DIAGNOSTIC CONTRIBUTION OF EARLY ABDOMINAL ULTRASOUND IN THE SITUATION OF ACUTE ABDOMEN OF PREMATURE
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 100
- 主要终点
- Presence or absence of echographic signs
研究概览
简要总结
This study will assess the diagnostic contribution of early abdominal ultrasound for acute abdomen in premature newborns.
Early ultrasound assessment would provide diagnostic assistance, in conjunction with clinical examination and biological testing, in the three main clinical situations encountered with an acute abdomen in premature infants: enterocolitis (digestive translocation of a bacterium secondary to inflammation, local fragility of the digestive tract, associated ischemic phenomena), reflex ileus (decrease in intestinal peristalsis secondary to peritoneal reactivity following inflammatory phenomena) and digestive immaturity (expressed by bloating, regurgitation, absence of spontaneous transit, related to the degree of prematurity).
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Diagnostic
- 盲法
- None
入排标准
- 年龄范围
- — 至 36 Weeks（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Premature under 37 weeks of amenorrhea with an adverse event of special interest such as :
- •altered abdomen with bloating or presence of previsouly unknow marked collateral circulation,
- •absence of spontaneous transit (> 48 hours),
- •episode of rectal bleeding,
- •repeated regurgitation/vomiting (during more than 50% of feedings),
- •prolonged fasting (>12 hours), OR
- •increase in cardiorespiratory events on continuous monitoring associated with one of the elements listed above.
排除标准
- •organic malformation detected during prenatal monitoring or discovered in the immediate postnatal period,
- •chromosomal abnormality detected during prenatal monitoring or discovered in the immediate postnatal period,- spontaneous perforation occurring during the first week of life.
结局指标
主要结局
Presence or absence of echographic signs
时间窗: Day 5
Presence of "positive" echographic signs such as: aeroportia, pneumatosis parietalis, pneumoperitoneum, bowel wall thickening, fluid effusion, distension of bowel loops, during the early echography for premature newborns with digestive symptomatology.
次要结局
未报告次要终点