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[High frequency ventilation by oscillation]. 【振荡式高频通风】。
Pediatrie Pub Date : 1993-01-01
B L Salle, O Claris, G Putet
{"title":"[High frequency ventilation by oscillation].","authors":"B L Salle,&nbsp;O Claris,&nbsp;G Putet","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The basic principles and indications of high frequency oscillatory ventilation are presented. The authors have used this technics in more than 400 neonates with respiratory failure. High frequency oscillatory ventilation appears as a simple, efficient and safe method of ventilation in the treatment of neonatal respiratory distress.</p>","PeriodicalId":19935,"journal":{"name":"Pediatrie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19039873","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
[Extracorporeal oxygenation and extracorporeal respiratory assistance in newborn infants]. 新生儿体外氧合和体外呼吸辅助。
Pediatrie Pub Date : 1993-01-01
J Costil, J Y Chevalier
{"title":"[Extracorporeal oxygenation and extracorporeal respiratory assistance in newborn infants].","authors":"J Costil,&nbsp;J Y Chevalier","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors present the principle and discusses the indications and contraindications of two technics of extracorporeal membrane oxygenation in the treatment of neonatal respiratory failure, respectively veno-arterial and veno-venous. The two technics appear to give comparable results. They are indicated in neonates with refractory hypoxemia after failure of other methods such as surfactant, high frequency oscillatory ventilation and nitrous monoxyde.</p>","PeriodicalId":19935,"journal":{"name":"Pediatrie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19040641","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
[Liver transplantation in children. Indications and results]. 儿童肝移植。适应症和结果]。
Pediatrie Pub Date : 1993-01-01
O Bernard
{"title":"[Liver transplantation in children. Indications and results].","authors":"O Bernard","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The results of liver transplantation in children have dramatically improved from the wide use of cyclosporine A and because of technical advances such as the use of reduced-size adult liver transplants. It is now accurate to consider that 70 to 80% of transplanted children will be alive with a normal life 5 years post-transplant. Within a few years, liver transplantation has thus become the regular treatment of many liver diseases in childhood.</p>","PeriodicalId":19935,"journal":{"name":"Pediatrie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19377559","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
[Role of dexamethasone in the treatment of purulent meningitis in infants and in children]. 地塞米松在婴幼儿和儿童化脓性脑膜炎治疗中的作用
Pediatrie Pub Date : 1993-01-01
E Grimprel, P Bégué
{"title":"[Role of dexamethasone in the treatment of purulent meningitis in infants and in children].","authors":"E Grimprel,&nbsp;P Bégué","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Accumulating evidence tends to demonstrate that inflammatory processes are responsible for neurological damage and sequelae in bacterial meningitis in children and infants. Massive liberation of bacterial cell wall components (Lipopolysaccharide, acid teichoic polymers) induce a cascade of reactions including the secretion of many cytokines (such as TNF alpha and IL-1 beta) and prostaglandins (such as PAF and PGE2) which in turn leads to the development of cerebral oedema, intracranial hypertension and cerebral blood flow reduction. Dexamethasone (DXM) is effective at the beginning of the inflammatory cascade and its utilisation in the meningitis experimental model in animals has shown significant reduction in the inflammatory response to bacterial meningitis. The first clinical studies using DXM as an adjunctive therapy to antibiotics have demonstrated its beneficial effect in terms of complications and long-term neurological sequelae in Haemophilus influenzae meningitis in children and infants. It seems that a similar effect can be obtained in meningococcal and pneumococcal meningitis. Little information is actually available concerning the use of DXM in penicillin-resistant pneumococcal meningitis. The rare reported cases of ceftriaxone failure with DXM as treatment of penicillin-resistant pneumococcal meningitis had a favorable outcome with the use of vancomycin.</p>","PeriodicalId":19935,"journal":{"name":"Pediatrie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19378610","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
[Congenital tuberculosis. Apropos of a case disclosed after necrotizing enterocolitis]. (先天性肺结核。关于一例坏死性小肠结肠炎后披露的病例。
Pediatrie Pub Date : 1993-01-01
P Lagier, Y Rimet, F Soula, J M Dejode, P Vellin
{"title":"[Congenital tuberculosis. Apropos of a case disclosed after necrotizing enterocolitis].","authors":"P Lagier,&nbsp;Y Rimet,&nbsp;F Soula,&nbsp;J M Dejode,&nbsp;P Vellin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors report on the observation of a premature infant (gestational age 31 weeks, birth weight 1440 g) who experienced a necrotizing enterocolitis and a congenital tuberculosis. Congenital tuberculosis is a rare infection; transmission of Koch's bacilli is achieved through hematogenous route or more frequently through inhalation or ingestion of infected amniotic fluid. The diagnosis was done when miliary patterns were found on the mother's chest X-ray. At the same time, the newborn presented with a chronic lung disease, a poor clinical status with biological signs of inflammation. Usual antibiotics were unsuccessful. A rapid improvement was obtained with a specific antituberculous treatment.</p>","PeriodicalId":19935,"journal":{"name":"Pediatrie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19155555","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
