Purpose of the study: Doppler assessment of blood flow of segmental renal artery to diagnose ischemic nephropathy in preterm infants. For the purpose of this study, 72 preterm newborns have been involved in clinical Doppler examination (main group); the group has been divided into 3 semi-groups (A,Б, В) depending on the severity of ischemic nephropathy (I, II, III). The control group consisted of 34 healthy newborns. It was determined that 81.3 % of the newborns with the 3rd grade ischemic nephropathy had pathological type of infant blood flow in days 1-3; TAMX and VED were significantly lower (p<0.01), and RI was significantly higher (p<0.05) in comparison with control group. Thus, the development of IN in preterm newborns is observed also by a decreased renal blood flow and severity of IN is depended upon the level of hypoperfuzion.
Ольхова Е.Б. Острая почечная недостаточность у новорожденных. Ультразвуковая и функциональная диагностика., 2004, №4 с. 30-41
Данченко С.В. Острое почеч-ное повреждение как фактор риска смерти новорожденных детей. Медицина и образование в Сибири, 2012, т.1,с 51.
Durkan A.M. Acute kidney injury. Post neonatal asphyxia. The Journal of Pediatrics, 2011, N158, p. 29-33
Hoste E. Acute kidney injury; epidemiology and diagnostic criteria. Current opinion in critical care, 2006, N 2, p 831-83
Чугунова О.Л., Зверев Д.В., Макулова А.И. Алгоритм диагнос-тики и лечения новорожденных с острой почечной недостаточностью. Вопросы практической педиатрии, 2006, №4, с. 26
Детская нефрология. Практи-ческое руководство под руко-водством Э. Лайманна, А.Н. Цыгина. –М. Литтерра, 2010, с. 400
Devarajan P. Update on mechanisms of ischemic acute kidney injury. J. Ams. Soc., Nephrology, 2006, N17, p. 1503-1520
Acute kidney injury is an independent risk factor for pediatric intensive care unit mortality, longer length of stay and prolonged mechanical ventilation, in critically ill children: a two-center retrospective cohort study. O. Alkandari, K.A. Eddington, Critical Care; 2011, N19, p. 146
Байбарина Е.Н. Ведение новорожденных с острой почечной недостаточностью. – М: Сфера, 2000, с 56.
Ишемическая нефропатия у новорожденных, клинико-лаборатор-ная характеристика, прогнозирова-ние и раняя диагностика. Н.Ю. Куликова, Т.В Чаша, А.Н. Можаева. Здоровье ребенка, 2010, № 2, с 104-107
Acute renal failure in full term neonates with perinatal asphyxia. Prospective study of 87 cases. Nouri S., Mahdhaoui N.M. Arch Pediatr., 2008, N 5, p 225-235
Сафина А.Н. Острая почечная недостаточность у новорожденных. Практическая медицина., 2011, №5, с 43-50
Jettou J.G. Update on acute kidney injury in the neonate. Current opinion in critical care, 2012, N24, p 131-136