| Popis: |
Background Despite significant progress in nursing premature babies, neonatal pneumonia, along with artificial lung ventilation (ALV), is a significant factor in formation of chronic non-specific lung diseases later in life. The study aims to compare long-term effects of artificial lung ventilation sustained in the neonatal period in dependence on newborn babies` gestational age and the mechanical parameters of ventilation. Materials 127 patients aged 8–11 (84 full-term babies, 43 premature babies) who were treated in the intensive care unit of St. Petersburg Children`s Hospital No. 1 in the neonatal period, underwent follow-up examination of respiratory system. Of them, 27 children were born with the gestational age of 30–34 weeks, 16 of 35–36 weeks, and 84 at the gestational age of 37–42 weeks. The control group consisted of 43 children with uncomplicated neonatal period. Results In the neonatal period, pathology of the respiratory system was detected much more often in the premature infants (56% and 88%; p Conclusions Neonatal pneumonia, along with iatrogenic effects of resuscitation, is the dominant factor in formation of chronic nonspecific pulmonary diseases in catamnesis. Children treated in ICU in the early neonatal period should be considered a high-risk group for development of bronchopulmonary system pathology later in life, and they must be carefully supervised by pediatrician and pulmonologist. |
