Kinderarztliche Praxis最新文献

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[Severe general symptoms after DPT vaccination--always a vaccination reaction or are there other explanations?]. [百白破疫苗接种后的严重一般症状-总是疫苗接种反应还是有其他解释?]
Kinderarztliche Praxis Pub Date : 1993-10-01
S Wiersbitzky, R Bruns
{"title":"[Severe general symptoms after DPT vaccination--always a vaccination reaction or are there other explanations?].","authors":"S Wiersbitzky, R Bruns","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76073,"journal":{"name":"Kinderarztliche Praxis","volume":"61 7-8","pages":"296-7"},"PeriodicalIF":0.0,"publicationDate":"1993-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19258965","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
[Surgically treatable chronic constipative defecation disorders. Indications, diagnosis and therapy]. 手术治疗慢性便秘排便障碍。适应症,诊断和治疗]。
Kinderarztliche Praxis Pub Date : 1993-10-01
P P Schmittenbecher, A Schmidt, I Joppich
{"title":"[Surgically treatable chronic constipative defecation disorders. Indications, diagnosis and therapy].","authors":"P P Schmittenbecher,&nbsp;A Schmidt,&nbsp;I Joppich","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Paediatric surgeons are engaged in different causes of chronic constipation. Aganglionosis usually needs surgical therapy, but in dysganglionosis a distinct differentiation is necessary between patients sufficiently treated by conservative methods and others requiring surgery. Sometimes the operation seems to be an \"ultima ratio\" in these patients. Otherwise surgery can be necessary early in enterocolitis, ileus or toxic megacolon. In the spectrum of anal malformations constipation may be a primary symptom (anal ectopia, anal stenosis, low anal atresia with anocutaneous fistula) or appears as a post-operative complication (intermediate or high anal atresia). In secondary megacolon, surgery is performed to remove the result of therapeutic negation over many years. The operation may be the supposition to follow up with conservative treatment. In the management of constipated patients an exact diagnostic clarification has a central position. This especially includes anorectal manometry, x-ray examination with contrast medium application and defaecography and as last rectal biopsy.</p>","PeriodicalId":76073,"journal":{"name":"Kinderarztliche Praxis","volume":"61 7-8","pages":"250-7"},"PeriodicalIF":0.0,"publicationDate":"1993-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19259803","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
[Atopic skeletal retardation as a possible cause for short stature and thoracic deformity in children with asthma]. [特应性骨骼发育迟缓是哮喘患儿身材矮小和胸部畸形的可能原因]。
Kinderarztliche Praxis Pub Date : 1993-10-01
W F Baum, E Klöditz, H H Thiemann
{"title":"[Atopic skeletal retardation as a possible cause for short stature and thoracic deformity in children with asthma].","authors":"W F Baum,&nbsp;E Klöditz,&nbsp;H H Thiemann","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Deformities of the chest occur not only in asthmatics suffering from severe attacks, but also in those having a mild form of the disease. It also occurs in children with atopic dermatitis and in members of atopic families without concomitant bronchial asthma. This observation and the fact that asthmatic children tend towards hyposomia, has prompted auxological investigations of asthmatic children. It was of interest to see whether asthma itself or the atopic disposition is responsible for disturbances of growth and development. The investigation was carried out as a cross-sectional study involving 173 asthmatic boys aged 1 1/2-18 years. The programme included among other things age, bone age, bone maturity difference (BMD: difference age minus bone age) height, type and severity of asthma (measured by means of scope of therapy). The rate of hyposomia (height < mean -2 SD) amounted in the whole group to 4.7 per cent. It rose in the extrinsic asthmatics to 6.6 per cent. This corresponds with a rise of two or three times the normal rate. 11.6 per cent of the probands showed a skeletal retardation of more than 2 years. The degree of BMD showed a significant dependence on age and type of asthma but not on the duration of the disease, severity or glucocorticoid therapy. Skeletal retardation cannot, therefore, be regarded as a direct consequence of bronchial asthma, whereas the significantly different averages of BMD in extrinsic and intrinsic asthmatics point to an atopic genesis, hence it might be possible to speak of an atopic retardation of the skeleton.(ABSTRACT TRUNCATED AT 250 WORDS)</p>","PeriodicalId":76073,"journal":{"name":"Kinderarztliche Praxis","volume":"61 7-8","pages":"285-90"},"PeriodicalIF":0.0,"publicationDate":"1993-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19258963","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
[Spastic hemiparesis after apoplexy in renal hypertension due to mesangioproliferative glomerulonephritis (with immunosuppressive treatment) and primary hypothyroidism--which vaccinations are permitted?]. [肾高血压患者中风后痉挛性偏瘫,这是由于系血管增殖性肾小球肾炎(免疫抑制治疗)和原发性甲状腺功能减退——允许接种哪种疫苗?]
