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

筛选
英文 中文
[Brain stem dysfunction in Arnold-Chiari II syndrome]. [Arnold-Chiari II综合征的脑干功能障碍]。
A M Holschneider, J A Bliesener, M Abel
{"title":"[Brain stem dysfunction in Arnold-Chiari II syndrome].","authors":"A M Holschneider,&nbsp;J A Bliesener,&nbsp;M Abel","doi":"10.1055/s-2008-1042553","DOIUrl":"https://doi.org/10.1055/s-2008-1042553","url":null,"abstract":"<p><p>Among 76 patients suffering from myelomeningocele treated during 1978 to 1987 there were 12 children with brain stem signs as a sequel to Arnold-Chiari II syndrome. In 2 of these patients only stridor was seen, in 4 stridor with attacks of apnoea, in 2 attacks of apnoea with dysphagia, and in 4 children stridor, attacks of apnoea and dysphagia. Hence, it will be necessary to modify the classification given by Charney et al (4) in respect of brain stem patterns of signs according to three grades, since the signs of stridor, apnoea and dysphagia can be combined with each other in different ways. The prognosis is infaust if all 3 signs and hence grade III of brain stem lesions are present. On the whole, 6 out of 12 patients with brain stem signs died. For this reason, a possible Arnold-Chiari malformation should always be considered if stridor is observed, and, if necessary, early decompression treatment by means of a shunt revision should be performed.</p>","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 2","pages":"67-71"},"PeriodicalIF":0.0,"publicationDate":"1990-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1042553","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13509905","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: 9
Partial splenectomy and partial splenic attachment for the treatment of portal hypertension. 脾部分切除及脾部分附着治疗门静脉高压症。
M H Kheradpir
{"title":"Partial splenectomy and partial splenic attachment for the treatment of portal hypertension.","authors":"M H Kheradpir","doi":"10.1055/s-2008-1042558","DOIUrl":"https://doi.org/10.1055/s-2008-1042558","url":null,"abstract":"<p><p>Between 1973 and 1983 6 children with portal hypertension were treated at the University Children's Hospital Medical Centre in Teheran by transpositioning the spleen into the thorax. In one case with splenomegaly, ascites and 4 years of severe bleeding, this procedure was not possible. We therefore performed a partial splenectomy 7 years ago, with the view of a transpositioning into the thorax at a later date. Follow-up examinations revealed disappearance of the symptoms of portal hypertension. This led us to believe that this procedure could be adopted for the treatment of portal hypertension as an alternative to splenic transpositioning into the thorax and shunt operation. The precipitation and increase in collateral circulation with this method leads to rapid improvement.</p>","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 2","pages":"98-9"},"PeriodicalIF":0.0,"publicationDate":"1990-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1042558","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13509907","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
[Tracheal instability in tracheo-esophageal abnormalities]. [气管-食管异常的气管不稳定]。
E Slany, J Holzki, A M Holschneider, M Gharib, W Hügel, U Mennicken
{"title":"[Tracheal instability in tracheo-esophageal abnormalities].","authors":"E Slany,&nbsp;J Holzki,&nbsp;A M Holschneider,&nbsp;M Gharib,&nbsp;W Hügel,&nbsp;U Mennicken","doi":"10.1055/s-2008-1042555","DOIUrl":"https://doi.org/10.1055/s-2008-1042555","url":null,"abstract":"<p><p>The clinical pattern of signs and symptoms of respiratory complications due to flaccid trachea has been analysed in 83 children treated in our hospital between 1983 and 1988 for tracheo-oesophageal malformations. These signs and symptoms are classified according to endoscopic findings, and are thus arranged according to various degrees of severity. Of the surviving children who were followed up and who were suffering from oesophageal atresia Vogt III B, only 5 of 57 were without a pointer towards flaccid trachea, whereas in oesophageal atresia Vogt II there were two of three. The two children with an isolated tracheo-oesophageal fistula showed abnormal findings both clinically and via endoscopy. 16 of the 20 children with very severely pronounced flaccid trachea--defined by the occurrence of life-threating apnoeas and an endoscopically identifiable tracheal collapse of more than two-thirds of the lumen--were subjected to surgery via aortosternopexy. A marked and identifiable improvement was obtained in 15 cases. Complications caused by surgery consisted of temporary phrenicus lesions in two cases.</p>","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 2","pages":"78-85"},"PeriodicalIF":0.0,"publicationDate":"1990-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1042555","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13346518","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: 22
[Persistent subarachnoid-pleural cerebrospinal fluid fistula following excision of a thoracic ganglioneuroma. Case report]. 胸椎神经节神经瘤切除术后持续性蛛网膜下腔-胸膜脑脊液瘘。病例报告)。
A Trammer