[Hydroxy-methyl-glutaryl-coenzyme A lyase deficiency manifesting as Reye's syndrome in a 3-year-old girl]. [3岁女孩羟甲基戊二酰辅酶A裂解酶缺乏，表现为雷氏综合征]。
Pediatrie Pub Date : 1993-01-01
C Karcher, J M Rousselot, E Lefebvre, M Vidailhet
{"title":"[Hydroxy-methyl-glutaryl-coenzyme A lyase deficiency manifesting as Reye's syndrome in a 3-year-old girl].","authors":"C Karcher,&nbsp;J M Rousselot,&nbsp;E Lefebvre,&nbsp;M Vidailhet","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors report on one case of 3-hydroxy-3-methylglutaryl-coenzyme A lyase (HMG-Co A lyase) deficiency in a 3 year-old girl, presenting as Reye's syndrome. Urinary organic profile suggested this inherited metabolic disease; decreased activity of HMG-Co A lyase was demonstrated in cultured fibroblasts. The metabolic etiologies of Reye's syndrome are summarized; clinical, biological, and therapeutic assessment of HMG Co A lyase deficiency are developed. The pattern of organic aciduria must be studied in all patients presenting with Reye's syndrome.</p>","PeriodicalId":19935,"journal":{"name":"Pediatrie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18777351","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
[Congenital hypoplasia of the left pulmonary artery and exertion hypoxemia]. 【先天性左肺动脉发育不全及用力性低氧血症】。
Pediatrie Pub Date : 1993-01-01
G Bellon, S So, D Louis, D Jocteur-Montrozier, J M Dupuis
{"title":"[Congenital hypoplasia of the left pulmonary artery and exertion hypoxemia].","authors":"G Bellon,&nbsp;S So,&nbsp;D Louis,&nbsp;D Jocteur-Montrozier,&nbsp;J M Dupuis","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The reported case concerns a 12-year-old boy with a congenital hypoplasia of the left pulmonary artery without associated cardiac malformation. At rest, pulmonary function tests were within the normal range, while the patient demonstrated an abnormal dyspnea and hypoxemia during exercise. These symptoms disappeared after left pneumonectomy. Unilateral pulmonary artery hypoplasia can be responsible for exercise hypoxemia due to an intermittent right-to-left shunt or a ventilation-to-perfusion mismatching.</p>","PeriodicalId":19935,"journal":{"name":"Pediatrie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19010081","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
[Desmopressin and water intoxication. Apropos of a case treated for enuresis]. 去氨加压素与水中毒。[关于一例遗尿症的治疗]。
Pediatrie Pub Date : 1993-01-01
R Guillaud, S Amram, F Lememme, D Lesbros
{"title":"[Desmopressin and water intoxication. Apropos of a case treated for enuresis].","authors":"R Guillaud,&nbsp;S Amram,&nbsp;F Lememme,&nbsp;D Lesbros","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A 4-year-old boy was treated with oxybutinine and desmopressine because of bladder instability associated with secondary enuresis. He was admitted with obnubilation, vomiting and experienced two seizure episodes concomitantly with hyponatremia and hypoosmolality. The child healed promptly under water restriction and intravenous administration of sodium chloride. This case report suggests that desmopressine may be responsible for severe side-effects. This drug should not be widely used and its indications should be restricted to patients with proven antidiuretic hormone secretion abnormalities.</p>","PeriodicalId":19935,"journal":{"name":"Pediatrie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19010748","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
[Hypopituitarism caused by pituitary stalk transsection syndrome. Pathogenic hypotheses apropos of 7 cases]. 垂体柄横断综合征所致垂体功能减退。病原假设[7例]。
Pediatrie Pub Date : 1993-01-01
F Despert, I Guenault, P Bricaud, J C Aubry
{"title":"[Hypopituitarism caused by pituitary stalk transsection syndrome. Pathogenic hypotheses apropos of 7 cases].","authors":"F Despert,&nbsp;I Guenault,&nbsp;P Bricaud,&nbsp;J C Aubry","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Magnetic resonance imaging (MRI) of the hypothalamic hypophyseal area was performed in seven children with multiple hypophyseal deficiency including growth hormone deficiency. In all cases stalk transection syndrome was found. In four cases MRI showed cranial or cerebral malformations. Perinatal asphyxia was found in only one child, and congenital hypopituitarism was present in two cases. The discussion focuses on the mechanisms that might be responsible for this syndrome. The malformation theory, while not taking into account all situations, seems to be the most appropriate, the reasons being the MRI finding and the patients' case histories.</p>","PeriodicalId":19935,"journal":{"name":"Pediatrie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19012024","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
[Recent data on pathogenesis of nephrosis]. 【肾病发病机制的最新资料】。
Pediatrie Pub Date : 1993-01-01
P Niaudet
{"title":"[Recent data on pathogenesis of nephrosis].","authors":"P Niaudet","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":19935,"journal":{"name":"Pediatrie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19050921","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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