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Respiratory disorders in newborn: the features of ultrasonographic picture and haemodynamic status

PERINATOLOGIYA I PEDIATRIYA.2014.4(60):49–53;doi10.15574/PP.2014.60.49

Respiratory disorders in newborn: the features of ultrasonographic picture and haemodynamic status

I.S. Lukyanova, G.F. Medvedenko, E.D. Zhadan, B.A. Tarasyuk, E.N. Dziuba

 

SI «Institute of Pediatrics, Obstetrics and Gynecology, NAMS of Ukraine», Kiev, Ukraine

 

Object — to establish ultrasonic and dopplerographic features during the respiratory disorders caused by respiratory distress syndrome type 1 and pneumonia in newborns.

 

Patients and methods. A total of 56 children in the age 0–14 days, which were treated at the neonatal intensive care department and had signs of respiratory distress syndrome type 1 (1st group — 24 children) and pneumonia caused by intrauterine infection or massive aspiration meconium syndrome (2nd group — 25 children) were under observation. The control group consisted of 20 infants without signs of respiratory disorders. All infants treated at the neonatal intensive care department had passed clinical and laboratory examinations, ultrasonography (neurosonography with the assessment of cerebral blood flow, echocardiography (by extending protocol), a study of the chest and kidneys with the assessment of renal blood flow and the X-ray by indications). Holding of lung echography is not a routine method of examination, but in cases of severe respiratory disorders in infants, especially premature, and during the disability of conduct of the X-ray examination the ultrasonography allow diagnosing the state of the pulmonary system and choose a method of treatment. Ultrasound examination was performed by the use of Acuson X300 (premium edition, «Siemens», Germany) and My Lab Twice («Esaote», Italy).

 

Results. Examination of neonatal respiratory system state of the main group and the control group had shown the possibility of assessing of the ultrasound picture of healthy lungs and their pathological changes. Ultrasound examination of the lungs is an alternative method for the diagnosis of pneumonia, pneumothorax, and fluid in the pleural cavity in infants with respiratory disorders and allows determining the dynamics of pathological changes during the treatment, especially in case of disability of X-ray examination.

 

Conclusions. Infants who have suffered from respiratory disorders require dynamic monitoring of the pulmonary hemodynamics state with the use of echodoplerography because for the reason of transferring residual effects of respiratory failure requires constant monitoring with the use of timely treatment and preventive measures during the first year of life. Complex dynamic monitoring of the pulmonary hemodynamics state is recommended with the echodoplerography conduction.

 

Key words: preterm infants, respiratory distress syndrome, neonatal aspiration syndrome, congenital pneumonia, intracardial hemodynamic, echodoplerography.

 

 

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