METHOD OF EARLY DETECTION OF PERSISTENT PULMONARY HYPERTENSION AND CRITICAL CONGENITAL HEART DEFECTS IN NEONATES

摘要

FIELD: medicine.;SUBSTANCE: invention relates to medicine, namely pediatrics and neonatology, pediatric cardiology. Essence of the method for early detection of persistent pulmonary hypertension and critical congenital heart defects in newborn includes traditional examination of a newborn and pulse oximetry. Screening is carried out twice: at the third hour of life of the child and on the third day after birth, depending on the results of measurements of saturation, determine the algorithm of the doctor's actions: if SpO₂ more than 95 %, with a difference in the indicators on the hands and feet less than 3 % – the test is negative, there is no data for critical conditions; with SpO₂ 90 %, but 95 % is a repeated two-fold measurement of saturation with interval of 1 hour, while maintaining a decrease in the saturation index 95 % or any of the measurements of SpO₂ less than 90 % and/or SpO₂ difference on the arm and leg more than 3 % – the test is considered positive, infant is counted the respiratory rate, the heart rate, urgently measures the arterial pressure (A/D) on the arms and legs, it is transferred to the intensive care unit (ICU) with the monitoring of respiratory motion frequency (BHD) heart rate (HR), A/D, carry out echocardiography (ECHO-KG) in the shortest possible time.;EFFECT: early detection of persistent pulmonary hypertension and critical congenital heart disease in newborn.;1 cl, 2 ex