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Register a new userPulmonary Hypertension In the Newborn
فرط التوتر الرئوي عند الوليد
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مطيع الكرم( باحث )
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تمت الدراسة في شعبة الخديج و الوليد – مستشفى الأطفال – جامعة دمشق في الفتـرة مـا بين 1/7/2002 و 1/7/2003 ، و قد لوحظ في الفترة الأخيرة تزايد في نسب حدوث فـرط التوتر الرئوي في شعبة الخديج و الوليد، هذا و قد شملت الدراسة / 73 / وليداً شخّص لديهم فرط التوتر الرئوي عن طريق إيكو دوبلر للقلب، درِستْ ظروف الولادة و ما حولها و لـوحظ ازدياد في نسبة حدوث نقص الأكسجة و كذلك نسبة خمج الدم عند الوليد، و المعالجة المطبقة كانت : دوبامين – قلونة – إدرار فضلاً عن إلى الأكسجة الجيدة و كانت النتائج النهائية كمـا يأتي: - شفاء كامل 7.76 % - تحسن جزئي 3.12 % - وفيات 11 % و النتيجتان الأخيرتان نوقشتا و فسر ذلك بوجود آفة عضوية أخرى منعت الشفاء أو أدت إلى الوفاة.
Recently, it has been noticed that the incidence of pulmonary hypertension in Neonatal Intensive Care Unit of children hospital has increased. The purpose of this study is to evaluate the outcome of newborns with pulmonary hypertension. This study was conducted on 73 newborns diagnosed by Doppler Echocardiography, admitted to the unit from 1/7/02 to 1/7/03. High rates of hypoxia and sepsis were noticed during the perinatal period. Treatment included good oxygenation, dopamine, alkalosis and diuretics. The results were asThe following: complete recovery in 76.7%, Partial improvement in12.3% and death in 11%. The last tow results were discussed and due to otheer organic lesions prevented the full recovery or led to death.
References used
Nelson :Text book of pediatrics 2000
Behran : Pediatric clinics of north America : The newborn vol. 17- 1987
Current : Pediatric Diagnosis and treatment , 13 th Edition 1997
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Hypertension is a common disease whose cardiac complications are very important sources of morbidity and mortality. These complications were detected by xray, electra car diography and echo cardiogeaphy.
We have 248 patients in our study: 140 male a
nd 108 female whose ages range between 34 and 80.
Our study shows that the common cardiac compliations are:
disorder of diastolic function (71%).
Diloted cardio my opathy25.8%.
Hy pertrophic cordiomiopathy.43.5%.
arrhythamias (29.8%).
coronary arteries disease 22.6%.
Studying the relationship between cardiac complications and treatment shows that the regular and sufficient treatment seduces the cardiac compilation of hyprtension.
Objective: To compare the effects of restrictive versus maintenance fluid in the
management of transient tachypnea of the newborn on respiratory support and
hospitalization duration .
Methods: The study sample included 68 full term neonates diagno
sed with transient
tachypnea of the newborn(TTN) in Neonatal Intensive Care Unit at Tishreen University
Hospital in Lattakia during (2016 - 2017) Patients were randomized into two groups:
1_A group of 33 patients received restricted fluid management of 40ml/kg /day on
the first day of life increased by 15ml/kg/day for all patients until 150ml/kg/day.
2_A group of 35 patients received standard fluid management of 60ml/kg /day on the
first day of life increased as mentioned earlier.
The two groups were assessed daily for indicators of dehydration including:(weight,
urine output, electrolytes ,blood urea nitrogen, creatinine , glucose and urine specific
gravity)blood oxygen saturation was monitored by arterial blood gas and pulse oximeter
and respiratory
The study was performed in 64 children aged 6 months to 5 years had
ventricuLar septal defect. Systolic pressure in the right ventricle and
Pulmonary Hypertension were determined by two ways.
1- From arteriovenous shunt via ventricular septal defe
ct the
correlation ratio of doppler echo cardiographic catheterization
values was %76.
2- From systolic regurgitation via the tricuspid valve the correlation
was %97.
To evaluate the rapid immuno-chromotographic assay ICT based on antigen 38
Kda of Mycobacterium tuberculosis, sera was collected from 245 persons, 111 of
them were pulmonary TB patients, 69 extrapulmonary, 25 having non TP
respiratory diseases, an
d 30 healthy control persons.
The diagnosis were based on usual testes such as signs and symptoms, X-ray,
smear and biopsy as well as the using of the serological test ICT the results were
as follows:
When pulmonary TB smear positive ICT was positive in 50 of 55 patients
(sensitivity 91%) whereas in pulmonary TB smear negative, sensitivity of ICT was
86 % (48/ 56). The sensitivity of the assay in extra-pulmonary TB patients was
74% (51/69) and the sensitivity of the test in all TB types was 83% (149/ 180) and
specificity of the test in nonTB pulmonary diseases were 96% and 100%in healthy
persons.
INTROUDACTION : Arterial chronic hypertension (HTN) is a well-known associated with myocardial infarction because it is un cardiovascular risk factor for development of atherosclerosis, And there are risk factors shared by the two diseases, such as g
enetic risk, insulin resistance, sympathetic hyperactivity, and vasoactive substances (i.e., angiotensin II); In patients with acute myocardial infarction (AMI) with ST elevation , the prevalence of antecedent hypertension is 32% and these percentage increases with age and in women
METHODES:Our study is formed in service of soine intensive in al Assad hospital in Lattaquia ,it includes every patient was admitted in our service for myocardial infarction with ST elevation within period from January 2014 to juin 2015 At admission we took the following information: age .sex, history of hypertension . therapy And the cardiovascular risk factures as diabetes , hyperlipidemia, smoking, familial history, obesity RESULTS: in our study,in patients with acute myocardial infarction (AMI)withST elevation , the prevalence of antecedent hypertension is 43%(39\90) women48.5(17\35) men 40%(22\55) and this percentage increase with age and more in women , reaching 100% in patients over the age of 80 year ,in our study 48%of patients with hypertension don’t take their treatment And 90%have more than one risk factor CONCLUSION :The proportion of hypertension in patients with myocardial infarction with ST elevation in our study was 43%.
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