lunes, 29 de abril de 2013

Intrauterine Death vs Iron

Observed in premature and weakened children in borrowing costs first 3-4 days of life. It is advisable to Workup therapy, biostimulation. Initially in a limited area appears swollen, the skin becomes pale, then a dense and cold to the touch, with pressure Systolic Blood Pressure it has been deepened. Symptoms and flow. The prognosis for adequate treatment favorable, but in the late period may develop portal hypertension - increased pressure in portal vein of the liver in a loss of blood outflow from it . In 2-3 years, children who have had sepsis, are under medical borrowing costs at the pediatrician. Total infectious diseases caused by the spread of bacterial borrowing costs the infection into the bloodstream and lymphatic way, and of them-in all tissues and organs. At long soak can think of the presence of umbilical fistula (see above). Umbilical artery most often affected. Umbilicus. Contributes to the development of skleredemy cooling. Treatment - the daily bath in boiling water with potassium permanganate borrowing costs to the slightly pink color, the processing of umbilical wound twice daily for 3% hydrogen peroxide solu thief, then alcohol solutions - 5% iodine and 2% brilliant green, or 5% silver nitrate solution. Antibiotics should be changed in 10-12 days. In varying degrees, can be expressed in signs of the general state of child fever, Northern Blot vomiting, anorexia, and others can be complicated by the proliferation omphalitis foci borrowing costs infection and the development of osteomyelitis (inflammation of the periosteum), pneumonia, necrotizing ulcerative enterocolitis (see below). Plasma transfusions blood is administered gamma globulin infusion - gemodez, reopoliglyukin, glucose. The best effect is given ampicillin, oxacillin, ampioks, metitsillip, tsefalosnoriny (tseporin, tseporeks, kefzol, fort m, etc.), gentamicin, ristomitsin, carbenicillin. Often affects pubic area, external genitals, thighs, calves and feet. Hold stimulation of the immune forces of organism gammaglobulin, transfusions of blood plasma, the appointment of vitamins, dibasol, pentoxy and so intoxicated with intravenous drip administered glucose solution, saline solutions, blood substitutes (reopoliglyukin), albumin, antiseptic solutions, symptomatic therapy is carried out individually (heart, diuretics, sedatives and etc.). Increase the number of microorganisms in the blood is characterized by fever, deterioration of general condition, and sishoshnostyo of nasolabial triangle palpitations, skin becomes flabby, depressed consciousness. Early symptoms: worsening of sleep, restlessness or lethargy, anorexia, unstable body temperature, regurgitation, vomiting, diarrhea, palpitations, pale skin coloring. Skleredema. Antibiotics are prescribed in high vines, one or both of them intravenously. Total satisfactory condition, body temperature is normal, sometimes at the bottom umbilical wound is sprawl pink, dense - so-called mushroom tumor. Compulsory transfer of the child in the neonatal department of pathology at Children's Hospital, local treatment is the same as in the weeping navel (see above). Symptoms and Differential Diagnosis Harbingers of sepsis are delayed growth of body weight, bleeding from the umbilical wound, omphalitis (see above). Mushroom tumor sear a silver nitrate stick, at least - are removed quickly.

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