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Published on: May 4, 2020
ARTIFICIAL VENTILATION OF THE LUNGS IN THE NEONATAL PERIOD: LONG-TERM OUTCOMES
O Matsyura1, L Besh1, Z Slyuzar2
11Department of Pediatrics №2, Danylo Halytsky Lviv National Medical University, Ukraine; 4Municipal Non-profit Organization "Lviv Territorial Medical Union, Multidisciplinary Clinical Hospital of Emergency and Intensive Care (First Lviv Territorial Medical Union)", Separated Subdivision of St. Nicholas Hospital (Children's Hospital), Ukraine.
Abstract:
It is observed a correlation between the administration of artificial ventilation in the neonatal period and the subsequent formation of bronchopulmonary pathology. Aim - to study the frequency and the features of the course of broncho-pulmonary pathology in young children who were on artificial ventilation of the lungs in the neonatal period. The directions of the selection of medical histories were conducted, which was carried out by artificial ventilation of the lungs for pulmonary causes. The article presents the literature data and own experience of authors, which proves that there is a correlation between the conducted artificial ventilation of the lungs in the neonatal period and the subsequent formation of bronchopulmonary pathology. The results of a retrospective analysis of 475 children who received respiratory therapy are shown. It is a positive correlation is observed between the duration of artificial ventilation and the incidence of bronchitis (p<0.005) and pneumonia (p<0.005). There is a close correlation between the early introduction of artificial feeding and the development of allergies. We found a positive correlation between the presence of allergic pathology and hereditary predisposition to the development of atopy, gestational age and the development of bronchopulmonary dysplasia. In 27% of children who stayed on artificial ventilation during the neonatal period, there was a recurrent broncho-obstructive syndrome in early childhood. Premature children who have undergone acute pulmonary disorder and hereditary hereditary burdens should be considered as a high-risk group for developing bronchial asthma. Repeated episodes of broncho-obstructive syndrome in young children, who during the neonatal period were on artificial ventilation of the lungs, were most often due to bronchial asthma, which was characterized by a severe course.
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