RESUMO
Evaluation of 500 arteriograms in children over a period of three years revealed a complication rate of 7.4% (37 cases). In these, thrombosis occurred which had to be treated conservatively. The factors increasing the complication rate were low age, weight below 5000 grammes, exposure of the vessel, excessively large instruments and long duration of the examination. For the early recognition of thrombosis the Doppler technique is most valuable. Prophylactic measures are discussed.
Assuntos
Angiografia/efeitos adversos , Doenças Vasculares/etiologia , Fatores Etários , Peso Corporal , Criança , Humanos , Trombose/etiologia , Fatores de Tempo , Ultrassonografia , Doenças Vasculares/prevenção & controleRESUMO
Post-intubation laryngotracheal stenosis in children is an important therapeutic problem in pediatric otolaryngology. The numbers of children treated by prolonged intubation and resuscitated children are increasing. In the Department of Pediatric Otolaryngology in Warsaw, 6 children were treated for post-intubation laryngotracheal stenosis. In the treatment the method of longitudinal intralaryngotracheal incisions was applied; in 3 cases with tracheotomy followed by cellophane separation and in 3 cases without the use of separator and without tracheotomy. There were no complications connected directly with the operation. Pneumonia was a frequent later complication making treatment difficult. Good therapeutic results were obtained.
Assuntos
Intubação Intratraqueal/efeitos adversos , Laringoestenose/cirurgia , Laringe , Estenose Traqueal/cirurgia , Adolescente , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Laringoscopia , Masculino , TraqueotomiaRESUMO
Dynamic development and progress in diagnostic imaging imply the rational use of diagnostic methods and their clinical applications. The choice of diagnostic techniques, especially in pediatrics, is still of fundamental importance. Proper indications for diagnostics may reduce the invasiveness of diagnostic procedures.
Assuntos
Diagnóstico por Imagem/estatística & dados numéricos , Pediatria , HumanosAssuntos
Tetralogia de Fallot/cirurgia , Fatores Etários , Criança , Pré-Escolar , Seguimentos , Humanos , Lactente , Métodos , Tetralogia de Fallot/mortalidadeAssuntos
Cardiopatias Congênitas/diagnóstico , Veias Pulmonares/anormalidades , Adolescente , Angiocardiografia , Cateterismo Cardíaco , Criança , Pré-Escolar , Feminino , Cardiopatias Congênitas/diagnóstico por imagem , Comunicação Interatrial/diagnóstico , Humanos , Lactente , Recém-Nascido , MasculinoAssuntos
Coartação Aórtica/diagnóstico , Coartação Aórtica/classificação , Feminino , Humanos , Lactente , Recém-Nascido , MasculinoAssuntos
Neoplasias Ósseas/diagnóstico por imagem , Linfoma Difuso de Grandes Células B/diagnóstico por imagem , Sarcoma de Ewing/diagnóstico por imagem , Neoplasias Ósseas/radioterapia , Diagnóstico Diferencial , Feminino , Humanos , Linfoma Difuso de Grandes Células B/radioterapia , Masculino , Radiografia , Sarcoma de Ewing/radioterapiaRESUMO
In this study nine children with an acquired deep venous thrombosis (DVT) are discussed. The condition involved the limbs, pelvis and abdomen and was asymptomatic in five cases. Infection and long-term catheterisation were common predisposing factors. Phlebography was the most common and reliable diagnostic procedure.
Assuntos
Veia Femoral/diagnóstico por imagem , Trombose/diagnóstico por imagem , Veias Cavas/diagnóstico por imagem , Adolescente , Criança , Pré-Escolar , Feminino , Humanos , Masculino , Flebografia , Ultrassom , UltrassonografiaRESUMO
A case of intestinal obstruction, as a result of radiation injury of the colon, is reported. This child was treated by roentgen therapy in the infant period because of a Wilms' tumour of the left kidney.
Assuntos
Obstrução Intestinal/etiologia , Neoplasias Renais/radioterapia , Radioterapia/efeitos adversos , Tumor de Wilms/radioterapia , Criança , Colo/efeitos da radiação , Colo/cirurgia , Humanos , Obstrução Intestinal/cirurgia , MasculinoRESUMO
Two sets of conjoined twins were studied by angiocardiography and cerebral angiography. Conjoined heart was demonstrated in the thoracopagus twins and surgical separation was impossible. Cerebral angiography disclosed the separate circulations in craniopagus twins and surgical separation was performed.
Assuntos
Angiografia , Gêmeos Unidos , Angiocardiografia , Angiografia Cerebral , Feminino , Humanos , Recém-Nascido , MasculinoRESUMO
27 cases of primary malignant and benign rib tumours are reported. The most common malignant rib tumour in childhood is Ewing sarcoma (20 cases). Some other rare bone tumours and tumorous conditions (reticulosarcoma, aneurysmal bone cyst, monostotic rib eosinophilic granuloma, osteoid osteoma and lymphangioma) are also described. In the authors' opinion Ewing sarcoma presents with characteristic clinico-radiographic findings in most of the cases. Other monostotic, primary rib tumours and tumorous conditions in childhood--with the exception of exchondroma and enchondroma--rarely show diagnostic radiographic features.
Assuntos
Granuloma Eosinófilo/diagnóstico por imagem , Costelas , Sarcoma de Ewing/diagnóstico por imagem , Adolescente , Adulto , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Linfangioma/diagnóstico por imagem , Masculino , Osteoma Osteoide/diagnóstico por imagem , Tomografia Computadorizada por Raios XRESUMO
The study aimed at evaluating an incidence of the acquired cysts of the kidneys in children with chronic renal failure. The study involved 33 children with renal failure treated conservatively with continuous peritoneal dialysis under ambulatory conditions and hemodialyses. CT tomography and sonography were carried out in all patients. The acquired cysts of the kidney were diagnosed in one out of 33 examined patients (3.03%) by ultrasound. This result was confirmed by CT-scanning. It is worth following the development of the cyst in his child waiting for kidney transplantation and further following all dialysed patients with ultrasound performed once per three months and CT-scans in some patients.