{"title":"[Persistent subarachnoid-pleural cerebrospinal fluid fistula following excision of a thoracic ganglioneuroma. Case report].","authors":"A Trammer","doi":"10.1055/s-2008-1042560","DOIUrl":"https://doi.org/10.1055/s-2008-1042560","url":null,"abstract":"<p><p>During extirpation of a thoracic ganglioneuroma, haemostasis of venous haemorrhage by application of bone wax close to the costovertebral junction at Th 4/5 resulted in plegia of the lower extremities on the fourth postoperative day. Compression of the myelon due to the applied bone wax was relieved directly after CT scan diagnosis. In the postoperative course, a persisting subarachnoidal pleural fistula was closed by means of muscle flap plasty and fibrin adhesive.</p>","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 2","pages":"109-10"},"PeriodicalIF":0.0,"publicationDate":"1990-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1042560","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13509900","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: 6
Haemangiomas of the gastrointestinal tract in children. 儿童胃肠道血管瘤。
A C Basaklar
{"title":"Haemangiomas of the gastrointestinal tract in children.","authors":"A C Basaklar","doi":"10.1055/s-2008-1042562","DOIUrl":"https://doi.org/10.1055/s-2008-1042562","url":null,"abstract":"<p><p>Haemangiomas of the gastrointestinal tract are unusual vascular anomalies either in children or in adults. There is a significant difficulty in their diagnosis because of this rarity. However, when they are present, haemangiomas of the gastrointestinal tract may be a source of acute or chronic blood loss and anaemia. The case histories of two children with severe gastrointestinal bleeding due to cavernous haemangioma of the duodenum and caecum are presented in this report. Progressive haemorrhage from the gastrointestinal tract was the indication for operative intervention in both children. Each child underwent complete resections of the haemangiomas and is well and symptom-free one year after the surgical treatment. The purpose of this paper is to draw attention to this uncommon benign condition which has a relatively high mortality due to the delays in diagnosis and inadequate treatment.</p>","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 2","pages":"114-6"},"PeriodicalIF":0.0,"publicationDate":"1990-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1042562","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13509902","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
[Intestinal triplication--a case report of embryogenesis of tubular and cystic small intestine duplication]. 【小肠三联体——管状小肠和囊状小肠重复胚胎发生一例报道】。
H Klumpp, J Engert
{"title":"[Intestinal triplication--a case report of embryogenesis of tubular and cystic small intestine duplication].","authors":"H Klumpp,&nbsp;J Engert","doi":"10.1055/s-2008-1042563","DOIUrl":"https://doi.org/10.1055/s-2008-1042563","url":null,"abstract":"<p><p>Case report of a triplication of the ileum that has not been described so far in this form, with tubular as well as additional cystic duplication within the first malformation, in a boy of 3 years of age. Due to recurrent massive bleeding per anum and the impossibility of separation, resection of the entire involved intestine was performed. The cause of bleeding was found to be a 10 to 8 mm ulcer within the dystopic gastric mucosa that extended into the submucosa. The theories of pathogenesis are discussed, implying that there is no uniform genesis of this disorder. The clinical pattern, diagnosis and therapy are that of the duplication.</p>","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 2","pages":"117-9"},"PeriodicalIF":0.0,"publicationDate":"1990-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1042563","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13509903","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
[Tracheal compression by the brachiocephalic trunk in infants--surgical treatment of 30 cases]. [小儿头臂干压迫气管30例手术治疗]。
T Schuster, W C Hecker, E Ring-Mrozik, K Mantel, T Vogl
{"title":"[Tracheal compression by the brachiocephalic trunk in infants--surgical treatment of 30 cases].","authors":"T Schuster,&nbsp;W C Hecker,&nbsp;E Ring-Mrozik,&nbsp;K Mantel,&nbsp;T Vogl","doi":"10.1055/s-2008-1042556","DOIUrl":"https://doi.org/10.1055/s-2008-1042556","url":null,"abstract":"This is areport on 30 cases of innominate artery compression of the trachea and its operative correction by an aorto-truncopexy. Tracheoscopy is the most important examination for arriving at the diagnosis. Magnetic resonance imaging (MRl), which ofters representative pictures of many moments of expiration and inspiration, shows the anatomic relationship between the innominate artery, the aortic arch and the trachea, also demonstrating the extent of the tracheal compression.","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 2","pages":"86-91"},"PeriodicalIF":0.0,"publicationDate":"1990-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1042556","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13346519","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
Endodermal sinus tumour of the posteroinferior mediastinum resembling dumbbell neuroblastoma in a child. 儿童后下纵隔内胚层窦肿瘤,类似哑铃神经母细胞瘤。
