Mel'nikova N I, Strogonov I A, Razmakhov V M, Tsvetkova Z I, Kharitonova G D, Gabulaev S V, Zlygareva N V
Anesteziol Reanimatol. 2007 Jan-Feb(1):33-9.
There are many contradictory data available in the literature on the trends of diagnosed congenital malformations, including those requiring emergency treatment in neonatality. An examining specialist must make use of the algorithm to determine the condition of a neonate, which allows him to qualitatively define the time of surgical treatment and to predict the further course of disease, including its postoperative course. Problems can be solved in the context of evidence-based medicine. To compare the degree and causes of the critical condition of neonatal infants with developmental malformations, the authors have developed a severity rating scale for the newborn with developmental malformations at a gestational age of 35 weeks and a body weight of more than 2 kg, treated at an intensive care unit, by using the results of clinical, laboratory, and morphological studies and estimating the scores. Infants with esophageal atresia, diaphragmatic hernia, anterior abdominal wall and intestine were used as an example to determine changes and causes of the severity of neonates before and after surgery, by taking into account their scores.
关于先天性畸形（包括那些在新生儿期需要紧急治疗的畸形）诊断趋势的文献中有许多相互矛盾的数据。检查专家必须使用该算法来确定新生儿的状况，这使他能够定性地确定手术治疗时间并预测疾病的进一步发展过程，包括术后过程。问题可以在循证医学的背景下得到解决。为了比较患有发育畸形的新生儿危急状况的程度和原因，作者通过使用临床、实验室和形态学研究结果并评估分数，为在重症监护病房接受治疗的孕龄35周、体重超过2千克的患有发育畸形的新生儿制定了严重程度评分量表。以食管闭锁、膈疝、前腹壁和肠道畸形的婴儿为例，通过考虑他们的分数来确定手术前后新生儿严重程度的变化及原因。
