[Prematurity--risk factor for morbidity in infants]. / Prematuritatea--factor de risc al morbiditatii la sugar.

UNLABELLED: The premature child from the anatomo-physiological deficiencies represents one of the most important medical problems. In this context we present the results of an retrospective study on 2 lots of infants followed for one year in the Infant Care Clinic of Iasi. The first lot was formed by infants with a normal weight at birth and the second one by premature infants. At this two lots we study the age of admission in Clinic, the care period, the nutritional status, the total number of diseases, the type of affections. We study the most frequent affections of infants such as: respiratory, digestive, otic, cutaneo-mucous. The total number of diseases was 61 for the first lot and 153 for the second lot. From the affections the most frequently were respiratory diseases 60% for the first lot and 104% for the second lot (p < 0.01). The digestive affections were presented at 47.5% of first lot of children and 92% for the second one (p < 0.001); the otic affections 25% for the first lot and 50% for the second one (p < 0.05); cutaneo-mucous affection were represented by 20% from the first lot and 60% for the second one (p < 0.001). CONCLUSIONS: The prematurity continued to represent one of the most important risk factors of morbidity to infant, for that to those children we must to grant a special medical care.

[Acute renal failure in children. Study of 35 patients]. / Insuficienta renala acuta la copil. Studiu pe 35 de cazuri.

The medical care of children with acute renal failure and the necessity of the substituting the renal functions has dramatically modified over the past 15 years. The study has been conducted retrospectively on 35 children diagnosed with acute renal failure (ARF), for analyzing the etiological spectrum, the evolutionary patterns and the influence factors of the ARF evolution. The following parameters have been taken into consideration: ARF etiology, hTA/HTA, oliguria, level of serum creatinine, the type of treatment (renal substitution by hemodialysis, peritoneal dialysis, or conservative treatment). The ARF etiology is dominated by the sepsis (31.4%) and by the hemolytic and uremic syndrome (17.1%). The treatment applied was conservative in 48.5% of the cases; 51.50% of the patients were in critical state and required extrarenal substitution by hemodialysis--42.8%--and peritoneal dialysis--8.5%. Global mortality is reduced (22.8%), but in the dialysed patients it is of 44.44%. The main death causes were: severe hepatic failure, oncological diseases, severe neurological damage and hemodynamic damages. In conclusion, the ARF prognosis in children is influenced by the comorbidity states. Dialysis has improved the therapeutic results in the currently presented lot, the death causes being extrarenal.