Levels of cerebral blood flow and vascular — platelet hemostasis in small premature infants as early indicators of subependymal hemorrhage
S.A. TUPIKOVA1, L.I. ZAKHAROVA2
1M.I. KalininSamara Regional Hospital, 159 Tashkentskaya St., Samara, Russian Federation
2Samara State Medical University, 89 Chapaevskaya St., Samara, Russian Federation 443099
Tupikova S.A. — post-graduate student of the Department of children’s diseases, head of the division, tel. +7-927-264-55-77, e-mail: tvv@63.ru1
Zakharova L.I. — D. med. Sc., Professor of the Department of children’s diseases, tel. +7-960-816-28-20, e-mail: kdbsamgmu@jandex.ru2
The article presents data abaut 46 small premature infants on 22-34 weeks of gestation, of which 27 children had subependymal hemorrhage (SEH) in the first three days of life. Were defined gestational characteristics of indicators of cerebral blood flow and vascular-platelet hemostasis in the dynamics of an early neonatal period. Simulation of hyper perfusion in the areas of anterior and posterior cerebral arteries at a time of reduced flow in v. Haleni was found; with low level of plasmatic fibronectin and platelet aggregation activity mediates it causes the development of SEH.
Key words: small premature infants, neurosonography and Doppler sonography of cerebral blood vessels, fibronectin, platelet aggregation activity.
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