ThS. BS. Cam Ngọc Phượng
Khoa HSSS - BV NĐ1

Tóm tắt

Kết luận: Cần chú trọng các nguyên tắc sơ cứu trước khi chuyển để góp phần hạn chế các biến chứng có thể phòng ngừa được như hạ thân nhiệt, hạ đường huyết, mất nước, toan hụ hấp, góp phần cải thiện kết quả điều trị nhóm sơ sinh bệnh lý ngoại khoa.

TRANSFERRING SITUATIONS OF NEWBORNS WITH SURGICAL CONGENITAL MALFORMATIONS AT CH1

Abstract

Patients and Methods: Descriptive prespective study of newborns with gastroschisis, congenital diaphragmatic hernia, esophageal atresia, duodenal atresia. Results - Discussion In gastroschisis, wet gauge wraps had be done in 83%, so most of patients had hypothermia on admission. No cases of esophageal atresia had an upper end pouch drainage, therefore, the rate of aspiration pneumonia in this group were high. 68% of  congenital diaphragmatic hernia had respiratory failure on admission, especially there were 3 deaths during 6 hours after admisson due to severe respiratory failure, late intubation. Most newborns with duodenal atresia presented severe dehydration and malnutrition due to late diagnosis and no enough of fluid and electrolyte replacement.

Conclusion: Emphasizing primary management before transferring is necessary for minimizing avoidable complications such as hypothermia, hypoglycemia, dehydration, respiratory acidosis, contributed to improve the efficiency of treatment in surgical newborns

Trích HN Việt - Pháp lần 8, năm 2008