Zeitschrift fur Kinderchirurgie : organ der Deutschen, der Schweizerischen und der Osterreichischen Gesellschaft fur Kinderchirurgie = Surgery in infancy and childhood最新文献_第4页

[Prevention and treatment of necrotizing enterocolitis in the newborn infant from the pediatric point of view]. 【从儿科角度探讨新生儿坏死性小肠结肠炎的防治】。

Zeitschrift fur Kinderchirurgie : organ der Deutschen, der Schweizerischen und der Osterreichischen Gesellschaft fur Kinderchirurgie = Surgery in infancy and childhood Pub Date : 1990-10-01 DOI: 10.1055/s-2008-1042598

F Pohlandt

{"title":"[Prevention and treatment of necrotizing enterocolitis in the newborn infant from the pediatric point of view].","authors":"F Pohlandt","doi":"10.1055/s-2008-1042598","DOIUrl":"https://doi.org/10.1055/s-2008-1042598","url":null,"abstract":"1. Enteral feeding and factors promoting hypoxia and ischaemia of the gut are thought to cause necrotising enterocolitis of the newborn but have not been proven as factors in the pathogenesis of NEC. Enteral feeding may be started in principle on the first day of life at a rate of 10-20 ml/kg/day. Controlled results to the contrary have not been published. 2. Drugs which have a high osmolarity should be diluted with milk as far as possible to avoid mucosal damage. 3. In cases of epidemic NEC, infants with proven disease should be isolated. The use of a bactericidal and virucidal disinfectant is imperative for hand disinfection. 4. Early diagnosis and early treatment are necessary to prevent progression to advanced stages. 5. Antibiotic treatment should be selected to cover the entire bacterial spectrum of the ward. 6. Frequent physical, radiological and ultrasound examinations should be done to monitor the course of the disease. Laboratory analyses should include: acid-basis status, leukocytes, differential blood picture, thrombocytes, C-reactive protein, haematocrit, serum electrolytes. 7. Large amounts of fluid may be necessary to prevent and treat hypovolaemic shock. 8. Abdominal paracentesis helps to recognise peritonitis and intestinal gangrene and allows surgical treatment as early as possible.","PeriodicalId":77648,"journal":{"name":"Zeitschrift fur Kinderchirurgie : organ der Deutschen, der Schweizerischen und der Osterreichischen Gesellschaft fur Kinderchirurgie = Surgery in infancy and childhood","volume":"45 5","pages":"267-72"},"PeriodicalIF":0.0,"publicationDate":"1990-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1042598","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13435764","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: 5

[Necrotizing enterocolitis from the viewpoint of the pediatric surgeon--therapeutic considerations]. 【从儿科外科医生的角度看坏死性小肠结肠炎——治疗考虑】。

Zeitschrift fur Kinderchirurgie : organ der Deutschen, der Schweizerischen und der Osterreichischen Gesellschaft fur Kinderchirurgie = Surgery in infancy and childhood Pub Date : 1990-10-01 DOI: 10.1055/s-2008-1042599

P Schweizer

{"title":"[Necrotizing enterocolitis from the viewpoint of the pediatric surgeon--therapeutic considerations].","authors":"P Schweizer","doi":"10.1055/s-2008-1042599","DOIUrl":"https://doi.org/10.1055/s-2008-1042599","url":null,"abstract":"In order to define diagnostic and therapeutic guidelines from a paediatric surgical point of view, clinical, laboratory chemical and intraoperative findings from 52 children with necrotising enterocolitis (NEC) were evaluated and correlated with fatality. This analysis produced the following results: 1. The fatality rate for patients with \"proven\" NEC (n = 28) was 3 = 9%. All 3 of these children who died were so-called \"high risk\" patients. The fatality rate for patients with \"advanced\" NEC (n = 24) with intestinal perforation was 6 = 25%. Five of these children who died were so-called \"high risk\" patients. These 2 patient groups are comparable because the concepts of surgical indication and timing were identical, the technical conditions for surgery were the same, a standardised surgical procedure was employed, and the distribution pattern and extent of intestinal damage were consistent, except for the intestinal perforation in the second group. In addition, the proportion of \"high risk\" patients was approximately the same in both groups. Therefore, the 2 groups differed only in the attribute of intestinal perforation. Accordingly, the results of comparison cannot be considered to be statistically significant, yet they do indicate a prognostic tendency: Children who cannot receive surgery until after the occurrence of intestinal perforation have a poorer prognosis. 2. The highly indicative diagnostic criterion for proof of developing intestinal gangrene is puncture of the abdominal cavity, enabling detection of migratory peritonitis. 3. With regard to fatality, a comparison of various surgical procedures confirms the special importance of an enterostoma over primary anastomosis. Exceptions only serve to prove the rule here as well.","PeriodicalId":77648,"journal":{"name":"Zeitschrift fur Kinderchirurgie : organ der Deutschen, der Schweizerischen und der Osterreichischen Gesellschaft fur Kinderchirurgie = Surgery in infancy and childhood","volume":"45 5","pages":"273-7"},"PeriodicalIF":0.0,"publicationDate":"1990-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1042599","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13435765","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: 1

