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1.
Toxicon ; 37(1): 159-165, January 1999. ilus
Artigo em Inglês | MedCarib | ID: med-17305

RESUMO

The clinicopathological features of four cases of scorpion envenoming by Tityus trinitatis are presented. The cardiac histopahtology is recorded in the two fatal cases. The pathology of the acute myocarditis was a mixed picture of a toxic myocarditis and coagulative myocytolysis. These cardiac lesions are also seen in catecholamine induced cardiotoxicity and lend support to the theory that an adrenergic surge follows scorpion envenoming. A brief review of scorpion envenoming syndrome is undertaken in the light of these findings (AU)


Assuntos
Humanos , Lactente , Criança , Venenos de Escorpião/efeitos adversos , Venenos de Escorpião/análise , Venenos de Escorpião , Trinidad e Tobago , Miocardite , Pancreatite/complicações , Pancreatite/diagnóstico , Edema Pulmonar/complicações , Edema Pulmonar/diagnóstico , Edema Pulmonar/patologia , Choque/diagnóstico
2.
West Indian med. j ; 42(Suppl. 1): 19, Apr. 1993.
Artigo em Inglês | MedCarib | ID: med-5163

RESUMO

Four cases are presented in which pulmonary oedema followed general anaesthesia in fit, male patients. All patients developed laryngospasm on extubation, which promptly resolved on treatment but which was followed by acute pulmonary oedema. Oxygenation defects and X-ray changes diagnostic of pulmonary oedema were documented in all cases. Management consisted of endotracheal intubation with intermittent positive ventilation and the administration of furosemide. Independent cardiology evaluation, including a 12-lead electrocardiogram, was done post-operatively and was completely normal in each case. All patients recovered completely. The risk of laryngospasm is reduced if extubation is done at a deep plane of anaesthesia. In emergencies when this is not possible, extubation is best delayed until the protective reflexes have returned. If pulmonary oedema occurs, it should be treated with intermittent positive pressure ventilation and diuretics (AU)


Assuntos
Humanos , Masculino , Adulto , Edema Pulmonar/etiologia , Laringismo/complicações , Anestesia , Intubação Intratraqueal
3.
West Indian med. j ; 40(Suppl. 2): 122, July 1991.
Artigo em Inglês | MedCarib | ID: med-5178

RESUMO

Three cases are presented in which pulmonary oedema followed general anaesthesia in fit, young, male patients. The surgical procedures were appendicectomy in two of the cases, and exploration of the scrotum in the other. Anaesthesia was monitored with the electrocardioscope and Dinamap in all cases and was uneventful. All three patients developed laryngospasm on extubation, which quickly resolved on treatment. Acute pulmonary oedema occurred forty-five, thirty-five and forty-five minutes after the respective episodes of laryngospasm. Oxygenation defects and X-ray changes of pulmonary oedema were documented. Management consisted of tracheal intubation and intermittment positive pressure ventilation. The respiratory distress resolved in 24, 4 and 19 hours, respectively. Independent cardiology evaluation, including twelve-lead electrocardiogram and echocardiogram, was completely normal in each case. The literature suggests that when laryngospasm occurs in this setting, immediate prophylaxis for acute pulmonary oedema, and close observation of the patient for respiratory distress in the early post-operative period are indicated (AU)


Assuntos
Humanos , Masculino , Adulto , Edema Pulmonar/etiologia , Anestesia Geral/efeitos adversos
4.
West Indian med. j ; 34(3): 198-202, Sept. 1985.
Artigo em Inglês | MedCarib | ID: med-11520

RESUMO

A case of left atrial myxoma presenting as acute pulmonary oedema is described. As far as we are aware, this is the report in the West Indian medical literature of accurate pre-operative diagnosis and successful surgical excision of such a tumour. Recent improvements in the accuracy of pre-operative diagnosis are discussed, and the present day availability of surgical excision, utilising cardio-pulmonary bypass with excellent post-operative results at low-risk, make response of this case of considerable importance. (AU)


Assuntos
Masculino , Humanos , Pessoa de Meia-Idade , Neoplasias Cardíacas/complicações , Mixoma/complicações , Edema Pulmonar/etiologia , Doença Aguda , Átrios do Coração , Neoplasias Cardíacas/patologia , Neoplasias Cardíacas/cirurgia , Mixoma/patologia , Mixoma/cirurgia , Jamaica
5.
J Pediatr ; 56(3): 420-24, Mar. 1960.
Artigo em Inglês | MedCarib | ID: med-9612

RESUMO

Over a period of 6 months a remarkable increase was seen in the incidence of acute nephritis among children in South Trinidad, and 263 cases were admitted to a general hospital. The patients were found to differ in their age, sex, and geographic distribution. The disease was associated with respiratory infection rather than skin infection, the form usually seen here, and the appearance of desquamation in many of the children suggested that the underlying organism was one capable of producing scarlet fever. The disease was mild. Only five children (1.9 percent) died, all from cardiac failure. Recovery appears so far to be complete in all but one of the survivors. (Summary)


Assuntos
Humanos , Lactente , Pré-Escolar , Criança , Masculino , Feminino , Nefrite/epidemiologia , Trinidad e Tobago , Nefrite/terapia , Sexo , Infecções Respiratórias , Epilepsia/tratamento farmacológico , Dispneia , Sopros Cardíacos , Hepatomegalia , Edema Pulmonar , População Rural
6.
West Indian med. j ; 1(1): 33-40, Sept. 1951.
Artigo em Inglês | MedCarib | ID: med-10437

RESUMO

A case is described of subarachnoid haemorrhage in a boy of fourteen years followed at once by fatal oedema of the lungs. The prevalent theory as to the cause of pulmonary oedema i.e. ventricular imbalance was propounded by Welchin 1878. Sufficient clinical and experimental observations have now been made to suggest that there are cases of pulmonary oedema of strictly neurologic origin, i.e. without any cardiac pathology. A part of the syndrome of cerebral haemorrhage is congestion of the lungs which may go on to oedema. It is suggested that the cough and other signs and symptoms of 'chestiness' (which are so frequently observed in patients who have had a 'stroke' and which rarely last more than the first few days of the illness) are central in origin (AU)


Assuntos
Humanos , Masculino , Adolescente , Edema Pulmonar/etiologia , Hemorragia Subaracnóidea/complicações , Hemorragia Cerebral/complicações
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