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The sonographic diagnosis of neonatal adrenal hemorrhage.

Neonatal adrenal hemorrhage can be diagnosed with a combination of ultrasound and excretory urography without resorting to surgical exploration or invasive diagnostic procedures. The radiologic findings of adrenal hemorrhage on excretory urography include downward displacement of the kidney on the affected side and a radiolucent suprarenal mass on the body nephrogram phase. Ultrasound studies reveal a sonolucent suprarenal mass. Four cases of varying degrees of adrenal hemorrhage are presented together with the radiographic and sonographic findings.

Adrenal Gland Diseases↗

[Complications during the neonatal period can cause visual impairment later in life. Only few of the children were born prematurely--a surprising result of the study].

Forty per cent of children known at our low vision centre at the Department of Ophthalmology, University Hospital, Linköping, Sweden, had been treated in a neonatal ward after birth. Only few of them were born prematurely. Half of the children had an additional neurological handicap. The present neonatal screening program detects most cases of congenital cataract and all cases with retinopathy of prematurity.

Adolescent↗

[The role of free radicals].

Authors describe action of free oxygenic radicals on human body Syndromes in which pathomechanisms free radicals action is probable are listed. Syndromes of neonatal period where significant role of free radicals is noted are described: bronchopulmonary dysplasia, intraventricular and paraventricular bleedings, extracorporeal fibrosis, necrotic enteritis.

Bronchopulmonary Dysplasia↗

[Complications and survival rate in preterm infants and neonates treated with mechanical ventilation (author's transl)].

Between January 1972 and December 1976 201 preterm infants and neonates were treated with mechanical ventilation. These children were classified into 6 groups according to the indications for mechanical ventilation: P = respiratory failure caused by pulmonary disease; Z-P = respiratory failure caused by cerebral disturbance with simultaneous respiratory disease; Z = respiratory failure caused by cerebral disturbance; C = respiratory failure caused by cardiac disease; SCH = respiratory failure through shock; M = respiratory failure caused by mechanical disturbance; Bronchopulmonary complications developed in 70% of the survivors and in 60% of the fatalities. The most serious bronchopulmonary complications were infections which occured with similar frequency in all indication groups as late-onset complications, and air-leaks which occured as early complications. The latter complication was significantly higher (38%) in the first than in the other groups. The most serious extrapulmonary complications were seizures, intracerebral hemorrhages and septicemia. 71 of the 201 patients survived. There was a significant increase in the survival rate from 21.2% in 1972-1973 to 43% in 1974-1976. The survival rates differed significantly within the indication groups. The best result was found in the p-group followed by the Z-group. The highest mortality rate was found in the SCH and C-group.

Bronchial Diseases↗

[Ultrasound diagnosis of neonatal adrenal haemorrhage (author's transl)].

Two cases of neonatal adrenal haemorrhage are presented. Abdominal mass or jaundice appears in clinical study. Conventional diagnosis procedures are analyzed and advantages of abdominal echographic exploration is evaluated in order of precocious diagnosis and adequate monitoring of lesion evolution. Likewise, usefulness of ultrasounds in establishing differential diagnosis of adrenal haemorrhage in relation to other abdominal masses, important fact to save laparotomy, is emphasized.

Adrenal Gland Diseases↗

[The frequency of physiologic vaginal bleeding of newborn infants].

A study of 350 newborn girls revealed vaginal (uterine) bleeding in 25,4%, mostly demonstrable only by chemical micro-methods, but also macroscopically visible in 3,3%. This kind of bleeding appears always in the first week, with its highest frequency on the 5th day of life and must be regarded as a physiologic event. Analogous histologic and cytologic controls confirmed these observations, pointing toward the fact that, as a rule, no menstrual withdrawal bleeding, but degenerative, regressional changes upon the endometrium occur. Due to the rapid withdrawal of maternal hormones, nutritive disorders may lead also to diapedesis bleeding. But if any genital bleeding lasts longer than one week or appears for the first time after that period, further diagnostic procedures are essential as a possible pathologic condition may be assumed.

Austria↗