[Results of conservative treatment of ligament lesions of children's ankle joint--a prospective study]. 【儿童踝关节韧带病变保守治疗的前瞻性研究结果】。

Zeitschrift fur Kinderchirurgie : organ der Deutschen, der Schweizerischen und der Osterreichischen Gesellschaft fur Kinderchirurgie = Surgery in infancy and childhood Pub Date : 1990-10-01 DOI: 10.1055/s-2008-1042604

W E Linhart, M E Höllwarth, A Haberlik, G Steinwender

{"title":"[Results of conservative treatment of ligament lesions of children's ankle joint--a prospective study].","authors":"W E Linhart, M E Höllwarth, A Haberlik, G Steinwender","doi":"10.1055/s-2008-1042604","DOIUrl":"https://doi.org/10.1055/s-2008-1042604","url":null,"abstract":"There is disagreement in the literature about the ideal treatment of ligamentous injuries of the ankle in children. We examined the results of controlled conservative treatment by means of a prospective study in 28 children, each with a fresh ligamentous ankle injury. In all patients the supinatory talus tilt was between 7 and 15 degrees as compared with the noninjured side. The children were treated with a plaster cast for 6 weeks. The results of the present study were compared with results of two other earlier investigations from our department. In one group the patients had been treated not uniformly conservatively for 1-5 weeks. In another group, patients were treated by operative ligamentous repair (5, 8). At the follow-up examination 82% of the children of the present study showed ligamentous stability, which is approximately the same percentage as it was found in operatively treated children (84%), but lies significantly higher than in inconsequentially conservatively treated patients (74%), (p greater than 0.05). 50% of the children in the present study complained about some discomfort, a number that is significantly higher than that found after operative treatment (30%), (p greater than 0.05). We assume that conservative treatment of fibular ankle lesions is justified in children with supinatory talus tilts between 7-15 degrees as compared with the noninjured side. Ligamentous stability can be expected in 80% of the patients.","PeriodicalId":77648,"journal":{"name":"Zeitschrift fur Kinderchirurgie : organ der Deutschen, der Schweizerischen und der Osterreichischen Gesellschaft fur Kinderchirurgie = Surgery in infancy and childhood","volume":"45 5","pages":"298-300"},"PeriodicalIF":0.0,"publicationDate":"1990-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1042604","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13436353","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: 2

[Occurrence of cancers in duplications of the digestive tract]. [在消化道复制中发生的癌症]。

Zeitschrift fur Kinderchirurgie : organ der Deutschen, der Schweizerischen und der Osterreichischen Gesellschaft fur Kinderchirurgie = Surgery in infancy and childhood Pub Date : 1990-10-01 DOI: 10.1055/s-2008-1042606

H Schickedanz, A Clausner

引用次数: 3

[Stenosing ureteritis and factor XIII deficiency in anaphylactoid purpura]. [过敏性紫癜的狭窄性输尿管炎和13因子缺乏]。

Zeitschrift fur Kinderchirurgie : organ der Deutschen, der Schweizerischen und der Osterreichischen Gesellschaft fur Kinderchirurgie = Surgery in infancy and childhood Pub Date : 1990-10-01 DOI: 10.1055/s-2008-1042609

S Kurunczi, W D Görke, G Sperling

引用次数: 8

[Traumatic embolization of the middle cerebral artery]. [创伤性大脑中动脉栓塞]。

Zeitschrift fur Kinderchirurgie : organ der Deutschen, der Schweizerischen und der Osterreichischen Gesellschaft fur Kinderchirurgie = Surgery in infancy and childhood Pub Date : 1990-10-01 DOI: 10.1055/s-2008-1042605

