OPTIMIZATION OF METHODS OF ROENTGEN DIAGNOSTICS IN PATIENTS WITH NECROTIZING ENTEROCOLITIS
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Abstract
Necrotizing enterocolitis (NEC) is the most frequent emergency pathology of newborns, that always requires emergency surgery in cases of perforation. At the present time, there are NEC of mature and premature newborns, as well as isolated perforations. In these groups NEC has a different clinical manifestations development – from fulminant and acute to intermittent and latent with pronounced stages by Bell. Active examination of the most significant diagnostic factors on early stages of disease, is the one of the first tasks of neonatologists and pediatric surgeons. Roentgen diagnostic is the most reliable diagnostic method in case of appearance of clinical picture of necrotizing enterocolitis. Analysis of method of roentgen-contrast examination of gastrointestinal tract was held in the study. In patients with NEC was used starch-contrast mixture of our development (SCM). The use of SCM has its advantages: simplicity and accessibility in use, high diagnostic informativeness, identification of objective signs of NEC, for 2-3 hours before examination, allows to evaluate the severity of patient’s condition in early terms, and to timely adjust the treatment.
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Author Biographies
Вадим Александрович Дударев,
candidate of medical sciences, docent, docent of chair of pediatric surgery with course named after prof. V.P. KrasovskayaМарина Юрьевна Галактионова,
Galaktionova Marina Yurievna
MD, PhD, professor, head of department of polyclinic pediatrics and propaedeutics of children’s diseases.
She has been working as the Principal Scientific Researcher at the Clinical Department of Somatic and Mental Wellbeing in Paediatrics since 1998. She was working as an Academic Secretary at the State Medical Research Institute for Northern Problems, Siberian Division of Russian Academy of Medical Sciences (February, 2001 – June, 2005).
Her priorities are: the studying of the development of the heart rhythm disorder and the cardiac conduction disease in children with the effect of of perinatal pathology of the CNS and syndrome of connective tissue dysplasia; the assessment of heart rate variability, central and cerebral hemodynamics indicators, vegetal homeostasis in children for the detection of the adaptational capacity of the cardiovascular system; the development of diagnostic protocols for identification and technologies of rehabilitation in children and adolescents taking into account the individual-typological approach with the aim of assessment for the health status.
She is an author of 327 scientific works, including 34 studying manuals, 4 monographs, 2 invention patents.
Under her supervision there were written one Candidate thesis, she also assisted in writing several sections of two dissertations on the study of clinical and functional characteristics of cardiac rhythm and conduction in children with different somatotype and small congenital malformations of the heart.
She is a Professor of the Russian Academy of Science since 2001, a member of the Russian Society of Cardiology and the Union of Pediatricians of Russia (the author of the Hymn of the organization). She is also a member of the “Pediatrics. Pediatric surgery. Genetics” Problem Commission of Krasnoyarsk State Medical University.
The pediatrician of the highest qualification category.Эльвира Васильевна Портнягина,
candidate of medical sciences, docent, head of the chair of pediatric surgery with course named after prof. V.P. KrasovskayaArticle Details
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The authors declare that they have no apparent or potential conflicts of interest related to the publication of this article.
This work is licensed under a Creative Commons Attribution 4.0 License.
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References
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