tranzitornoe taxipnoe novorojdennogo

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powerpoint presentation tranzitornoe taxipnoe novorojdennogo dr.pavel mazmanyan, k.m.n neonatalnoe otdelenie nitsozmir, kafedra neonatologii niz sinonimi tranzitornoe taxipnoe novorojdennogo sindrom vlajnix legkix respiratorniy distress sindrom vtorogo tipa neonatalnoe taxipnoe sekretsiya fetalnoy legochnoy jidkosti i uroven adrenalina v krovi k momentu rojdeniya rodi i katexolamini kontsentratsiya katexolaminov v krovi u ploda cheloveka vo vremya i posle rodov (lagercrantz et al 1983) uroven katexolaminov i funktsiya legkix faktori riska po razvitiyu ttn asfiksiya kesarevo sechenie do nachala rodovoy deatelnosti astma u materi (geneticheskoe predraspolojenie k v-adrenergicheskoy giporeaktsii) kurenie materi chrezmernaya sedatsiya vo vremya k/s chislo kesarevix secheniy rastet vliyanie ne klinicheskix faktorov na chastotu ks v brazilii (k.hopkins1991) 40% vsex rodov v brazilii- proisxodit putem kesareva secheniya! chastno praktikuyushie vrachi sigrali glavnuyu rol v “epidemii” k/s u jenshin bez nachalnogo obrazovaniya chastota k/s -22%, u okonchivshix shkolu-79% u 29%-nizkiy doxod, 72%- jenshini s visokim doxodom v chastnix klinikax -75% vremya i sposob rodorazresheniya …
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st litsa i konechnostey taxikardiya stoni smikanie golosovix svyazok > povishenie vnutrigrudnogo davleniya (auto-cpap ! ) razduvanie krilev nosa povishenie soprotivleniya dixatelnix putey > povishenie vnutrigrudnogo davleniya (auto-cpap ! ) differentsialniy diagnoz diagnoz ttn prakticheski vsegda retrospektivniy, kogda podtverjdaetsya tranzitornost zabolevaniya i isklyuchayutsya drugie otlichaetsya ot rds po rentgenologicheskoy kartine i klinike naibolee vajno islyuchit rannee nachalo neonatalnogo sepsisa v chastnosti vizivaemogo v-gemoliticheskim streptokokkom! diagnosticheskie kriterii ttn potrebnost patsienta v dopolnitelnom kislorode v techenie pervix 6 chasov jizni i otsutstvie narastaniya o2 zavisimosti v blijayshie 18 chasov stabilizatsiya klinicheskogo sostoyaniya cherez 3-6 chasov na rentgenogramme – normalnaya ili snijennaya prozrachnost, pererastyajenie legkix, perifericheskiy sosudistiy risunok, inogda urovni jidkosti techenie zabolevaniya u 74% bolnix simptomi ischezayut posle 48-72 chasov pri adekvatnom vedenii prognoz prakticheski vsegda blagopriyatniy respiratornaya terapiya obichno dostatochno 40% o2 pod “kolpakom” v techenii 2-3 dney nekotorie patsienti mogut trebovat i bolee visokie kontsentratsii o2 vplot do 100% v …
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henie i analizi na infektsiyu otritsatelnie – antibiotiki otmenyayut vivodi znachitelnogo snijeniya respiratornoy zabolevaemosti mojno dostigut esli planovoe kesarevo sechenie budet vipolnyatsya na 39+0 -39+6 nedele beremennosti kesarevo sechenie doljno vipolnyatsya po ochevidnim akusherskim pokazaniyam(gipertenziya, infektsiya i t.d.) po bolshomu schetu, vijidatelnaya taktika prejdevremennix rodov luchshe postnatalnoe snijenie vesa napryamuyu svyazano s uluchsheniem respiratornogo statusa novorojdennogo ogranichenie vvedeniya jidkosti i isklyuchenie v/v rastvorov soderjashix na+ - krayne vajno v lechenii rd spasibo za vnimanie! 0 10 20 30 40 50 60 70 80 respiratory morbidity (%o) c.s. during labor c.s. before labor vaginal delivery 3741403938weeks of gestation 0 10 20 30 40 50 60 70 80 atemprobleme (promille) sectio nach wehenbeginn sectio vor wehenbeginn vaginal 3741403938ssw diagramm2 73.8 57.7 12.6 42.3 9.4 7 3.2 16.2 17.8 5.2 10.9 4.1 4.9 2.9 6.1 37 41 40 39 38 ssw sectio nach wehenbeginn sectio vor wehenbeginn vaginal atemprobleme (promille) tabelle1 pulmonale pathologie …
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thologie beim neugeborenen gestationswochen vaginal sectio nach wb sectio vor wb 37 12.6 57.7 73.8 38 7 9.4 42.3 39 17.8 16.2 3.2 40 4.1 10.9 5.2 41 6.1 2.9 4.9 c.s. during labor c.s. before labor vaginal delivery 73.8 57.7 12.6 42.3 9.4 7 3.2 16.2 17.8 5.2 10.9 4.1 4.9 2.9 6.1 tabelle1 wb = wehenbeginn vaginal sectio nach wb sectio vor wb week of gestation per 1000 neonatal respiratory morbidity tabelle2 37 41 40 39 38 weeks of gestation c.s. during labor c.s. before labor vaginal delivery respiratory morbidity (%o) tabelle3 diagramm1 37 37 37 38 38 38 39 39 39 40 40 40 41 41 41 morrison brit j obstet & gynaecol 1995 c. section before labor c. section after labor vaginal gestational weeks respiratory distress(‰) ( nd 73.8 57.7 12.6 42.3 9.4 7 3.2 16.2 17.8 5.2 10.9 4.1 4.9 2.9 6.1 tabelle1 pulmonale pathologie …
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powerpoint presentation tranzitornoe taxipnoe novorojdennogo dr.pavel mazmanyan, k.m.n neonatalnoe otdelenie nitsozmir, kafedra neonatologii niz sinonimi tranzitornoe taxipnoe novorojdennogo sindrom vlajnix legkix respiratorniy distress sindrom vtorogo tipa neonatalnoe taxipnoe sekretsiya fetalnoy legochnoy jidkosti i uroven adrenalina v krovi k momentu rojdeniya rodi i katexolamini kontsentratsiya katexolaminov v krovi u ploda cheloveka vo vremya i posle rodov (lagercrantz et al 1983) uroven katexolaminov i funktsiya legkix faktori riska po razvitiyu ttn asfiksiya kesarevo sechenie do nachala rodovoy deatelnosti astma u materi (geneticheskoe predraspolojenie k v-adrenergicheskoy giporeaktsii) kurenie materi chrezmernaya sedatsiya vo vremya k/s chislo kesarevix secheniy rastet vliyanie ne ...

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