" 1-2

' 2-3

Perinatal Asphyxia" 3-4

4-6

" 6-8

Apnea " 8-9

" 9-10

FTT' + ' 10-12

' " '15-16

" 16-18

" 18-19

" '19-21

' 21-23

Congenital stridor" 23-24

24-25

CROUP" 25-26

26-27

CF' 27-29

" 29-30

" 30-32

" 32-33

UTI, " 34-35

" -36-37

' 37-38

' 38-40

" 40-41

" 41-42

" + " 42-44

Vasculitides 45-47

" 47-48

" 48-50

" 50-52

' 52-53

53-55

" + " 55-57

" + 57-59

" 59-61

' 61-63

' 63-64

" 63-64

" 64-65

" 65-67

( ) " 67-69

" 71

" 71-75

" + 75-80

80-82

" 82-83

" 83-85

" 85-87

" 87-89

IUGR" 89-91

" 91-93

Retinopathy of prematurety" 93-94

" 94-96

' 96-98

' 98-100

" + 100-104

"

, " '

, 2006 -

- . .

" .

-terminal bronchiole , .

1. 6-4: . ().

2. ( 16-7): . 3. ( 27-17): , . -20 . 4. ( 35-28) . .

1. 2 -3.

2. . 3. . 4. 13-12.5. .: 1. Tracheo-Esophageal (TE) fistula: . " , . , " . . , .2. : , , . .

3. : ( ( .

1. , CO2 : -PO2 80.

2. 37 . , . 3. . 4. . . . ( , ). " . "" " . , ( ), . . . TTN (transient tachypnea of newborn) .

10% -90% -ductus arteriosus. , ( ) . . , , : " ". . , PDA (patent ductus arteriosus).

: term 37 -41.6. 37. post term 42. : AGA apropriate for gastetional age. SGA small, 10. LGA large, 90. . -2500 .

Apgar score .

5 : , , , , . 2-0 . 10 . .

210

, Blue, paleAppearance (color) A

> 100/min< 100/min-PulseP

No responseGrimce (response) G

limpActivity, tonusA

Weak cry-RespiratoryR

. ( ). 1, 5, 5 . 10 . .

3-0 , 6-4 , 7 .

(newborn, neonate) 28 . -140,000 . - , -70. . ( 20 4 ).

, , (, ).

60%.

.

1 " 1.2% , . -500 (23-22 ) 93%. 1 " (30-29 ) 95%. , .

(premature baby) -37 .

full term baby 42-37.

post term baby 42.

-1.5 ". , .

. ( ). " ( ) " , . . : ( ).

( ).

( ).

3 2 ( ) ( ).

lanugo hair.

.

Millia ( ) Erythema toxicum "" . . . Hemangioma ( ) . . Torticulli -SCM . . vernix . . . 3 . " .

: AGA apropriate for gastetional ageSGA small, 10. LGA large, 90.

. .

. 50% . ( ) ( ). .

Phototherapy " 400nm Bu . , UV .Acute perinatal asphyxiaacute perinatal asphyxia = - .

:

1. maternal -.

2. placental 3. cord . . .

Twin-twin transfusion. torsion . .4. neonate a. " , ". b. -CNS " .c. diaphragmatic hernia . :

3 4 :

1. , . pH < 7 ( -7.1).

2. 3 5 . 3. , , . 4. . :

.

-5 .

-5 -7.

(20 ) 60% .

:

3 " Sarnat -1970 ( ).

1. ( ). -, staring eyes. .

2. , , , . . 3. , . . . :

1 - " , : re-uptake ATP. - ATP . . . , , , ATP .

2 : . .

-para-saggital. -cerabral arteries ". .

, . , . short penetrators long penetrators.

: . .

PVL (periventricular leukomalacia) . , . .

.

.

. .

CO2 , , .

.

" arterial line " .

. " .

". " , " .

: .

( , ). -CNS ( ) 12-10 ( 6-4 ) 18-15 ( 10 ). asphyxiating process. , ( , ). 10 , ( 10 ). : -foramen ovale, . . ( ). , , , . -foramen ovale. " -persistant fetal circulation . , (). .

, -PO50 ( 50% - 26-28 mmHg 16-18 mmHg ).

" . , , . , ().

( ) .

.

.

, . -PO2 . PO2=0 , . -PCO2 = 55, 2.4, -pH 7.25, . .

: .

, . . . .

Persistant Fetal Circulation " pH . -pH 2 . . pH ( ) . pH " ( ). " NO ( ).

Tenssion pneumathorax - ( ). non-tension pneumathorax. tenssion pneumathorax. - . " needle aplication - , . , . - 15%-10 () . . . , . .

. ( ). " .

( ). . " , NO ( , ).

TTN Dyspnea , .

TTN (Transient Tachypnea of the Newborn) . ( ( . " . .

Tension pneumathorax -CXR . . . Dyspnea " -venous return. .

- :

1. 10% . . . . . . 2. . 3. . 4. . 5. . 6. . 7. . 8. " . , . 9. . 10. .

. ( , ). . .

. . " .

-. DDx:

1. , .

2. , . 3. -. 4. , , , . . DD :

1. .

2. Acute renal failure.

3. Renal immaturity.

4. .

5. Congenital adrenal hyperpkasia.

6. - ( ).

-

1. -. . - . .

2. .

:

1. IV . .2. calciun gluconate .

3. . 4. - - .5. Keyexalate . ( " ).6. lasix .7. . 8. exchange ( ) .

, . -PO2 - 30-20 " 100-80 " . - . . , HbF .

(, , ).

, :

1. .

2. . , . PDA .

, , . (, ) .

3 gr% . . 17-21 gr% ( 19). 3 gr% , 84%, PO2