Çok düşük doğum ağırlıklı yenidoğanda osteopeni ve femur kırığı: Bir olgu sunumu

Year 2007, Volume: 14 Issue: 1, 37 - 40, 30.04.2009

Hasan Çetin Ayşen Türedi Faruk Öktem Bumin Dündar

Abstract

SüleymanDemirel Üniversitesi
TIP FAKÜLTESİ DERGİSİ: 2007 Mart; 14(1)




Çok düşük doğum ağırlıklı yenidoğanda osteopeni ve femur kırığı: Bir olgu sunumu



Hasan Çetin* , Ayşen Türedi**, Faruk Öktem***, Bumin Dündar****



*Süleyman Demirel Üniversitesi Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları AD, Neonatoloji Bilim Dalı, Isparta

**Süleyman Demirel Üniversitesi Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları AD, Isparta

***Süleyman Demirel Üniversitesi Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları AD, Nefroloji Bilim Dalı, Isparta

****Süleyman Demirel Üniversitesi Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları AD, Endokrinoloji Bilim Dalı, Isparta



Özet



Preterm osteopenisi uzun süre hastanede izlenen preterm bebeklerde görülen önemli bir sorundur. Bu yazıda sunulan hastamız 28 haftalık, 480 gram ağırlığında doğdu ve respiratuvar distres sendromu nedeniyle yenidoğan ünitesine kabul edildi. Respiratuvar distres sendromu, neonatal sepsis ve bronkopulmoner displazi tanıları ile izlendi. Tedavisinde amikasin, furosemid, glukokortikoid ve total parenteral nutrisyon kullanıldı. Kalsiyum desteği yeterliydi fakat fosfor replasmanı yeterli miktarda sağlanamadı. Doğum sonrası 85. günde bilateral femur kırığı saptandı. Kemik stabilizasyonu ve kalsiyum, fosfor desteği ile tedavinin 4. haftasında femur kırığı düzeldi.

Anahtar kelimeler: Prematürite, osteopeni, femur kırığı.



Abstract



Osteopenia and femur fracture in very low birth weight infant: A case report



Osteopenia of preterm is a serious problem which is seen in preterm infants hospitalized for a long period. Our case was born with 28 weeks gestational age and 480 grams birth weight and it has admitted to neonatal intensive care unit because of respiratory distress syndrome. It has followed up with respiratory distress syndrome, neonatal septicemia and bronchopulmonary dysplasia. Amicasin, furocemide, glucocorticoid and total parenteral nutrition were used for treatment of infant. Calcium supplementation is sufficient but phosphor replacement could not supplied enough amount. In postnatal 85th day, bilateral femur fracture has discovered. Femur fracture healed on the 4th week of the stabilization of bone, calcium and parenteral phosphor supplementation



Key words: Preterm, osteopenia, femur fracture.

Keywords

Prematürite, osteopeni, femur kýrýðý

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