Saratov JOURNAL of Medical and Scientific Research

Saratov Perinatal Centre

Retinopathies in premature infants, incidence, risk factors, prevention and treatment

Year: 2014, volume 10 Issue: №4 Pages: 688-691
Heading: Proceedings of all-Russia week of science with international participants Article type: Original article
Authors: Chernenkov Yu.V., Nechaev V.N., Tereshenko V.A., Rodionova O.A.
Organization: Saratov State Medical University, Saratov Perinatal Centre
Summary:

Research Objective: Analysis of incidence and accompanying states, detection of risk factors of retinopathies in premature infants (RN), dynamic monitoring and improvement of medical actions. Material and Methods: 134 children have been surveyed in the group of risk on development of RN for the last 2 years. Results: From 134 surveyed infants with gestation from 22 to 37 weeks and body weight at birth from 750 to 2500 kg. At 56 children (41,8%) the retinopathy of various degree of expressiveness has been revealed. 38 children with RN of 1-2 stages (67,8%) from which at 22 (39,3%) —the disease ended with the induced regress after a course of «retinalamin», at 16 (28,6% of RN) — spontaneous regress. 4 children (7,1%) had RN 2-3 of the Art., 3-4 Art. at 12 (21,4%), and 5 Art. a cicatricial phase with retinal detachment — 2 (3,5%). In 12 cases the laser photocoagulation in the eye centers is carried out. Conclusion: The revealed relationship of cause and effect of risk factors of formation of RN with features of a current ofthe neonatal period at patients with RN, promoted development of the system of monitoring, implementation of the program of treatment and rehabilitation of prematurely born children suffering RN. Ophthalmologic screening of premature infants with the use of the ophthalmologic digital pediatric camera "Ret Cam 3" allows to diagnose a retinopathy at early stages, in due time to hold preventive an3 medical measures that allows to lower the invalidization of this group of children.

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Perioperative complications at patients with high anesthesiologic-operational risk (literature review, part I)

Year: 2010, volume 6 Issue: №3 Pages: 561-565
Heading: Anaesthesiology and Reanimatology Article type: Review
Authors: Sadchikov D.M., Prigorodov M.V., Vartanjan T.S.
Organization: Saratov State Medical University, Saratov Perinatal Centre, Saratov Military Medical Institute
Summary:

In the literary review frequency, risk factors, reasons and mechanisms of perioperative complications occurrence are submitted at thorax and abdominal interventions, including common data, cardiovascular complications, data about massive blood loss, condition of respiratory system, hemostasiologic complications; reasons of complications development are specified, consequences of inadequate anesthesia are named, mechanisms of perioperative complications development and consequence of a protein-power failure are considered

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Ultrasonic evaluation of cervix of uterus before delivery (literature review)

Year: 2010, volume 6 Issue: №2 Pages: 288-292
Heading: Obstetrics and Gynecology Article type: Review
Authors: L.A. Grishaeva, M.L. Chekhonatskaya, I.E. Rogozhina, N.E. Yannaeva
Organization: Saratov State Medical University, Saratov Perinatal Centre
Summary:

The literature review deals with the questions of diagnostics of physiological and pathological course of preliminary period and ready of cervix of uterus for delivery. It also presents the information about prognostic value of cervix of uterus status before delivery, the data were received by means of transabdominal, transvaginal and transperitoneal echography. It also discusses the possibilities of ultrasonic cervicometry in prognosis of risk development of uterus contractive activity anomalies

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THE ROLE OF IMMUNE STATUS OF MOTHER AND FETUS IN PATHOGENESIS OF GESTOSIS

Year: 2008, volume 4 Issue: №4 Pages: 26-29
Heading: Physiology and Pathophysiology Article type: Original article
Authors: N.P. Chesnokova, S.M. Arkhangelsky, N.N. Yakhamova
Organization: Saratov State Medical University, Saratov Perinatal Centre
Summary:

The research deals with the results of mother and fetus immune status investigations and indexes of A, M, G classes of immunoglobulins in mothers venous blood during the last phase of delivery. A comparative analysis of these indexes was made in 2 groups in physiologic pregnancy course and in pregnancy complicated by the development of disgammaglobulinemia in the form of Ig G increase and Ig A, Ig M decrease was observed in pregnant women with gestosis of mild severity. At the same time the index increase of all studies classes of immunoglobulins in funic blood was estimated.

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