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SM ISO690:2012 CIOLPAN, Doina, GROSU, Victoria, CIUNTU, Angela. Hemolytic disease of the newborn associated with megaureterohydronephrosis: particularities of a clinical case. In: Revista de Ştiinţe ale Sănătăţii din Moldova, 2022, nr. 3 An.1(29), p. 412. ISSN 2345-1467. |
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Revista de Ştiinţe ale Sănătăţii din Moldova | |||||
Numărul 3 An.1(29) / 2022 / ISSN 2345-1467 | |||||
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Pag. 412-412 | |||||
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Background. Hemolytic disease of the newborn affects 3/100 000 to 80/100 000 patients per year. Congenital megaloureter is a rare anomaly, the ratio between boys and girls is 4:1, and the left kidney is more affected than the right kidney (1.6 to 4.5 times). Objective of the study. Presentation of a clinical case of hemolytic disease of the newborn. Material and methods. Clinical and paraclinical anamnestic data were taken from the observation sheet of the patient, which was admitted to The Department of Pathology of Newborns within the Mother and Child Institute. Results. Child born from the III pregnancy, the III birth, at 39 weeks gestation, weight-3326g, waist-50cm, score Apgar 7/8. The child was in The Department of RTI with severe skin jaundice, with paraclinical data: Bilirubin – 103 mcmol/l, Hb – 127 g/l, RBC - 3.9x1012/l, Creatinine - 65.9 mmol/l, Urea - 4.75 mmol/l, CRP – 12 U/l. During the paraclinical investigations, according to the results of the abdominal ultrasound and the reno-urinary system, were detected an abnormality of development of the reno-urinary system, double left kidney, magaureterohydronephrosis on the left. The child received syndrome metabolic, rebalancing, and ionic, detoxification treatment and phototherapy. Conclusion. Early syndrome treatment of hemolytic disease is essential in the evolution of the severity of the disease. Imaging examination is important in the early detection of congenital malformations of the reno-urinary system and for the evaluation of early surgical correction. |
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Cuvinte-cheie hemolytic disease, hydronephrosis, megaureter, boala hemolitică, hidronefroză, megaloureter |
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