METHOD FOR PREDICTING THE DEGREE OF HEPATIC FAILURE IN NEONATALS

摘要

FIELD: medicine, neonatology.;SUBSTANCE: at first, based upon the increase of conjugated bilirubin being above 25.6 mcM/l a child should be referred to the risk group on the development of hepatic failure, then, in case of availability of hepatic excretory function only manifested in visualization of thickened wall of a cholecyst and heterogeneity of its content one should diagnose light-degree hepatic failure, in case of affected excretory and moderate protein-synthetic hepatic function manifested in hepatomegaly, phenomena of hemorrhagic diathesis, increased aminotransferases and visualization of hepatic vascular system during ultrasound survey one should diagnose average-degree hepatic failure, and at the availability of clinical symptomatics as the jaundice at greenish shade, hepatomegaly, affected water-electrolyte balance and hemorrhagic syndrome, at pronounced hemophilia accompanied with the decrease of prothrombin index, hyponatremia, hypoalbuminemia one should diagnose severe-degree hepatic failure.;EFFECT: higher accuracy and efficiency of diagnostics.;4 ex