Anales Espanoles De Pediatria最新文献_第3页

[Natural surfactants: Are there really any differences?]. [天然表面活性剂:真的有区别吗?]

Anales Espanoles De Pediatria Pub Date : 2002-12-01

A Noguera Moya

引用次数: 0

[Spontaneous neonatal chylothorax and cistyc hygroma]. [新生儿自发性乳糜胸和囊腔湿肿]。

Anales Espanoles De Pediatria Pub Date : 2002-12-01

A Noguera Moya, M Roig Riu, J Pastor Rosado, L Moral Gil, F Goberna Burguera, P Blaya Fernández, C Rodríguez Martínez, E Román Ortiz

引用次数: 0

[Retarted intrauterine growth versus small for gestational age]. [宫内发育迟缓vs胎龄小]。

Anales Espanoles De Pediatria Pub Date : 2002-12-01

J García-Dihinx Villanova, R Carceller Beltrán

引用次数: 0

[Neonate with Down syndrome and persistent condensation in the middle lobe]. [伴有唐氏综合征的新生儿中肺叶持续凝结]。

Anales Espanoles De Pediatria Pub Date : 2002-12-01

M Cebrero García, M Alonso Cristobo, J Alvarez Coca, E García Frías

引用次数: 0

[Obstructive sleep apnea syndrome in children: the responsibility of pediatricians]. [儿童阻塞性睡眠呼吸暂停综合征:儿科医生的责任]。

Anales Espanoles De Pediatria Pub Date : 2002-12-01

E Verrillo, R Cilveti Portillo, E Estivill Sancho

{"title":"[Obstructive sleep apnea syndrome in children: the responsibility of pediatricians].","authors":"E Verrillo, R Cilveti Portillo, E Estivill Sancho","doi":"","DOIUrl":"","url":null,"abstract":"Although obstructive sleep apnea syndrome (OSAS) in children is a frequent and potentially serious respiratory disorder, it has a reliable diagnosis and treatment is highly effective. OSAS is a respiratory sleep-related disorder that forms part of sleep apnea-hypoapnea syndrome. The syndrome affects between 1 % and 3 % of children. In addition to its cardiopulmonary complications, it can retard growth and increase the risk of hyperactivity and learning difficulties. It has also been associated with attention deficit disorder and hyperactivity. When OSAS is suspected, up-to-date nocturnal polysomnography is the gold standard for the diagnosis and quantification of severity of childhood OSAS. In most children the treatment of choice is adenotonsillectomy, which has a success rate of more than 85 %. We provide an up-to-date review of the evidence on the clinical features, etiology, complications and treatment of OSAS in children. The main objective of this review is to alert pediatricians to their essential role in the early detection of this syndrome, especially among children who snore, and to provide a clinical practice guideline for the diagnosis and definitive treatment of these children.","PeriodicalId":7778,"journal":{"name":"Anales Espanoles De Pediatria","volume":"57 6","pages":"540-6"},"PeriodicalIF":0.0,"publicationDate":"2002-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22141096","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

[Nijmegen breakage syndrome associated with pulmonary lymphoma]. [肺淋巴瘤相关奈梅亨破裂综合征]。

Anales Espanoles De Pediatria Pub Date : 2002-12-01

D Moreno Pérez, F J García Martín, R Vázquez López, E Pérez Ruiz, M E González Valentín, B Weil Lara, A Jurado Ortiz

引用次数: 0

[Cutaneous involvement as the form of presentation in B-cell lymphoblastic leukemia/lymphoma]. [皮肤受累是b细胞淋巴细胞白血病/淋巴瘤的表现形式]。

Anales Espanoles De Pediatria Pub Date : 2002-12-01

R López Almaraz, J M feminine Raya Sánchez, M Domínguez Suárez, M feminine L Brito Barroso Mf, J Rodríguez Luis

引用次数: 0

[Multicenter studies and clinical trials in special populations]. [特殊人群的多中心研究和临床试验]。

Anales Espanoles De Pediatria Pub Date : 2002-12-01

J A Camacho Díaz

引用次数: 0

[Scurvy associated with celiac disease]. [坏血病与乳糜泻有关]。

Anales Espanoles De Pediatria Pub Date : 2002-12-01

L Echeverría Zudaire, B García Cuartero, O Campelo Moreno, A González Vergaz, M Konning, T Bracamonte Bermejo, Ll Carrasco Marina, J M De Cea Crespo

引用次数: 0

[Decisions on limiting treatment in critically-ill neonates: a multicenter study]. [限制危重新生儿治疗的决定:一项多中心研究]。

Anales Espanoles De Pediatria Pub Date : 2002-12-01

{"title":"[Decisions on limiting treatment in critically-ill neonates: a multicenter study].","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"Backgrounds Some patients with a poor prognosis cause serious doubts about the real benefit of life-sustaining treatment. In some cases the possibility of limiting those treatments is raised. Such end-of-life decisions provoke ethical dilemmas and questions about procedure.ObjectivesTwo determine the frequency of end-of-life decisions in neonates, patient characteristics, and the criteria used by those taking decisions.Patients and methodsWe performed a multicenter, descriptive, prospective study. Neonates from 15 neonatal intensive care units who died during their stay in the hospital between 1999 and 2000, as well as those in whom end-of-life decisions were taken, were included. End-of-life decisions were defined as clinical decisions to withhold or withdraw life-sustaining treatment.ResultsA total of 330 patients were included. End-of-life decisions were taken in 171 (52 %); of these, 169 (98.8 %) died. The remaining 159 patients (48.2 %) died without treatment limitation. The main disorders involving end-of-life decisions were congenital malformation (47 %), neurologic disorders secondary to perinatal asphyxia and intracranial hemorrhage-periventricular leukomalacia (37 %). Of the 171 neonates, treatment was withheld in 80 and vital support was withdrawn in 91. The most frequently withdrawn life-sustaining treatment was mechanical ventilation (68 %). The criteria most commonly used in end-of-life decisions were poor vital prognosis (79.5 %), and current and future quality of life (37 % and 48 % respectively). The patient's external factors such as unfavorable family environment or possible negative consequences for familial equilibrium were a factor in 5 % of decisions.ConclusionsThe present study, the first of this type performed in Spain, reveals little-known aspects about the clinical practice of withholding and/or withdrawing life-sustaining treatment in critically ill neonates. End-of-life decisions were frequent (52 %) and were followed by death in most of the patients (98,8 %). The main criteria in decision-making were poor vital prognosis and the patient's current and future quality of life.","PeriodicalId":7778,"journal":{"name":"Anales Espanoles De Pediatria","volume":"57 6","pages":"547-53"},"PeriodicalIF":0.0,"publicationDate":"2002-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22141097","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