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[Hemodynamic study of acute neurogenic pulmonary edema in children]. 儿童急性神经源性肺水肿的血流动力学研究。
Pediatrie Pub Date : 1993-01-01
C Jourdan, J Convert, C Rousselle, J Wasylkiewicz, V Mircevski, C Mottolese, C Lapras
{"title":"[Hemodynamic study of acute neurogenic pulmonary edema in children].","authors":"C Jourdan,&nbsp;J Convert,&nbsp;C Rousselle,&nbsp;J Wasylkiewicz,&nbsp;V Mircevski,&nbsp;C Mottolese,&nbsp;C Lapras","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Acute neurogenic pulmonary edema (NPE) can dramatically complicate a serious brain injury. From bibliographic data and four personal cases documented by and haemodynamical study, the authors analyse the pathophysiological mechanisms and the haemodynamical changes resulting from massive sympathic outflow, the main mechanism of NPE being haemodynamical rather than lesional. This rare complication needs to be recognized in order to undergo an intensive care treatment generally leading to a favourable evolution. This treatment lies on circulatory and ventilatory supports with positive and expiratory pressure in order to maintain an optimal oxygenation and an optimal cerebral perfusion pressure. With this treatment the outcome of NPE is usually favourable with complete recovery within 2 to 5 days.</p>","PeriodicalId":19935,"journal":{"name":"Pediatrie","volume":"48 11","pages":"805-12"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19052123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Evaluation of neonatal prognosis using Doppler velocimeter in cases of a high risk fetus]. [应用多普勒测速仪评估高危胎儿的新生儿预后]。
Pediatrie Pub Date : 1993-01-01
M Ferchiou-Cherif, F Zhioua, S Hafsia, L Hamdoun, A Jedoui, R Slim, S Meriah
{"title":"[Evaluation of neonatal prognosis using Doppler velocimeter in cases of a high risk fetus].","authors":"M Ferchiou-Cherif,&nbsp;F Zhioua,&nbsp;S Hafsia,&nbsp;L Hamdoun,&nbsp;A Jedoui,&nbsp;R Slim,&nbsp;S Meriah","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors describe the main characteristics of the Doppler method in the early diagnosis of chronic fetal distress, and report their personal results in the study of 51 high risk pregnancies. In their study the fetal doppler ultrasound findings were correlated with birth weight related to gestational age, and neonatal morbidity. The parameters established from the doppler ultrasound assessment were the placenta resistance (calculated from the formula of Pourcelot: R = S-D/S applied to the umbilical artery) and the cerebro-placental index, Rp/Rc, Rc being the index of cerebral arterial resistance. The diagnosis performance of the method appeared very good: the Rp index was found to be highly specific for hypotrophy (85,7%) and for neonatal morbidity (90%), the RCP index adding its own good sensitivity (85% for hypotrophy and 83,3% for neonatal morbidity). The authors conclude upon the interest to study simultaneously the fetal umbilical and cerebral arterial circulations. The pathological significance of the two indexes appears different so that they are to be complementary in the evaluation of fetal distress.</p>","PeriodicalId":19935,"journal":{"name":"Pediatrie","volume":"48 11","pages":"828-31"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19052127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Neonatal ascites caused by obstructive urologic disease. Apropos of 2 cases]. 梗阻性泌尿系统疾病所致新生儿腹水。[2]。
Pediatrie Pub Date : 1993-01-01
S Fejji, M A Mongalgi, S Boukthir, K Belhadj, A Debbabi
{"title":"[Neonatal ascites caused by obstructive urologic disease. Apropos of 2 cases].","authors":"S Fejji,&nbsp;M A Mongalgi,&nbsp;S Boukthir,&nbsp;K Belhadj,&nbsp;A Debbabi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We report two cases of neonatal ascites. The first case is a 24 day old male referred for abdominal distention and edema. Peritoneal tap removed a transudative fluid. Ultrasonographic evaluation revealed obstructive posterior urethral valves. Bladder drainage led to resolution of the urinary ascites and renal function normalization. Long term follow-up after endoscopic resection of valves was good. The second case is a male infant who presented at birth with abdominal distention. Radiology revealed an urinoma and a left side hydronephrosis secondary to ureteropyelic junction syndrome which underwent a successful surgical treatment. Urinary ascites is a rare entity which calls for immediate diagnosis and management to preserve renal function.</p>","PeriodicalId":19935,"journal":{"name":"Pediatrie","volume":"48 11","pages":"788-91"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19054206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Vaccinating children before travel]. [旅行前给孩子接种疫苗]。
