Medical Radiology and Radiation Safety. 2019. Vol. 64. No. 1. P. 31–37


DOI: 10.12737/article_5c55fc2cb98140.01495008

N.S. Vorotyntseva, V.V. Orlova

Radiation Examination of Newborns with General Therapeutic Hypothermia

Kursk State Medical University, Kursk Regional Perinatal Center, Kursk, Russia. E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.

N.S. Vorotyntseva – Head of Dep., Dr. Sci. Med., Prof.;
V.V. Orlova – Junior Researcher


Purpose: Revealing the features of the parenchymal organs of newborns subjected to general non-invasive therapeutic hypothermia (GNTН) and the development of radiation monitoring for such patients.

Material and methods: Under our supervision were 69 children with a severe degree of perinatal asphyxia, born from January 2014 to April 2018 in the Kursk Regional Perinatal Center. In the first hours of life, 50 patients were initiated GNTH, expressed in a decrease in body temperature to 34 °C in the rectum. Hypothermia was not performed 19 newborns for objective reasons. All children underwent radiation examination, including ultrasound of the brain, heart and internal organs, chest x-ray.

Results and discussion: The study revealed a high neuroprotective effect (assessed by ultrasound) of general non-invasive therapeutic hypothermia, depending on the Apgar score at the 5th minute of life: 66.7 % of children had a normal ultrasound pattern of the brain with the 21st day ≥4 points and received GNTH, 50 % of children ≤ 3 points after therapeutic hypothermia and 36.8 % of newborns without GNTH (p ≤ 0.001). The complex 5-step radiation monitoring, which included chest x-ray, ultrasound of the brain, heart and internal organs (liver, pancreas, spleen, kidneys, adrenals), revealed the features of neonatal period in children in the background GNTH: increased risk of development of parenchymal hemorrhages on the 3rd day and postnatal pneumonia on the 7th day of life.

Conclusion: A complex stage radiological examination of newborns in need of GNTH is the key to timely effective diagnosis, prevention and treatment of severe pathological conditions of the neonatal period.

Key words: newborns, asphyxia of severe degree, general therapeutic hypothermia, radiation monitoring


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For citation: Vorotyntseva NS, Orlova VV. Radiation Examination of Newborns with General Therapeutic Hypothermia. Medical Radiology and Radiation Safety. 2019;64(1):31-7. (Russian).

DOI: 10.12737/article_5c55fc2cb98140.01495008

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