CUMULATIVE FLUID BALANCE OF INFUSION THERAPY OF NEWBORNS WITH NECROTIZING ENTEROCOLITIS
Igor’ Alekseevich AL’YANOV1, Kristina Vladimirovna BUDAROVA2, Sergey Ivanovich SIROTA3, Aleksey Nikolaevich SHMAKOV1,4
1Novosibirsk State Medical University of Minzdrav of Russia
2City Children’s Clinical Emergency Hospital
3Children City Clinical Hospital № 1
4State Novosibirsk Regional Clinical Hospital
Keywords: кумулятивный баланс, некротический энтероколит, инфузионная терапия, критическое состояние, гиповолемия
Abstract
The aim of the research is to study the connection between the five-day cumulative fluid balance and the outcome of a critical condition in the surgical group of newborns. Material and methods. The study involved 30 newborns with necrotizing enterocolitis in stage IIIB according to Walsh - Kliegman. Groups were formed by the criterion of outcome. Analyzed parameters were age and body weight of participants, hematocrit number; the cumulative five-day fluid balance expressed as a percentage of the initial body weight. The data were carried out by nonparametric statistics. Results and discussion. The only independent factor determining the probability of death from necrotizing enterocolitis of newborns is the gestational age and the body weight as its derivative. The likelihood of an unfavorable outcome in necrotizing enterocolitis of the newborn doesn’t depend on the five-day cumulative fluid balance.
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