ABSTRACT
T. P. N. (aminoacids-glucose-fat) or aminoacids and glucose (A-G.) was given to 49 premature low-birth-weight neonates through peripheral veins for 7--42 days. The T. P. N. infusate contained glucose 12--20.5 g/kg/day and a standard dose of 2 g/kg/day for aminoacids and fat. The patients formed 4 groups: Twenty neonates were healthy but unable to tolerate oral feeding. Ten of them (group A) received T. P. N. and ten (Group B) received only A-G. Twenty nine neonates suffered from serious illness: 14 of them (Group C) received T. P. N. and 15 (Group D) A-G. In healthy neonates the weight gain was significantly higher in those who received T. P. N. than in those who took the same amount of calories but with A-G only. The addition of fat in parenteral nutrition is necessary in order to achieve a weight gain similar to that of intrauterine period. Fat is even more necessary in sick low-birth-weight neonates because they were found to be unable to tolerate high doses of glucose. Only part of the energy intake of the sick neonates could be covered with A-G. The present study has shown that parenteral nutrition can safely be given to sick low-birth-weight neonates without serious complications.
Subject(s)
Infant, Low Birth Weight , Infant, Premature, Diseases/therapy , Parenteral Nutrition, Total/methods , Parenteral Nutrition/methods , Acid-Base Equilibrium , Blood Proteins/metabolism , Body Weight , Energy Intake , Gestational Age , Humans , Infant, Newborn , Nutritional Requirements , Water-Electrolyte BalanceSubject(s)
Body Composition , Body Water/analysis , Infant Nutrition Disorders/metabolism , Intestinal Obstruction/surgery , Postoperative Complications/metabolism , Diarrhea/etiology , Fluid Therapy , Humans , Infant , Infant, Newborn , Intestinal Atresia/complications , Intestinal Atresia/surgery , Intestinal Obstruction/etiology , Intestinal Obstruction/therapy , Megacolon/complications , Megacolon/surgeryABSTRACT
The fusion between splenic tissue and the left gonad or the derivatives of the left mesonephros is a rare congenital anomaly first described in detail by Pommer in 1887/9 and divided into two forms by Putschar and Manion in 1956. In the first or continuous type a cord of splenic or fibrous tissue connects the spleen and the gonadalmesonephric structures. In the second type the fused splenomesonephric structures have lost continuity with the main spleen. An example of the continuous form is presented and the previous reports are briefly reviewed.
Subject(s)
Gonads/abnormalities , Spleen/abnormalities , Abnormalities, Multiple , Child, Preschool , Ectromelia , Gonads/embryology , Humans , Male , Mesonephros/abnormalities , Spleen/embryology , Spleen/pathology , Spleen/surgery , Testis/surgeryABSTRACT
Serum lysozyme levels were studied in term babies at the time of delivery and again between 7th and 30th postnatal days, and in preterm babies on the 1st, 3rd, and 5th postnatal days. Levels in term babies at delivery (mean 2.28 mug/ml) were similar to those found in adults, but they fell between the 7th and 30th postnatal days. In premature babies lysozyme levels on the first day of live (mean (0.82 mug/ml) were lower than in term babies. They tended to rise during the first 5 days, by which time they had reached levels found in term babies between the 7th and 30th days. The low lysozyme levels in preterm and in term babies after the first few days of life may contribute to the poor ability of the newborn baby to localize infection and to kill bacteria extracellularly.