Pediatrie Pub Date : 1993-01-01
P Reinert
{"title":"[Vaccinating children before travel].","authors":"P Reinert","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":19935,"journal":{"name":"Pediatrie","volume":"48 7-8","pages":"515-7"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19155552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Mycoplasma pneumoniae pneumopathies in children: clinical, biological and radiological study]. [儿童肺炎支原体肺炎:临床、生物学和放射学研究]。
Pediatrie Pub Date : 1993-01-01
C Gambert, E Werner, M de Kerdanet, F Monginet, H Bruel, C Jezequel
{"title":"[Mycoplasma pneumoniae pneumopathies in children: clinical, biological and radiological study].","authors":"C Gambert,&nbsp;E Werner,&nbsp;M de Kerdanet,&nbsp;F Monginet,&nbsp;H Bruel,&nbsp;C Jezequel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Clinical, radiological and biological features of 19 cases of serologically proven Mycoplasma pneumoniae pneumonia were compared with those of 21 cases of other types of pneumonia. Some clinical features were more frequent in M pneumoniae: patients older than 5 years, association with upper respiratory tract infection, skin rashes, acute course, unsuccessful treatment with penicillin. There were no specific radiological features. When compared with the complement fixation method, the serological diagnosis using agglutination technique appears to be more sensitive.</p>","PeriodicalId":19935,"journal":{"name":"Pediatrie","volume":"48 3","pages":"241-7"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19378151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[3 pediatric cases of leptospirosis]. [小儿钩端螺旋体病3例]。
Pediatrie Pub Date : 1993-01-01
J Giudicelli, D Lemaitre, V Fournier, B Contamin, E Hartemann, D Floret
{"title":"[3 pediatric cases of leptospirosis].","authors":"J Giudicelli,&nbsp;D Lemaitre,&nbsp;V Fournier,&nbsp;B Contamin,&nbsp;E Hartemann,&nbsp;D Floret","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Three children presented with an association of pains, infectious syndrome, acute renal failure, hepatitis and meningitis, that lead to the diagnosis of leptospirosis. The clinical spectrum of this rare disease are recalled.</p>","PeriodicalId":19935,"journal":{"name":"Pediatrie","volume":"48 6","pages":"455-8"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19236269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Cochlear implant in children. General principles. Results of the Lyons team]. 儿童人工耳蜗。一般原则。里昂团队的研究结果]。
Pediatrie Pub Date : 1993-01-01
E Truy, A Morgon
{"title":"[Cochlear implant in children. General principles. Results of the Lyons team].","authors":"E Truy,&nbsp;A Morgon","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Cochlear implant is a transductor system used to transform acoustic vibrations into an electric current which stimulates the vestibulocochlear nerve. It may be either extracochlear, the nerve being stimulated through an electrode placed near the cochlea, or intracochlear, the electrode being inserted within the cochlea. Cochlear implantation in children is nowadays a safe and performing method to complete total deafness of sensorineural origin. However it must be only applied to total deafness which fail to show an improvement with conventional acoustic prostheses. In addition, partly for anatomical reasons, partly because of the time required to be sure of the indication, cochlear implantation can only be performed between 18 and 24 months of age.</p>","PeriodicalId":19935,"journal":{"name":"Pediatrie","volume":"48 7-8","pages":"571-6"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19155561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Psychiatric interventions in children under five years of age: prevention or care?]. [五岁以下儿童的精神病干预:预防还是护理?]。
Pediatrie Pub Date : 1993-01-01