Kinderarztliche Praxis Pub Date : 1993-10-01
S Wiersbitzky, J Abel, C Schröder
{"title":"[Spastic hemiparesis after apoplexy in renal hypertension due to mesangioproliferative glomerulonephritis (with immunosuppressive treatment) and primary hypothyroidism--which vaccinations are permitted?].","authors":"S Wiersbitzky,&nbsp;J Abel,&nbsp;C Schröder","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76073,"journal":{"name":"Kinderarztliche Praxis","volume":"61 7-8","pages":"298-9"},"PeriodicalIF":0.0,"publicationDate":"1993-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19258966","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
[Genetics of bronchial asthma with reference to allergy]. [与过敏相关的支气管哮喘遗传学]。
Kinderarztliche Praxis Pub Date : 1993-10-01
L Ritter, W Thal, J Gedschold, S Kropf
{"title":"[Genetics of bronchial asthma with reference to allergy].","authors":"L Ritter,&nbsp;W Thal,&nbsp;J Gedschold,&nbsp;S Kropf","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>No uniform opinion exists to date in respect of the transmission of a genetic disposition to asthma bronchiale and atopy. Literature references discuss both monogenic, autosomal dominant or recessive and multifactorial-polygenic heredity. The following contribution discusses the results of an own study on the occurrence of atopy and asthma bronchiale in 153 families. Multifactorial-polygenic heredity with threshold value range is most suitable for the interpretation of our findings, even though an autosomal dominant heredity with reduced penetrance and variable expressivity might well be the basis for the transmission of a disposition to atopy and asthma bronchiale. In multifactorial-polygenic heredity with threshold value range, empirical risk data are important for predicting the disease risk. Such data can be obtained only on the basis of extensive family research and apply only to the population for which they were obtained. The risk of occurrence of atopy or asthma bronchiale in families already affected by the increases, in our experience, with the number of the patients already suffering from the disease and with the closeness of relationship with the patients concerned. We found a recurrence risk for further children of 40-45% for atopy and of 5-10% for asthma bronchiale in those marriages where both one parent and already one child are suffering from the disease.</p>","PeriodicalId":76073,"journal":{"name":"Kinderarztliche Praxis","volume":"61 7-8","pages":"269-75"},"PeriodicalIF":0.0,"publicationDate":"1993-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19258960","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
[Echocardiography studies of children and adolescents with primary hypertension]. 儿童和青少年原发性高血压的超声心动图研究。
Kinderarztliche Praxis Pub Date : 1993-10-01
R Richter
{"title":"[Echocardiography studies of children and adolescents with primary hypertension].","authors":"R Richter","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We evaluated 100 schoolboys and schoolgirls whose blood pressure levels were above the 90th percentile. To determine whether in childhood left ventricular hypertrophy can be induced by pressure overload, we measured the thickness of the interventricular septum and posterior wall of the left ventricle and calculated the left ventricular muscle mass. Compared with a normotensive control group the thickness of the septum and posterior wall was significantly higher in children with elevated blood pressure. The normal range of the wall thickness was not exceeded. Furthermore, the left ventricular muscle mass differs between the two groups. 13 per cent of the hypertensive children had a greater ventricular mass than two standard-deviations from the normotensive group. This signifies an adaptation to the haemodynamic effect on the increased blood pressure.</p>","PeriodicalId":76073,"journal":{"name":"Kinderarztliche Praxis","volume":"61 7-8","pages":"279-84"},"PeriodicalIF":0.0,"publicationDate":"1993-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19258962","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
[DNCG (acecromol) and ketotifen (Zatofug) in treatment of children with bronchial asthma]. [DNCG (acecromol)联合酮替芬(Zatofug)治疗儿童支气管哮喘]。
Kinderarztliche Praxis Pub Date : 1993-10-01
M Kehnscherper
