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616.37-003.4-004.1-06:616.24-053.2 (2) |
Patologia sistemului digestiv. Tulburări ale tubului alimentar (1746) |
Patologia sistemului respirator. Tulburări ale organelor de respiraţie (760) |
SM ISO690:2012 BALANEŢCHI, Ludmila, SELEVESTRU, Rodica, PALII, Ina, GUDUMAC, Eva, ŞCIUCA, Svetlana. Hipertensiunea pulmonară secundară la copiii cu fibroză chistică. In: Buletin de Perinatologie, 2021, nr. 2(91), pp. 28-32. ISSN 1810-5289. |
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Buletin de Perinatologie | ||||||
Numărul 2(91) / 2021 / ISSN 1810-5289 | ||||||
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CZU: 616.37-003.4-004.1-06:616.24-053.2 | ||||||
Pag. 28-32 | ||||||
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Aim. Evaluation of secondary pulmonary hypertension (PH) in children with cystic fibrosis (CF) and bronchopulmonary manifestations. Methods. The study included 22 children with CF confirmed by the sweat test and CFTR mutations. The mean age of the children in the study is 8,73 ± 0,9 years (age variations 6 moths–17 years, median 9 years, Mo 8 years). All patients were evaluated by echocardiography, color Doppler, M, 2D and continuous Doppler, and 14 children (>5 years of age) were evaluated by spirometry. Results. Restrictive functional respiratory disorders in children with CF were confirmed spirometrically by low FVC values–59,4±6,3% (variations 31-98%, median 55,5%, Mo 88%). The considerably low indices of FEV1–55,5±7,7% (variations 20-100%, median 51%, Mo 20%) confirm the presence of obstructive disorders in children with chronic lung infection in CF. Echocardiography testing is useful for identifying PH and assessing valvular insufficiency in patients with CF lung disease. The pump function of the left ventricle in these children is maintained 69,74±1,3%, (maximum value 78%, minimum 57%, median 69%, Mo 66%), but all children achieved tricuspid valve insufficiency grade I and one child - grade II. Echocardiography by Doppler monitoring of children with CF revealed an increase in pulmonary arterial systolic pressure (PsAP) 33,4±1,9 mmHg (maximum 50 mmHg, minimum 22 mmHg, median 33 mmHg, Mo 37 mmHg). Conclusion. Children with CF lung disease have reduced respiratory function associated with secondary PH due to increased PsAP and tricuspid valve insufficiency. |
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Cuvinte-cheie cystic fibrosis, pediatric pulmonary hypertension, spirometry, echocardiography, муковисцидоз, легочная гипертензия у детей, спирометрия, эхокардиография |
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