T Todani, Y Watanabe, A Toki, N Urushihara, Y Sato
{"title":"Endodermal sinus tumour of the posteroinferior mediastinum resembling dumbbell neuroblastoma in a child.","authors":"T Todani,&nbsp;Y Watanabe,&nbsp;A Toki,&nbsp;N Urushihara,&nbsp;Y Sato","doi":"10.1055/s-2008-1042564","DOIUrl":"https://doi.org/10.1055/s-2008-1042564","url":null,"abstract":"<p><p>A male infant presenting with paraplegia due to intraspinal extension of an endodermal sinus tumour in the posteroinferior mediastinum is reported. Dumbbell tumours are usually observed in mediastinal neuroblastomas, and rarely in rhabdomyosarcomas of the chest wall. The present case demonstrates the clinical similarity of endodermal sinus tumours to neuroblastomas with extradural extension. Therefore, endodermal sinus tumours should be considered in the differential diagnosis of posterior mediastinal masses, because of the distinctly different treatment from that for other tumours.</p>","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 2","pages":"120-2"},"PeriodicalIF":0.0,"publicationDate":"1990-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1042564","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13509904","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
[Changes in esophageal function caused by sclerotherapy of esophageal varices in children and adolescents with portal hypertension--a manometric study]. [食道静脉曲张硬化治疗儿童和青少年门脉高压患者食道功能的改变——一项测压研究]。
C Lorenz, R Wack, H Mau
{"title":"[Changes in esophageal function caused by sclerotherapy of esophageal varices in children and adolescents with portal hypertension--a manometric study].","authors":"C Lorenz,&nbsp;R Wack,&nbsp;H Mau","doi":"10.1055/s-2008-1042557","DOIUrl":"https://doi.org/10.1055/s-2008-1042557","url":null,"abstract":"<p><p>Morphological changes of the oesophageal wall, induced by injection sclerotherapy of oesophageal varices, may produce functional disturbances which are difficult to evaluate especially in children. Therefore manometric studies in 33 consecutive patients with portal hypertension (age: 2-18 years) were performed and functional parameters as of the oesophagus and oesophageal sphincter were recorded in different stages of treatment. The results were compared to findings in healthy children. From our studies we could conclude that functional disturbances seen in sclerolised patients must be set in relation to functional changes which we could see in patients without treatment of oesophageal varices. Endosclerosis affects essential parameters of oesophageal function; however, a large reversibility after termination of the treatment could be documented. The clinical relevance of the recorded findings and the diagnostic value of oesophageal manometry are discussed.</p>","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 2","pages":"92-7"},"PeriodicalIF":0.0,"publicationDate":"1990-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1042557","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13509906","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
[Urokinetography in the diagnosis and follow-up of obstructive uropathy in children]. [尿动学在儿童梗阻性尿病诊断及随访中的应用]。
U Friedrich, G U Reiss-Zimmermann, G Endert, E P Ritter
{"title":"[Urokinetography in the diagnosis and follow-up of obstructive uropathy in children].","authors":"U Friedrich,&nbsp;G U Reiss-Zimmermann,&nbsp;G Endert,&nbsp;E P Ritter","doi":"10.1055/s-2008-1042559","DOIUrl":"https://doi.org/10.1055/s-2008-1042559","url":null,"abstract":"<p><p>With regard to different paediatric urological diseases nuclear-medical urokinetography using the tracer 99m-Tc-DTPA can identify typical functional patterns. By means of 261 investigations on 240 children, retroperistaltic waves, initial pyeloureteral and the final ureterovesical conus, dysperistaltic waves and interrupting empty strips with lacing, constrictive peristalsis can be shown in comparison with the normal anterograde \"stair\" pattern. Moreover, UKG as a functional method makes it possible to control the therapeutic success of antibiotics in urinary inflammations, the situation after stone discharges and application of vegetative systemic drugs. In our opinion the operative procedure and the prognosis of megaureters can be assessed. Consequently urokinetography is among the important preoperative investigations in paediatric urology and in the follow-up programme after reconstructive urological operations. Nuclear-medical isotope investigation is without significant risk and yields many diagnostic details. The method can be recommended for functional urological diagnosis in children or teenagers with high frequency of follow-up investigations or in patients with contrast medium allergy. Finally, ureter physiology can be checked in patients subjected to bone scintigraphy. Clinical research is possible via UKG without additional radiation exposure.</p>","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 2","pages":"100-8"},"PeriodicalIF":0.0,"publicationDate":"1990-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2008-1042559","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13346516","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
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信