Archives francaises de pediatrie最新文献_第3页

[Haemophilus parainfluenzae meningitis in a 5-month-old infant]. [一例5个月大婴儿的副流感嗜血杆菌脑膜炎]。

Archives francaises de pediatrie Pub Date : 1993-12-01

H Ballou, C Belloy, F Dore, A Secher

引用次数: 0

[A role not to be neglected by the neonatologist in nosocomial pathology: centralization of information]. [新生儿医生在医院病理学中不可忽视的作用:信息的集中]。

Archives francaises de pediatrie Pub Date : 1993-12-01

G Teyssier, O Gaudin, C Galambrun, I Rayet, M P Lavocat

引用次数: 0

[Immunogenicity and tolerability of Haemophilus b-tetanus protein conjugate (PRP-T) in children with sickle cell anemia]. [b-破伤风嗜血杆菌蛋白偶联物(PRP-T)在儿童镰状细胞性贫血中的免疫原性和耐受性]。

Archives francaises de pediatrie Pub Date : 1993-12-01

M de Montalembert, P Bégué, B Fritzell, P Houmeau

{"title":"[Immunogenicity and tolerability of Haemophilus b-tetanus protein conjugate (PRP-T) in children with sickle cell anemia].","authors":"M de Montalembert, P Bégué, B Fritzell, P Houmeau","doi":"","DOIUrl":"","url":null,"abstract":"Background: Infants and young children with sickle cell anemia are at increased risk of infection with Haemophilus influenzae type b. This report describes the immunogenicity and safety of Haemophilus b conjugate vaccine in such children.Population and methods: One hundred and eleven children aged 6 months-11 years (mean: 3.7 years) were studied. They belonged to a cohort of over 600 children in the Paris area that have sickle cell anemia. After parental consent, they were given one injection (intramuscularly or subcutaneously) of Haemophilus influenzae type b-tetanus toxoid conjugate vaccine (0.5 ml). Any adverse reactions during the following 3 days were noted. Titers of specific antibodies were measured just before injection, one month, and one year later.Results: The vaccine was well tolerated, with only local reactions: erythematous reactions in 5 children and pain in 30. In the children aged 6 months-3 years, the mean antibody titers increased from 0.09 to 20.6 micrograms/ml, 1 month after the vaccination; in those aged 3-11 years, the mean titer increased from 0.44 to 56.86 micrograms/ml. One year after vaccination, the titers measured in 61 children were over 1 microgram/ml in 92% of children aged 6 months-3 years and in 100% of the older children.Conclusion: This type of vaccine is immunogenic and well tolerated. Thus the vaccination schedule recommended for children with sickle cell anemia aged over 6 months is the same as that for normal children.","PeriodicalId":8169,"journal":{"name":"Archives francaises de pediatrie","volume":"50 10","pages":"863-6"},"PeriodicalIF":0.0,"publicationDate":"1993-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19047396","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

[Therapeutic changes of immunity in newborn infants. Current status and prospects]. 新生儿免疫系统的治疗变化。现状与展望]。

Archives francaises de pediatrie Pub Date : 1993-12-01

P Bétrémieux, V Gandemer, M C Chauvel, P Pladys

引用次数: 0

[Exudative enteropathy and gastritis caused by Helicobacter pylori in children]. 儿童幽门螺杆菌引起的渗出性肠病和胃炎。

Archives francaises de pediatrie Pub Date : 1993-12-01

A Maherzi, S Ben Jilani, C Fendri, B Meknini, S Bousnina

引用次数: 0

[Purpuric eruption and cheilitis secondary to Parvovirus B19 infection]. [细小病毒B19感染继发的紫癜疹和唇炎]。

Archives francaises de pediatrie Pub Date : 1993-12-01

A Chalvon-Demersay, C Delouis, J J Bénichou, E Dussaix, B Labrune

引用次数: 0

[Pertussis. Current status and prevention]. (百日咳。[现状和预防]。

Archives francaises de pediatrie Pub Date : 1993-12-01

P Bégué

引用次数: 0

[Trisomy 21 and abandonment. Infants born and placed for adoption in Paris]. 21三体和遗弃。在巴黎出生并被收养的婴儿]。