M Battista, F Poinso, M Rufo
{"title":"[Psychiatric interventions in children under five years of age: prevention or care?].","authors":"M Battista,&nbsp;F Poinso,&nbsp;M Rufo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We analysed the consultations of children under the age of 5 attending our pedopsychiatric outpatients department over a period of 1 year. Although paediatricians and pedopsychiatrists agree on the necessity to start therapy as early as possible, we found that many children were seen to late, at a time when they had difficulties, and that the principle of early intervention in pedopsychiatric needs to be better applied during infancy in an effort to prevent psychological disturbances.</p>","PeriodicalId":19935,"journal":{"name":"Pediatrie","volume":"48 6","pages":"485-8"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19236275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Longitudinal evaluation of lymphocyte subsets and serum immunoglobulins in infants born to HIV seropositive mothers]. HIV血清阳性母亲所生婴儿淋巴细胞亚群和血清免疫球蛋白的纵向评估。
Pediatrie Pub Date : 1993-01-01
J Tricoire, S Claeyssens-Donadel, A Robert, M Rolland, F Moulin, E Kulhein, A Berrebi, J Izopet, J Puel
{"title":"[Longitudinal evaluation of lymphocyte subsets and serum immunoglobulins in infants born to HIV seropositive mothers].","authors":"J Tricoire,&nbsp;S Claeyssens-Donadel,&nbsp;A Robert,&nbsp;M Rolland,&nbsp;F Moulin,&nbsp;E Kulhein,&nbsp;A Berrebi,&nbsp;J Izopet,&nbsp;J Puel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Early predictive factors of HIV infection in infants born to HIV infected mothers were carried out to evaluate the roles of immunological parameters for the diagnosis and prognosis of HIV infection. T-lymphocyte subsets and serum immunoglobulins were studied on cord blood in three groups of neonates: 14 infected infants, 29 sero-reverted infants and 31 control neonates. No differences were observed between the three groups. At 3 months, IgG were significantly higher in the infected infants than in sero-reverted infants. After 6 months, CD4 + cell counts, CD4/CD8 ratio were significantly lower in the infected infants and serum IgG, IgA and IgM were significantly higher in the infected group. Antigenemia p24 was detected in 78% of the infected group before 6 months. Total HIV-specific antibody persisted and progressed after 6 months. These data and viral detection appear to be complementary and useful for therapeutic strategies.</p>","PeriodicalId":19935,"journal":{"name":"Pediatrie","volume":"48 4","pages":"283-6"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19381507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Value of skin fibroblasts in culture for the diagnosis of mitochondrial cell dysfunction. Apropos of 5 cases with cytochrome c oxidase deficiency]. 培养皮肤成纤维细胞对线粒体细胞功能障碍的诊断价值。细胞色素c氧化酶缺乏症5例。
Pediatrie Pub Date : 1993-01-01
J M Collombet, M T Zabot, M Vidailhet, I Maire, B Echenne, J Floquet, R Dumoulin, M Rimoldi, M Mathieu, B Mousson
{"title":"[Value of skin fibroblasts in culture for the diagnosis of mitochondrial cell dysfunction. Apropos of 5 cases with cytochrome c oxidase deficiency].","authors":"J M Collombet,&nbsp;M T Zabot,&nbsp;M Vidailhet,&nbsp;I Maire,&nbsp;B Echenne,&nbsp;J Floquet,&nbsp;R Dumoulin,&nbsp;M Rimoldi,&nbsp;M Mathieu,&nbsp;B Mousson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Mitochondrial respiratory chain dysfunction has been studied by two complementary methods using cultured skin fibroblasts from five patients with muscular cytochrome c oxidase (complex IV) deficiency: first, a screening test measuring lactate to pyruvate ratio (L/P) after supplementation of cultured cells; secondly, measurement of complex IV activity in whole cells. Respiratory chain defect (increased L/P ratio with decreased complex IV activity) was expressed in fibroblasts of four of the five patients. Our results show that skin fibroblasts can be helpful for biochemical diagnosis of mitochondrial respiratory chain defects.</p>","PeriodicalId":19935,"journal":{"name":"Pediatrie","volume":"48 4","pages":"287-95"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19383246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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