ymjЯкутский медицинский журналYakut Medical Journal1813-19052312-1017ЯНЦ КМП10.25789/YMJ.2024.87.22ymj-76Research ArticleТОЧКА ЗРЕНИЯPOINT OF VIEWРезультаты первичного дренирования брюшной полости у недоношенных детей с некротизирующим энтероколитомResults of primary drainage of the abdominal cavity in premature infants with necrotizing enterocolitishttps://orcid.org/0000-0002-4075-9770МусаевА. А.MusaevA. A.

Мусаев Аллахверди Айдын оглы – к.м.н.

Баку

Musaev Allahverdi Aydin oglu – PhD, Associate Professor, Doctoral student of the Department of Surgery and Plastic Surgery.

Baku

med_avtor@mail.ruАзербайджанский государственный институт усовершенствования врачей им. А. АлиеваАзербайджанA. Aliyev Azerbaijan State Institute of Advanced Medical EducationAzerbaijan20240302202503108112Copyright © Мусаев А.А., 20252025Мусаев А.А.Musaev A.A.This work is licensed under a Creative Commons Attribution 4.0 License.https://ymj.elpub.ru/jour/article/view/76

Изучено влияние первичного перитонеального дренирования (ПД) на динамику внутрибрюшного давления и исход лечения недоношенных новорожденных (НДН) с тяжелой стадией некротизирующего энтероколита (НЭК) с очень низкой массой тела при рождении.

ПД, снижая внутрибрюшное давление, улучшает функцию легких и печени и стабилизирует состояние, осуществляет своеобразную детоксикацию за счет снижения уровня токсичной жидкости, определяет характер выпота, свидетельствующего о некробиозе кишечной стенки, тем самым окончательно диагностирует перфорацию. Общая выживаемость при ПД представляется более высокой, и следует предположить, что предпочтительнее при тяжелых стадиях НЭК до лапаротомии применять ПД, избегая таким образом осложнений, связанных с прямыми лапаротомиями.

The influence of primary peritoneal drainage (PD) on intra-abdominal pressure dynamics and outcome of treatment of preterm neonates (PN) with severe necrotizing enterocolitis (NEC) with very low birth body mass was studied.

The peritoneal drainage reducing intra-abdominal pressure, improves lung and liver function and stabilizes the condition, performs a kind of detoxification by reducing the level of toxic fluid, determines the nature of the weaning, indicating necrosis of the intestinal wall, thus, it definitively diagnoses the perforation. Overall the survival with PD is higher, and it should be assumed that it is preferable in the severe stages of NEC before laparotomy to apply PD, thus avoiding complications associated with direct laparotomy.

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The authors declare that there are no conflicts of interest present.