Issue 2 (2009)

An analysis of the children with extremely low body mass (ELBM) risk factors is presented. It is demonstrated, that the endured prenatal and postnatal asphyxia, a type of delivery influence the adaptation mechanisms of a child with ELBM in 37,7% of premature children with ELBM a durative functioning of the hemodynamically significant open arterial duct and open oval window is encountered in them, there is postponed dynamics of a pulmonary blood flow mature type forming with the pulmonary hypertension signs. A hemodynamically significant functioning arterial duct is associated with a high rate of the CNS critical hypoxically-hemorrhagic lesion development (the intraventricular hemorrhages, periventricular leukomalation). The premature children preserve a probability of the arterial duct repeated opening by the 3d week, which can lead to a state aggravation.