Revue Médicale de Bruxelles最新文献

Indications médicales de la polysomnographie en pratique clinique 多导睡眠描记术在临床实践中的医学指征

Revue Médicale de Bruxelles Pub Date : 2020-02-01 DOI: 10.30637/2020.19-014

J. Newell, M. Strauss, M. Hein, O. Mairesse, G. Loas, D. Neu

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Ganglioneurome colique sécrétant du peptide vaso-intestinal chez un nourrisson de 7 semaines 7周龄婴儿结肠神经节瘤分泌血管肠道肽

Revue Médicale de Bruxelles Pub Date : 2018-12-01 DOI: 10.30637/2018.17-112

Monalisa Zampieri, Valérie Segers, S. Aouni, H. Steyaert, C. Devalck

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Les patients âgés de plus de 65 ans atteints d'un cancer admis aux soins intensifs 65岁以上的癌症患者入院重症监护

Revue Médicale de Bruxelles Pub Date : 2018-12-01 DOI: 10.30637/2018.17-098

C. Sirjacques, Lieveke Ameye, T. Berghmans, M. Paesmans, J. Sculier, A. Meert

{"title":"Les patients âgés de plus de 65 ans atteints d'un cancer admis aux soins intensifs","authors":"C. Sirjacques, Lieveke Ameye, T. Berghmans, M. Paesmans, J. Sculier, A. Meert","doi":"10.30637/2018.17-098","DOIUrl":"https://doi.org/10.30637/2018.17-098","url":null,"abstract":"Introduction : There is very little data on the survival of elderly patients with cancer admitted to intensive care unit (ICU). The aim of the study is to evaluate in our department prognostic factors for hospital mortality and survival after hospital discharge for patients aged ≥≥≥≥≥ 65 years. Patients and Methods : Retrospective study including all patients ≥≥≥≥≥ 65 with a solid or hematological tumor admitted for an acute complication in an oncological ICU from 01/01/2012 to 31/12/2014. Results : We recorded 311 admissions for 270 patients. The main reasons for admission were cardiovascular (22 %), respiratory (17 %) and hemodynamic (13 %). ICU and in-hospital mortality rates were respectively 10 % and 22 %. The identified independent prognostic factors for higher hospital mortality were the use of non invasive ventilation (NIV) use or of invasive mechanical ventilation (IMV) use and the existence of a therapeutic limitation in the first 24 hours. After hospital discharge, independent prognostic factors for death were Charlson’s score ≥≥≥≥≥ 8, SAPS II score e» 37, administration of amines in the first first hours. A total of 77 % of patients were able to benefit from an antineoplastic treatment after hospital discharge.Conclusion : Life-sustaining therapeutic limitation is directly related to hospital mortality and post-discharge survival. However, the large majority was still able to benefit from cancer treatment.","PeriodicalId":341141,"journal":{"name":"Revue Médicale de Bruxelles","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122344447","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

Wernicke’s encephalopathy after sleeve gastrectomy : a matter of life ophthalmological diagnosis 袖珍胃切除术后的韦尼克脑病:生命攸关的眼科诊断

Revue Médicale de Bruxelles Pub Date : 2018-12-01 DOI: 10.30637/2018.17-074

Benoît Preud'Homme, F. Depasse, L. Vauthier, M. Cordonnier

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Gardasil 9 : Un nouveau vaccin anti-HPV 加德西9:一种新的抗hpv疫苗

Revue Médicale de Bruxelles Pub Date : 2018-10-01 DOI: 10.30637/2018.18-038

P. Simon, J.-C. Noël, Sabrina Celotto

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Hémiparésie faciale transitoire et trouble de la vision chez un garçon syrien 叙利亚男孩短暂性面部偏瘫和视力障碍

Revue Médicale de Bruxelles Pub Date : 2018-10-01 DOI: 10.30637/2018.17-062

Martial Kalisa Ruzindaza, Christophe Fricx, K. V. Vaerenbergh, Karine Pelc, F. Vermeulen, Nicolas Massager, Véronique Toppet Hoegars, G. Casimir

引用次数: 0

MyéLome multiple révélé par deux infections invasives à Streptococcus pneumoniae : À propos d'un cas 两种侵袭性肺炎链球菌感染揭示多发性骨髓瘤:约1例

Revue Médicale de Bruxelles Pub Date : 2018-10-01 DOI: 10.30637/2018.17-105

M. Vandeputte, G. Bentea, M. Tole, L. Mekkaoui, Y. Miendje, C. Jacquy, N. Dauby

{"title":"MyéLome multiple révélé par deux infections invasives à Streptococcus pneumoniae : À propos d'un cas","authors":"M. Vandeputte, G. Bentea, M. Tole, L. Mekkaoui, Y. Miendje, C. Jacquy, N. Dauby","doi":"10.30637/2018.17-105","DOIUrl":"https://doi.org/10.30637/2018.17-105","url":null,"abstract":"RESUME Nous rapportons ici le cas d’un patient de 45 ans ayant présenté 2 infections invasives à Streptococcus pneumoniae en 9 mois (deux bactériémies, associées à une pneumonie puis une méningite). Après le 2 ème épisode, le bilan à la recherche d’un éventuel déficit immunitaire a mené au diagnostic d’un myélome multiple, pathologie inhabituelle à cet âge. Bien que les infections à S. pneumoniae soient une complication fréquente du myélome multiple, il est inhabituel qu’elles mènent au diagnostic. Les mécanismes de cette plus grande susceptibilité aux germes encapsulés tels que S. pneumoniae lors du myélome multiple sont discutés. En pratique clinique, ce cas nous permet de rappeler que la survenue d’au moins deux infections bactériennes sévères est un critère de réalisation d’un bilan à la recherche d’un déficit immunitaire. ABSTRACT We here report the case of a 45-year-old patient who presented 2 invasive infections with Streptococcus Pneumoniae in 9 months period (two bacteriemias, associated with pneumonia then meningitis), in which the workup of a possible immunodeficiency led to the diagnosis of multiple myeloma, an usual pathology at this age. Although S. Pneumoniae infections are a frequent complication of multiple myeloma, they do not usually lead to its diagnosis. The mechanisms of this greater susceptibility to encapsulated germs as S. pneumoniae in multiple myeloma are discussed. In clinical practice, this case reminds us that the occurrence of at least two severe bacterial infections is a criterion to perform a search for immunodeficiency.","PeriodicalId":341141,"journal":{"name":"Revue Médicale de Bruxelles","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115324221","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

Biothérapies et psoriasis : Que doit-on connaÎtre en 2018 ? 生物疗法与牛皮癣:2018年你应该知道什么?

Revue Médicale de Bruxelles Pub Date : 2018-10-01 DOI: 10.30637/2018.18-037

Xuan-Lan Lam-Hoai, E. Steels, F. Willaert, B. Richert

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L'oeil rouge 红眼睛

Revue Médicale de Bruxelles Pub Date : 2014-09-01 DOI: 10.4414/pc-f.2004.06273

Anas Alami, Pauline Gerard, Françoise Bremer

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Imagerie de l'épaule. 肩部成像。

Revue Médicale de Bruxelles Pub Date : 2010-09-01 DOI: 10.1016/b978-2-294-71229-6.00010-8

P. Peetrons, A. Vanderhofstadt

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