DISEASES OF CHILDHOOD : MELENA (МЕLAENA NEONATORUM) - etiology, pathogenesis, symptoms and course of, recognition, prediction and prevention
Etiology and pathogenesis is not installed. Bleeding from ulcers in the stomach and intestines. Early forms are not associated with sepsis, late in most cases represent a hemorrhagic form of sepsis.
Symptoms. Bloody vomiting, intestinal bleeding, General lethargy, progressive anemia, lack of appetite, sudden weight loss.
The disease is detected in the first days of life. In benign form - fast recovery, malignant - severe bleeding; quickly develops severe anemia and the child dies.
To differentsirovat from false melena, vaginal bleeding in girls, symptomatic melena (syphilis, sepsis).
Vitamin K (5 mg 1 - 2 times a day) and vitamin C (50 - 100 mg of ascorbic acid) 1 - 2 times a day. Intramuscular repeated injections of maternal blood (10-20 ml), horse serum (5 - 10 ml), gelatin (10 - 20 ml of 10%) for 3 to 4 days; blood transfusion (50 - 60 ml). If a strong drop weight subcutaneous administration of 50 - 100 ml rangelovska solution. Inside teaspoons 10% solution of calcium chloride. Heart (caffeine, camphor), be sure to give even when vomiting cooled milk in small portions. Meticulous care. Warmers.