"

VACTER SYNDROME
VACTERL ASSOCIATION

-
:
314557224 -
021597232 -
, '- 2012

 :
:..-.
4 :
2,145 :"
38 :
: .
:
: .1
: 25, ,4 .3 - .
: 25 . -.

Term Newborn
Small For Gestitation Age
Esophagial Arthresia
Upper Limb Deformitis
Susp. VACTER Syndrome.

G10P4E- 8 ml\hour
LIPOFUNDIN 20% I.V- 1.3 ml\hour
DORMICUM I.V-0.2 ml\hour
FENTANYL I.V-0.1 ml\hour
. 2

:
95% -Sat.
117 -Pulse
on skin 36.9-Temp.

:
- .
5-" .
-,
.

:
NA-131
K-5.3
CA.-1.18
GLUCOSSE-78
Hct-58
Ph-7.43
Po2-48
PCo2-45

Hc03-29/9


:
ventilation mode -SIMV TUBE
PEEP- 5
IT SET-2
PIP SET-20
PRESSURE SUPPORT-100
Fi02-32
PIP measured- 19
:
Thoracic Drein
Umblical vein catheter
Single umblical Arthery
:
.

:
UVC

- 4.
:


- 4.
.
" .
, .
" .
.
" .

Vacterl syndrome

.

,
.
.

(klippel feli syndrome and goldenhar syndrome:
", ) .
18
,
.

.

.
, ,
, ,
.

VACTERL

V - Vertebral anomalies
A - Anal atresia
C - Cardiovascular anomalies
T - Tracheoesophageal fistula
E - Esophageal atresia
R - Renal (Kidney) and/or radial anomalies
L - Limb defects

V - Vertebral anomalies
,
. 70 -
.

.

A - Anal atresia

55
.

.

C - Cardiovascular anomalies
75 ,
.VSD, TOF

.

T - Tracheoesophageal fistula
- ,
70- .
,
.
33- 15
.

E - Esophageal atresia
70
.

R - Renal
(Kidney) and/or radial anomalies
50 30
( 2
) ,
,
.

.

L - Limb defects
70 .
, ,
, .
"
,
.



.
3
.



.
.

.
,
.


Solomon, D. (2011). Vacterl/vater association.
Orphanet Journal of rare diseases, 6(56), 317. doi: 10.1186/1750-1172-6-56
http://www.cincinnatichildrens.org/health/v/
vacterl/
http://rarediseases.about.com/od/raredisease
sv/a/vacterl.htm

 !!!