RESUMO
El tratamiento óptimo de los pacientes con miocardiopatía hipertrófica obstructiva refractaria al tratamiento médico convencional es motivo de controversia. Algunos autores han demostrado la eficacia, en cuanto a mejoría sintomática y reducción del gradiente dinámico, de la estimulación secuencial auriculoventricular en este tipo de pacientes. Se presenta el caso de una paciente trasplantada renal, con miocardiopatía hipertrófica obstructiva con gradiente subaórtico elevado, que ingresó en la unidad coronaria por insuficiencia cardíaca refractaria y deterioro de la función renal; precisó ultrafiltración extracorpórea que no toleraba de manera reiterada por episodios graves de bajo gasto. Se comentan los aspectos terapéuticos y se destaca la buena respuesta a la estimulación con marcapasos bicameral. La utilidad de la estimulación secuencial en pacientes con miocardiopatía hipertrófica obstructiva sometidos a ultrafiltración por presentar síntomas congestivos refractarios al tratamiento médico convencional no ha sido previamente comunicada (AU)
Assuntos
Feminino , Pessoa de Meia-Idade , Humanos , Circulação Extracorpórea , Marca-Passo Artificial , Cardiomiopatia Hipertrófica/cirurgia , Insuficiência Renal/cirurgia , Eletrocardiografia , Transplante de Rim/efeitos adversosRESUMO
A study was made of the HLA in 41 children between the ages of 4 and 13 years, with the parasite Giardia lamblia, of ages between 4 and 13 years. The different histocompatibility antigens were compared in relationship to the clinical and analytical aspects of the patients. Individuals with HLA A1 and/or blood group A have a greater probability of contracting this parasite. Other relationships found were HLA A19 and vomiting. HLA A9 and abdominal pain and HLA B7 with alterations in the gastrointestinal mucous.
Assuntos
Giardíase/parasitologia , Antígenos HLA/imunologia , Criança , Pré-Escolar , Feminino , Giardíase/imunologia , Humanos , Lactente , MasculinoRESUMO
The authors report the result of a statistical study under stake for screening of congenital dislocation of the hip. Several factors was analyzed (season, maternal age, delivery, gestational age, sex, weight). 6.135 newborn child study in 36 months. In 130 (2.1%) baby were suspected congenital dislocation and the traumatological exploration was: 76 baby (58%) were normal; 54 baby (41%) were diagnosed congenital dislocation of hip. The incidence was 0.8% and the rate female/male: 6/1.
Assuntos
Luxação Congênita de Quadril/epidemiologia , Parto Obstétrico , Feminino , Luxação Congênita de Quadril/diagnóstico , Humanos , Recém-Nascido , Masculino , Idade Materna , Complicações do Trabalho de Parto , Gravidez , Fatores de Risco , Espanha/epidemiologiaRESUMO
We present seven cases of facial paralysis in newborn and infants from a series of 88 patients (pediatrics and non pediatrics) seen in a fourteen months period (October 1987 to December 1988). Current approaches to diagnosis and treatment, including pharmacological treatment with steroids and surgical treatment are described. All patients we present in this paper recovered a good facial activity and no secondary effects were found during treatment.