Practical Aspects of Developmental Care over Neonates with Neonatal Thromboses
Increase in the incidence of neonatal thromboses is associated not only with the possibility for women characterized by tendency to high thrombosis to carry pregnancy, but also with the increase in enforced use of invasive treatment methods, such as catheterization of central and peripheral veins and umbilical vessels. This article is aimed at bringing peculiarities of epidemiology, pathogenesis and diagnosis, clinical manifestations and treatment of neonatal thromboses to the attention of practicing physicians. The article present tactics of treating 4 children with thrombi of varying genesis and localization based on clinical observations. The decision to start heparin therapy is made on the individual basis depending on the child's maturity at birth, thrombus localization, presence or absence of complications and nature of the concurrent pathology. The given clinical cases informatively demonstrate reasonability of a multidisciplinary approach to diagnosing and treating patients with this pathology, the need in strict selection of doses of the used drugs and continuous monitoring of coagulogram parameters in the setting of the therapy.