Conclusion
La détresse respiratoire était une symptomatologie
très fréquente en néonatologie dans la charité
maternelle et la prématurité, dysmaturité soit 6,75 et
8,1% avec une mortalité très élevée. Plusieurs
faiblesses ont été remarquées notamment en ce qui concerne
la mise au point.
Mots-clés
Détresse respiratoire aigue, nouveau-né,
morbidité, mortalité.
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SUMMARY OF WORK.
This work carries on the survey of the encouraging factors the
sharp respiratory
distressat the children of 0 to 5 years in the urban
surroundings, case of the
hospitalmaternalcharity of the 03/JANVIER to JUNE 25, 2016.
However, weasked the following questions:
- Whatis the frequency of the sharprespiratorydistressat the
children of 0 to 5 years in the
hospitalmaternalcharity?
- What the factors are encouragingthisfrequency?
- Parmisthesedifferentfactors, the more partnerwhichis to the
sharprespiratorydistressat the
children of 0 to 5 years in our middle of survey?
We have gave out the followinghypotheses:
- The frequency of the sharprespiratorydistresswouldberaised to
the hospitalmaternalcharity of
Goma
- This frequencywouldbebound to someepidemiologicalfactors as:
V' age
V' The sex
V' The fashion of childbirth
V' The source
V' The clinics
- The prematurity and the dysmaturitéwouldbe the illnesses
the more associated to thissharprespiratorydistress.
In the goal to verifythesehypotheses, we set the following
objectives:
- To count all cases of the sharprespiratorydistressat the
children of 0 to 5ans in our middle of survey,
- To determine the factorsencouraging the prévalence of
the sharprespiratorydistress;
- To identify the age group the more touched, at the children of
0 to 5ans in our middle of survey;
- To propose atrack of the solutions to the problems of the
sharprespiratorydistress in order to propose somepragmaticmeasures to decrease
the rate;
- To bring back the whole population to know how to warn the
sharprespiratorydistressthatisofteneasier and more economic to warnthan to
heal.
To reachthese objectives, weused the documentaryanalysis
technique and as retrospective, descriptive method and statistical test of
calculation in percentage.
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The surveyconcerned 45 patients developing the
sharprespiratorydistresswithin the hospitalmaternalcharity of Goma of the
childrenbetween the age of 0 to 5ans, afterourinvestigatings and spoliation, us
succeeded to the followingresults:
- On a total of admissions of 251 NN, 45 hadpresented the
distressrespiratorydeterminantso a frequency of 17,9 %.
- The femininesexhadpredominatedwith 10,8%; the middle agewas of
2 - 3 years and the majority of the patients came from the peripheral
center.
- The clinic of the respiratorydistresswasdominated by the
dyspnea and the signs of struggle with a Silverman>4/10
- The prematurity and the dysmaturité have been
recognizedlikefactorsassociated to the respiratorydistress, and
post-termrepresented the biggestreason of the distressrespiratory
néonatale, contributory to itonly for 9,45%.
- The mortality of the NN havingpresented the DR has been
calculated to 12,5%. - The sternanemiaconstitutes the first risksthatcanoccur
in case of the sharprespiratorydistresseither 4,05%
Conclusion
The respiratorydistresswas a veryfrequent symptomatologie in
néonatologie in the maternalcharity and the prematurity,
dysmaturitéis 6,75 and 8,1% with a veryelevatedmortality.
Severalweaknesses have been noticednotablywith regard to the clarification.
Keywords Sharp respiratory distress, newborn, morbidity,
mortality.
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