Archives francaises de pediatrie Pub Date : 1993-12-01

A C Dumaret, D J Rosset

{"title":"[Trisomy 21 and abandonment. Infants born and placed for adoption in Paris].","authors":"A C Dumaret, D J Rosset","doi":"","DOIUrl":"","url":null,"abstract":"Background: Most handicapped newborns that are abandoned suffer from Down's syndrome. This report describes the frequency of the practice.Population and methods: All children (95% less than 1 month old) born between 1985 and 1987 in Paris who were placed for adoption by approved agencies were included in this study. Sociofamilial, medical and psychological histories were collected.Results: A total of 326 infants were abandoned during these 3 years. 38 (12%) of them had Down's syndrome. 25 of the 34 mothers were 30 years old or more. 23 of 27 infants had two known parents. 134 newborns with Down's syndrome were registered in Paris during this period. Thus 27.6% of the total number of Down's syndrome children were abandoned. 87.2% of the abandoned non-trisomic infants were adopted, versus 31.6% of those with Down's syndrome (10.5% died before adoption). The 19 children with Down's syndrome who were not adopted live in foster families.Conclusion: 2/3 of the mothers who have abandoned their trisomic infant were less than 35 years old and had a middle-class background. Further studies are necessary to better understand the emotional context of abandonment.","PeriodicalId":8169,"journal":{"name":"Archives francaises de pediatrie","volume":"50 10","pages":"851-7"},"PeriodicalIF":0.0,"publicationDate":"1993-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19047394","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

[Rapid efficacy of preoperative chemotherapy in nephroblastoma involving cardiac cavities]. [术前化疗治疗累及心腔的肾母细胞瘤的快速疗效]。

Archives francaises de pediatrie Pub Date : 1993-12-01

H Carla, C Schoepfer, J R Lusson, C de Riberolles, G Vanneuville, R Goddon, J L Kemeny, P Dechelotte, M Meyer, G Malpuech

{"title":"[Rapid efficacy of preoperative chemotherapy in nephroblastoma involving cardiac cavities].","authors":"H Carla, C Schoepfer, J R Lusson, C de Riberolles, G Vanneuville, R Goddon, J L Kemeny, P Dechelotte, M Meyer, G Malpuech","doi":"","DOIUrl":"","url":null,"abstract":"Background: Tumors involving the inferior vena cava and cardiac cavities are rare in nephroblastoma. When they do occur, the standard treatment is primary surgery; but this is often technically difficult.Case report: A 3 year-7-month-old girl was admitted because of an abdominal mass and signs of heart failure. Ultrasonography showed that this mass involved the right renal vein and the inferior vena cava including the right atrium. A CT scan showed no metastases. Echocardiography showed that the mass occupied two thirds of the right atrium and had blocked the tricuspid valve. The patient was given heparin (2 mg/kg/day), vincristine (1.5 mg/m2 on day 1) and actinomycin D (15 micrograms/kg on day 1 to 3). The heart failure disappeared and the abdominal mass decreased in volume. This improvement was confirmed by successive ultrasonographies. Chemotherapy was then completed and the patient was operated on six weeks later: right nephrectomy and removal of the cavoatrial tumoral thrombus. Pathological examination confirmed the nephroblastoma and the patient was given radiotherapy and chemotherapy for 28 weeks. She was also given aspirin for 17 weeks. Pulmonary metastases were detected 1 year after onset and were treated by a combination of surgery and chemotherapy. The patient is well 20 months after the onset of the disease.Conclusion: Preoperative chemotherapy seems to be effective in nephroblastoma extending to cardiac cavities; it allows subsequent surgery and facilitates postoperative radiotherapy.","PeriodicalId":8169,"journal":{"name":"Archives francaises de pediatrie","volume":"50 10","pages":"871-3"},"PeriodicalIF":0.0,"publicationDate":"1993-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19047398","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

[Right intraventricular thrombus. Rare complication of caval catheterization]. 右脑室血栓。腔静脉置管术的罕见并发症。

Archives francaises de pediatrie Pub Date : 1993-12-01

V Doireau, P Daoud, J Pasche, J Le Bidois

{"title":"[Right intraventricular thrombus. Rare complication of caval catheterization].","authors":"V Doireau, P Daoud, J Pasche, J Le Bidois","doi":"","DOIUrl":"","url":null,"abstract":"Background: Thrombus formation is one of the main complications of the catheterization used for total parenteral nutrition. Its location inside the right ventricle is exceptional. This paper describes such a case.Case report: A boy was born at the gestational age of 35 weeks, weighing 2,640 g. He developed acute respiratory distress followed by prolonged diarrhea that required parenteral nutrition. A catheter was inserted into his right subclavian vein when he was aged 5 weeks. The patient developed septic shock with multi-visceral failure 8 days later. Blood cultures showed Staphylococcus aureus. Despite symptomatic therapy and antibiotics, the baby developed thrombosis of the superior vena cava with no right atrial thrombus, that required removal of the catheter. Angiography and Doppler echocardiography performed 2 and 3 weeks later showed a thrombus in the right ventricle that disappeared within 2 weeks after prolonged antibiotic and heparin therapy.Conclusion: Repeated Doppler echocardiography is necessary to monitor prolonged total parenteral nutrition. Intracardiac thrombus can be detected; this is more frequently located in the atrium than in the ventricle.","PeriodicalId":8169,"journal":{"name":"Archives francaises de pediatrie","volume":"50 10","pages":"887-9"},"PeriodicalIF":0.0,"publicationDate":"1993-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19048659","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