Persistent long-term hyperglycemia in a premature newborn: clinical example

Abstract

Objective. To analyze the clinical picture of premature baby A. with persistent hyperglycemia, the patient's treatment tactics and approaches to differential diagnosis of the causes of this pathological condition. Glucose occupies one of the central positions in the processes of fetal growth and development, timely and normal development of the newborn brain. Disorders of its metabolism often lead to hypo- or hyperglycemia, especially common among premature infants, from isolated episodes to long-lasting persistent conditions. This article discusses a clinical case of a patient with registration of persistent hyperglycemia for two months.
 Materials and methods. The article presents the analysis of the treatment of premature patient A. with a birth weight of 450 g. Medical documents with the results of clinical, instrumental and laboratory research methods were used. Informed consent of legal representatives for examination and treatment was obtained.
 Results. A change in the condition of the child against the background of deep prematurity, septic process, accompanied by prolonged episodes of hyperglycemia, oxygen dependence, episodes of anemia, the formation of retinopathy and bronchopulmonary dysplasia, is described.
 Conclusions. The analysis of the clinical case showed that hyperglycemia in premature infants is a polyetiological condition, it has different duration and outcomes, can be both the main disease as well as manifestation of many other serious pathologies of the neonatal period. The further search for effective and safe methods of diagnosis and correction of hyperglycemia is justified.