S Kerbler, P H Schober, H Steiner

{"title":"[Traumatic embolization of the middle cerebral artery].","authors":"S Kerbler, P H Schober, H Steiner","doi":"10.1055/s-2008-1042605","DOIUrl":"https://doi.org/10.1055/s-2008-1042605","url":null,"abstract":"A 3 mm metallic particle, which had blasted during grinding operation, shot into the neck of a nine year old boy, penetrated into the common carotid artery and embolized the right middle cerebral artery. There had been no neurological symptoms until four days after the injury. Suddenly, a mild left side hemiparesis occurred with accentuation of the arm. The case illustrates an unusual penetration and intravascular migration of a foreign body. After the injury, penetration and subsequent peripheric embolisation can happen immediately, or as in our case within a short time after. Hence, the small particle may not be detected by a local radiogram, or may not be found on surgical exploration. Therefore, in all cases of neck wounds caused by low velocity injection of foreign bodies, radiological evaluation with skull-x-rays and a neurological examination should be done. If further special scans are required, these should be accomplished by axial computer tomography, because the metallic nature of the foreign bodies would prohibit the examination by magnetic resonance.","PeriodicalId":77648,"journal":{"name":"Zeitschrift fur Kinderchirurgie : organ der Deutschen, der Schweizerischen und der Osterreichischen Gesellschaft fur Kinderchirurgie = Surgery in infancy and childhood","volume":"45 5","pages":"301-3"},"PeriodicalIF":0.0,"publicationDate":"1990-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1042605","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13436354","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: 2

[Therapy of traumatic hemobilia]. 外伤性胆道出血的治疗。

Zeitschrift fur Kinderchirurgie : organ der Deutschen, der Schweizerischen und der Osterreichischen Gesellschaft fur Kinderchirurgie = Surgery in infancy and childhood Pub Date : 1990-10-01 DOI: 10.1055/s-2008-1042607

W Schubert, A Dosch, P Schaps, D Mikulin, D Grosche

引用次数: 0

Tubular anal duplication--experiences with two cases. 管状肛门重复，两个病例的经验。

Zeitschrift fur Kinderchirurgie : organ der Deutschen, der Schweizerischen und der Osterreichischen Gesellschaft fur Kinderchirurgie = Surgery in infancy and childhood Pub Date : 1990-10-01 DOI: 10.1055/s-2008-1042608

T Arai, T Miyano, M Tanno, S Kohno, Y Hamasaki

引用次数: 7

[Postoperative follow-up of cardia function in newborn infants after esophageal, diaphragmatic and abdominal wall abnormalities]. [新生儿食管、膈、腹壁异常后心脏功能的术后随访]。

Zeitschrift fur Kinderchirurgie : organ der Deutschen, der Schweizerischen und der Osterreichischen Gesellschaft fur Kinderchirurgie = Surgery in infancy and childhood Pub Date : 1990-10-01 DOI: 10.1055/s-2008-1042600

P P Schmittenbecher

引用次数: 3

Duration and severity of congenital hydronephrosis as a cause of smooth muscle deterioration in pyelo-ureteral junction obstruction. 肾盂输尿管连接处梗阻导致平滑肌退化的先天性肾积水的持续时间和严重程度。

Zeitschrift fur Kinderchirurgie : organ der Deutschen, der Schweizerischen und der Osterreichischen Gesellschaft fur Kinderchirurgie = Surgery in infancy and childhood Pub Date : 1990-10-01 DOI: 10.1055/s-2008-1042602

C A dell'Agnola, L M Carmassi, D Merlo, B Tadini

{"title":"Duration and severity of congenital hydronephrosis as a cause of smooth muscle deterioration in pyelo-ureteral junction obstruction.","authors":"C A dell'Agnola, L M Carmassi, D Merlo, B Tadini","doi":"10.1055/s-2008-1042602","DOIUrl":"https://doi.org/10.1055/s-2008-1042602","url":null,"abstract":"A potential relationship between duration and severity of obstructive hydronephrosis and the histological structure of the upper urinary tract smooth musculature has been studied in a series of prenatally diagnosed cases. Between 1981 and 1988, fifty-five monolateral pyelo-ureteral junction obstructions (PUJO), prenatally diagnosed (16th-37th week of gestational age), underwent pyeloplasty between 4 and 90 days of life. Gestational age at the diagnosis, delta t (duration of hydronephrosis from first detection in utero to surgery) and V (volume of the hydronephrotic kidney) were related to the frequency of muscle hypotrophy and fibrosis of both pelvis and ureter just above and below the junction. A close correlation between duration (delta t) and the severity of the involvement of the smooth musculature of the upper urinary tract was found. The larger the volumes (V), the more severe the muscular damage. In the long-term follow-up, poor results were obtained only in 5 of the 19 newborn who had severe hypotrophy and fibrosis of the pelvis. In conclusion, in PUJO, the shorter the delta t and the lower the V, the better one expects the smooth musculature of the upper urinary tract to be.","PeriodicalId":77648,"journal":{"name":"Zeitschrift fur Kinderchirurgie : organ der Deutschen, der Schweizerischen und der Osterreichischen Gesellschaft fur Kinderchirurgie = Surgery in infancy and childhood","volume":"45 5","pages":"286-90"},"PeriodicalIF":0.0,"publicationDate":"1990-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1042602","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13435766","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: 11