Author/Editor | Radić, S; Grosek, Š; Osredkar, D; Derganc, M | |
Title | Zdravljenje novorojenke s hipoksično-ishemično encefalopatijo z uporabo sistemske hipotermije - prikaz primera | |
Translated title | Treatment of a neonate with hypoxic-ischaemic encephalopathy using systemic hypothermia - case report | |
Type | članek | |
Source | Slov Pediatr | |
Vol. and No. | Letnik 14, št. 4 | |
Publication year | 2007 | |
Volume | str. 192-7 | |
Language | slo | |
Abstract | Hypoxic-ischaemic encephalopathy during the perinatal period is the most frequent cause of severe, longterm neurological deficit in children. Despite advances in ante- and intra- partum monitoring, and more effective neonatal resuscitation, the incidence of hypoxic-ischaemic encephalopathy is still high. Until recently, newborns with hypoxic-ischaemic encephalopathy only received supportive treatment. Several recent studies have confirmed that treatment of newborns with hypoxic-ischaemic encephalopathy with induced hypothermia is neuroprotective. In this article the first clinical case of a newborn with severe bypoxicischaemic encephalopathy treated with induced systemic hypothermia in Slovenia, which was undertaken at the Department of Paediatric Surgery and Intensive Care, University Medical Centre Ljubljana, is presented. | |
Summary | Hipoksično-ishemična encefalopatija v obporodnem obdobju je najpogostejši vzrok hude nevrološke okvare in kasnejše prizadetosti in oviranosti otroka. Kljub napredku v nadzorovanju ploda pred in med porodom ter novejšim pristopom pri oživljanju novorojenčkov je pojavnost hipoksično-ishemične encefalopatije še vedno visoka. Do nedavnega so novorojenčkom s hipokično-ishemično okvaro pomagali le s podpornim zdravljenjem. Več novejših raziskav je potrdilo nevroprotektivni učinek zdravljenja z inducirano hipotermijo novorojenčkov s hipoksično-ishemično encefalopatijo. V tem prispevku je opisan prvi klinični primer zdravljenja novorojenčka s hudo obporodno hipoksično-ishemično encefalopatijo s pomočjo inducirane sistemske hipotermije v Sloveniji. Novorojenka je bila zdravljena na Kliničnem oddelku za otroško kirurgijo in intenzivno terapijo Univerzitetnega kliničnega centra v Ljubljani. | |
Descriptors | CEREBRAL ANOXIA ELECTROENCEPHALOGRAPHY HYPOTHERMIA, INDUCED ASPHYXIA NEONATORUM INFANT, NEWBORN |