Comments on clinical and laboratory characteristics and some risks factors of neonatal acute renal failure

Background: Acute renal failure is a common emergency and esspecial dangerous in the neonatal disease group, account for from 8% to 24% of among total patients to be treated at Intensive Care Unit with the high rate of mortality and complication. The mortality rate due to acute renal failure in neonatal group account for from 24.4% to 66,7%. Objectives: This study aims to learn about the clinical and laboratory characteristics as well as some risks factors of neonatal acute renal failure. Subjects and method:A descriptive, retrospective study was conduct on 64 patients without diagnosed of acute renal failure in control group and other 32 cases of acute renal failure whom treated at Neonatal Department of National Hospital for Pediatric from 1st January 2005 to 31st March 2006. Results:The diagnosis was often done in the 1st week of life and the incidence occurred in boy more than in girl.The average reatininernie\r\n', u'was 251.7\xb112.96 \xb5ol/l, the electrical disorder (in which hyperkaliernie: 78.1%, hyponatrernie: 46.9%), anernie was 18.7%, acidosis netabolique was 71.9%. Risk factors of neonatal acute renal failure: the pre-puerperal eclampsia (p = 0.023, OR=1.23), infection (p <0.001, OR = 9.53), suffocation (p <0.05, OR = 2.489), respiratory failure (p <0.001, OR = 2.489). Conclusion: The clinical signs were hyponurie and anuria, oederne and arterial hypertension.\r\n', u'\r\n', u'

Clinical characteristics, radiological and some risk factors for mortality of the congenital esophageal atresia at National Hospital for Pediatric

Background: Congenital esophageal atresia isn\u2019t uncommon malformation in newborn emergency. Its consequence is loss the ability of eating and poly infection in lung as well as newborn respiratory insufficiency. Objectives:This study aims to learn about the clinical characteristics, radiological and some risk factors for mortality of the congenital esophageal atresia at National Hospital for Pediatric. Subjects and method:A descriptive and retrospective study was conducted on 68 cases with atresia of the esophagus, hospitalized in the National Hospital for Pediatrics for 3 years from 1st January 2003 to 31st December 2005. Results:64.7% of cases hospitalized at 1 day of life, positive diagnosis was 45.6% at levels 1 and 2. The greater part clinical signs appeared in the 12 hours of life. Combination congenital malformations was seen in25% congenital esophageal atresia. Type III was more frequent (85.3%). Underprivileged factors were weight <2500g at birth, with associated diseases (infection, malformation), balance disorder of acid - base, hydro - electronics, respiratory distress by ventilator supported, time for surgery after 3 days. Conclusion: A further study should be carried out for confirmation of clinical characteristics, radiological and some risk factors of congenital esophageal atresia to help doctor give out accurate diagnosis to cure the patients.\r\n', u'\r\n', u'