{"title":"[DNCG (acecromol) and ketotifen (Zatofug) in treatment of children with bronchial asthma].","authors":"M Kehnscherper","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In an open clinical study, 80 children and adolescents of 12 months to 20 years of age suffering from asthma bronchiale were treated for a minimum of 8 weeks with DNCG (acecromol) or ketotifen (Zatofug) or with both drugs. Both under the treatment with DNCG and with ketotifen the overall disease pattern was improved with a large proportion of the patients and the concurrent adjuvant medication with prednisolone and/or aminophyllin could be markedly reduced or in some cases discontinued altogether. Both substances appear to be comparable as far as the therapy result is concerned; however, the range of application of ketotifen is wider due to its additional antihistaminic action and oral administration, e.g. in case of concomitant urticaria or food allergy.</p>","PeriodicalId":76073,"journal":{"name":"Kinderarztliche Praxis","volume":"61 7-8","pages":"276-8"},"PeriodicalIF":0.0,"publicationDate":"1993-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19258961","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
[Multiple abnormalities in a child with male karyotype due to familial partial Xp duplication]. [家族性部分Xp重复引起的男性核型儿童的多重异常]。
Kinderarztliche Praxis Pub Date : 1993-10-01
H Reichenbach, H Holland, B Thamm, T Theile
{"title":"[Multiple abnormalities in a child with male karyotype due to familial partial Xp duplication].","authors":"H Reichenbach,&nbsp;H Holland,&nbsp;B Thamm,&nbsp;T Theile","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A child with multiple abnormalities and intersexual external genitals is presented. The child has a male karyotype with a partial duplication Xp. Using additionally methods of molecular genetics the SRY-region was detected. We reviewed the only few persons described in the literature with male karyotype and partial duplications Xp. There are similarities in phenotype including sex inversion or intersexual genitals if the duplication is localised in the region Xp 21-->Xp 22. Whether these affected patients represent a new syndrome is a moot point. We also found the aberrant X-chromosome in the mother of the child. In the present pregnancy of the mother there is, therefore, a risk of recurrence.</p>","PeriodicalId":76073,"journal":{"name":"Kinderarztliche Praxis","volume":"61 7-8","pages":"291-5"},"PeriodicalIF":0.0,"publicationDate":"1993-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19258964","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
[Constipation in childhood--from the pediatric viewpoint]. 【儿童便秘——从儿科的角度看】。
Kinderarztliche Praxis Pub Date : 1993-10-01
S Koletzko
{"title":"[Constipation in childhood--from the pediatric viewpoint].","authors":"S Koletzko","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Chronic constipation is a common problem in paediatric practice. The majority of the toddlers can be successfully treated by conventional therapy. Young infants with constipation or older children with longstanding stool impaction with or without encopresis should be referred to a centre for further diagnostic and therapeutic management. Children with a paradoxical contraction of the external anal sphincter during attempted defecation on anorectal manometry profit form bio-feedback-training by learning a normal defecation pattern.</p>","PeriodicalId":76073,"journal":{"name":"Kinderarztliche Praxis","volume":"61 7-8","pages":"245-9"},"PeriodicalIF":0.0,"publicationDate":"1993-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19259802","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
[Experience with the glycerol lysis test in acid medium in diagnosis of hereditary spherocytosis]. [酸性培养基中甘油裂解试验诊断遗传性球形红细胞增多症的经验]。
Kinderarztliche Praxis Pub Date : 1993-08-01
U Mittler, K Radig, U Kluba, V Aumann, R Röppnack
{"title":"[Experience with the glycerol lysis test in acid medium in diagnosis of hereditary spherocytosis].","authors":"U Mittler,&nbsp;K Radig,&nbsp;U Kluba,&nbsp;V Aumann,&nbsp;R Röppnack","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The acidified glycerol lysis test (AGLT) is highly sensitive for hereditary spherocytosis (HS). In all 50 patients of the Children's Hospital of the Medical Academy Magdeburg suffering from HS the 50% lysis time was found to be pathological between 19 and 110 seconds. However, pathological results of this test were also found in autoimmune haemolytic anaemias. AGLT was negative in non-spherocytic haemolytic anaemias and normal controls. In conclusion, the AGLT is a rapid, simple and inexpensive screening procedure for spherocytes in blood.</p>","PeriodicalId":76073,"journal":{"name":"Kinderarztliche Praxis","volume":"61 6","pages":"219-22"},"PeriodicalIF":0.0,"publicationDate":"1993-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19397121","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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