Thursday, February 28, 2008

Newborns in the differential diagnosis of hyperlipidemia

With newborns after birth one week with other causes of bleeding of identification:
(1) gastrointestinal bleeding: At the pharyngeal and blood syndrome, congenital peptic ulcer, infections and digestive tract malformations such as identification. Pharyngeal neonatal blood syndrome at birth is the mother-hypopharyngeal Road blood, amniotic fluid, such as blood, Shortly after the occurrence of Health vomiting, a brown vomit, can also hematochezia, but little blood, gastric lavage after antiemetic, coagulation mechanism without obstacles. In addition, the alkaline denaturation test can be used to identify maternal and infant blood, infants with fetal blood - hemoglobin (strong anti-alkaline), maternal serum containing adult hemoglobin (anti-alkaline weak). Early congenital peptic ulcer and gastric perforation, necrotizing enterocolitis gastric parietal involvement at the same time, may have hematemesis, hematochezia; birth process of asphyxia caused by acute hypoxic stress ulcer, can be substantial hematemesis, hematochezia, these diseases are no clotting mechanism obstacles.
(2) - traumatic hemorrhage: multiple births occurred in the first exposed position, after having been Health, but with this disease often causal relationship, or existence, mutual heavier condition.
(3) Congenital thrombocytopenic purpura: can after birth one week internal bleeding, but significant reduction in platelet. (4) other congenital or acquired coagulation disorder: ① lack of other congenital clotting factor fibrinogen and congenital deficiency, are life-long disease through blood transfusion although improved, still relapse, confirmed the need to rely on specific coagulation inspection, and the disease is temporary, a cure is no longer recurrence. ② various infections, scleredema, pulmonary hemorrhage, can disseminated intravascular coagulation caused by bleeding, are acquired in the original hemorrhage incidence has been there before, bleeding occurred late in the newborn with the disease early, naturally bleeding different.
(5) Other: If umbilical cord hemorrhage and should not bear ligation, umbilical infection or granuloma caused by bleeding, and other identification. Vaginal bleeding with menstrual false identification. A rare hereditary hemorrhagic telangiectasia occurred in the early neonatal bleeding.

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