Severe forms of intraventricular haemorrhages in newborns (modern therapy and princepies of choice in personal treatment)

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Abstract

The scheme of management in newborns with severe intraventricular haemorrhage and post-haemorrhagic hydrocephaly was developed at Department of Neonatal Intensive Care, Children’s Hospital №1, Saint Petersburg. This scheme was based on regular intracranial monitoring by ultrasound and individual approach was used. When the signs of drug-resistant post-haemorrhagic hydrocephaly were detected, we used step-by-step tactics. The first step was ventricular-subgaleal drainage, it has inserted into subgaleal space («pocket»). 40 % of all patients improved their health status after that temporary drainage. Next phase (in case of unsuccessful first one) was ventricular-peritoneal shunt. Mortality of neonates with severe intraventricular haemorrhage was decreased from 50 to 24 %.

About the authors

A. S. lova

Medical Academy of Postgraduate Studie

Author for correspondence.
Email: shabanov@mail.rcom.ru
Russian Federation, St. Petersburg

V. A. Lyubimenko

Department of Neonatal Intensive Care, Municipal Children Hospital №1

Email: shabanov@mail.rcom.ru
Russian Federation, St. Petersburg

A. A. Skoromets

I. P. Pavlov State Medical University; Academician A. A. Skoromets’ Scientific Group

Email: shabanov@mail.rcom.ru
Russian Federation, St. Petersburg; St. Petersburg

A. P. Skoromets

Medical Academy of Postgraduate Studies

Email: shabanov@mail.rcom.ru
Russian Federation, St. Petersburg

T. A. Skoromets

Academician A. A. Skoromets’ Scientific Group

Email: shabanov@mail.rcom.ru
Russian Federation, St. Petersburg

I. V. Pankratova

Medical Academy of Postgraduate Studies

Email: shabanov@mail.rcom.ru
Russian Federation, St. Petersburg

T. P. Kagatkina

Department of Neonatal Intensive Care, Municipal Children Hospital №1

Email: shabanov@mail.rcom.ru
Russian Federation, St. Petersburg

E. Yu. Kryukov

Department of Neonatal Intensive Care, Municipal Children Hospital №1

Email: shabanov@mail.rcom.ru
Russian Federation, St. Petersburg

E. B. Popova

Department of Neonatal Intensive Care, Municipal Children Hospital №1

Email: shabanov@mail.rcom.ru
Russian Federation, St. Petersburg

L. G. Pankratov

Department of Neonatal Intensive Care, Municipal Children Hospital №1

Email: shabanov@mail.rcom.ru
Russian Federation, St. Petersburg

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