THE RELEVANCE OF EARLY ULTRASOUND DIAGNOSIS IN NEWBORN INFANTS WITH PERINATAL AND SURGICAL RISK FACTORS FOR THROMBOTIC EVENTS


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Abstract

Objective. To assess the role of ultrasonography in the diagnosis of thromboses in newborn infants having risk factors for thrombotic events. Material and methods. A total of 1112 medical records of newborn infants admitted to the Unit of Neonatal Surgery, Department of Neonatology and Pediatrics, Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia, for surgery for congenital malformations in 2010 to 2015 were retrospectively analyzed. Thrombotic events were diagnosed using an expert-class SIEMENS AC US ON S2000 ultrasound device in B and color Doppler flow mapping modes, linear transducers at frequencies of 7-14 and 16-20 MHz. Results. Of 971 neonates operated on for congenital malformation, 14 patients were diagnosed with thrombotic events on postoperative days 2-3. Thromboses were mixed in all the cases. All cases of thrombotic events, except 3 cases occurring and diagnosed intraoperatively, were diagnosed ultrasonographically. Conclusion. Ultrasonography can quickly and objectively diagnose neonatal thromboses in the early postoperative period. The relatively high frequency of thrombotic events in neonates operated on for malformations and necessitates the introduction of ultrasound screening in these patients in the postoperative period. The introduction of ultrasound screening can assist in detecting thrombosis in the early stages, in preventing the generalization of thrombotic events, and in enhancing the efficiency of the treatment.

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About the authors

Natalia Yakovlevna Morozova

Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: n_morozova@oparina4.ru; natfrostig@gmail.com
post-graduate student, anesthesiologist-resuscitator of the Department of Neonatal Surgery Moscow 117997, Ac. Oparina str. 4, Russia

Artem Alexandrovich Burov

Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: a_burov@oparina4.ru
Head on the clinical work of the Department of Neonatal Surgery Moscow 117997, Ac. Oparina str. 4, Russia

Yulia Leonidovna Podurovskaya

Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: y_podurovskaya@oparina4.ru
Candidate of Medical Science, Head of the Department of Neonatal Surgery Moscow 117997, Ac. Oparina str. 4, Russia

Elena Aleksandrovna Filippova

Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: e_filippova@oparina4.ru
Candidate of Medical Sciences, Head of the Department of ultrasound diagnostics in neonatology and pediatrics Moscow 117997, Ac. Oparina str. 4, Russia

Lyubov Vitalievna Ushakova

Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: ulv@bk.ru
Ph.D., neurologist Moscow 117997, Ac. Oparina str. 4, Russia

Mikhail Ivanovich Pykov

Russian Medical Academy of Continuing Postgraduate Education, Ministry of Health of Russia

Email: pykov@yandex.ru
MD, Professor, Head of the Department. Department of Ray Diagnostics of Childhood Moscow 125993, Barrikadnaya str. 2/1, bld. 1, Russia

Maria Alekseevna Vinogradova

Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: m_vinogradova@oparina4.ru
MD, doctor-hematologist, head of the Department of Reproductive Hematology and Clinical Haemostasiology Moscow 117997, Ac. Oparina str. 4, Russia

Dmitry Nikolaevich Degtyarev

Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia; I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia

Email: glav_neolog@yahoo.com; d_degtyarev@oparina4.ru
MD, professor, Deputy Director for Scientific Work Moscow 117997, Ac. Oparina str. 4, Russia; Moscow 119991, Malaya Trubetskaya str., 8/2, Russia

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