuk; Полещук Владислав Юрьевич; A. A. Kachan; Качан Алексей Анатольевич

doi:10.17816/psaic265

NECROTIZING ENTEROCOLITIS OF NEWBORNS - PRESSING ISSUES AND FACTORS PROGNOSTICATING TREATMENT OUTCOME

作者: Svirsky A.A.¹, Sevkovsky I.A.¹, Averin V.I.², Marakhovsky K.Y.¹, Makhlin A.M.¹, Valek L.V.¹, Silina E.V.¹, Anisimova E.V.¹, Ustinovich E.V.¹, Poleschuk V.Y.², Kachan A.A.²
隶属关系:
1. State institution «Republican Scientific and practical Center of Pediatric Surgery»
2. Educational Establishment "Belarusian State Medical University"
期: 卷 6, 编号 3 (2016)
页面: 19-26
栏目: Original Study Articles
##submission.dateSubmitted##: 30.01.2017
##submission.datePublished##: 30.09.2016
URL: https://rps-journal.ru/jour/article/view/265
DOI: https://doi.org/10.17816/psaic265
ID: 265

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详细

The article presents the results of retrospective analysis of treatment of 71 newborns with necrotizing enterocolitis admitted to the Centre of Pediatric Surgery from 2007 to 2015. Peculiarities related to the course of pregnancy, labor, volume and quality of rendered aid at labor, duration of newborns’ stay at the resuscitation departments, treatment type, time of beginning and method of enteral feeding raising, clinical and laboratory data of initial manifestations and signs of necrotizing enterocolitis at the stages of rendering specialized aid before admittance to the hospital. Data are analyzed using https:// medcalc.net/stats/ online program. The most significant factors influencing the outcome of NEC in mature and premature patients considering the body mass at birth and gestational age are established. Groups of risk among pregnant women and premature newborns are revealed. It is established that the most significant factors influencing the outcome of NEC in premature and mature children are represented by the body mass at birth and gestational age.

关键词

некротизирующий энтероколит, факторы риска, масса тела при рождении, гестационный возраст, недоношенные дети, necrotizing enterocolitis, risk factors, body mass at birth, gestational age, premature children

参考

Averin V.I., Svirskij A.A., Govoruhina O.A., Anisimova E.V. Nekroticheskij e’nterokolit novorozhdennyh // Hirurgiya, Vostochnaya Evropa, Prilozhenie, 2013. S. 4-8.
Arapova A.V. Yazvenno-nekroticheskij e’nterokolit u novorozhdennyh / A.V. Arapova, E.B. Ol’hova, V.E. Shhitinin // Detskaya hirurgiya, 2003. № 1. S. 11-15.
Baev O.R. Osobennosti sostoyaniya venoznoj gemodinamiki ploda pri narusheniyah arterial’nogo krovotoka v fetoplacentarnoj sisteme / O.R. Baev // Voprosy ginekologii, akusherstva i perinatologii, 2004. T. 3. № 1. S. 30-36.
Bushtyrev V.A. Bal’naya ocenka sostoyaniya zdorov’ya nedonoshennyh novorozhdennyh s perinatal’nymi infekciyami / V.A. Bushtyrev, N.B. Laura, N.I. Zaharova // Rossijskij vestnik perinatologii i pediatrii, 2006. № 3. S. 11-14.
Danilik V.K. Diagnostika i lechenie nekrotiziruyushhego e’nterokolita u novorozhdennyh / V.K. Danilik, A.V. Hmelenko // Aktual’nye voprosy hirurgii: materialy XV s’ezda hirurgov Respubliki Belarus’, Brest, 16-17 oktyabrya 2014. Brest, 2014. S. 13-14.
Ionushene S.V. Znachenie sochetanij faktorov riska v razvitii NE’K u novorozhdennyh detej / S.V. Ionushene, T.V. Krasovskaya, V.A. Novozhilov // Voprosy sovremennoj pediatrii, 2003. T. 2. № 1. S. 41-44.
Kriterii tyazhesti i prognoza nekrotiziruyushhego e’nterokolita u novorozhdennyh / L.A. Sitko i dr. // Detskaya hirurgiya, 2003. № 6. S. 46-48.
Karavaeva S.A. Diagnostika i osobennosti klinicheskogo techeniya nekroticheskogo e’nterokolita u detej // Vestnik hirurgii, 2002. T. 161. № 4. S. 41-46.
Koval’chuk V.I. Lechebnaya taktika u novorozhdennyh s nekroticheskim e’nterokolitom / V.I. Koval’chuk, V.K. Danilik // «Rebenok i obshhestvo: problemy zdorov’ya, razvitiya i pitaniya»: tez. VI Kongressa pediatrov stran SNG. Minsk, 2014.
Linchevskij G.L., Golovko O.K., Vorob’eva O.V. Nekroticheskij e’nterokolit novorozhdennyh // Neonatologiya. № 1 (4). 2007.
Michael Cotten C. et al. Prolonged duration of initial empirical antibiotic treatment is associated with increased rates of necrotizing enterocolitis and death for extremely low birth weight infants // Pediatrics. January. 2009. Vol. 123. No. 1. P. 58-66.
McGuire W., Anthony M.Y. Donor human milk versus formula for preventing necrotising enterocolitis in preterm infants: systematic review // Arch. Dis. Child Fetal. Neonatal. Ed., 2003. Jan. Vol. 88. No. 1. P. 11-14.
Moss R.L., Dimmitt R.A., Henry M.C.W., et al. A meta-analysis of peritoneal drainage versus laparotomy for perforated necrotizing enterocolitis // J. Pediatr. Surg., 2001. Vol. 36. No. 8. P. 1210-1213.

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NECROTIZING ENTEROCOLITIS OF NEWBORNS - PRESSING ISSUES AND FACTORS PROGNOSTICATING TREATMENT OUTCOME

全文:

详细

关键词

作者简介

A. Svirsky

I. Sevkovsky

V. Averin

K. Marakhovsky

A. Makhlin

L. Valek

E. Silina

E. Anisimova

E. Ustinovich

V. Poleschuk

A. Kachan

参考

补充文件