Cirugía pediátrica : organo oficial de la Sociedad Española de Cirugía Pediátrica
-
In recent years we have observed in our country an increase in complications associated with bacterial pneumonia, such as pleural effusion and empyema. The initial treatment is an association of antibiotics, covering the potential germ involved, and the placement of a pleural drainage tube, in order to accelerate the resolution process. Formation of septa within the pleural cavity requires additional therapy (antifibrinolytic treatment, videothorascopy), but no one of these two alternatives is been demonstrated better than the other. ⋯ There is also a descriptive analysis of several clinical, laboratory and radiological parameters. In comparative analysis, length of stay in intensive care unit decreases in those patients treated with antifibrinolytics. This result is a prove of the efficacy of this treatment, and quite encourageing.
-
Review Case Reports
[Stomach volvulus in a female patient with chondrodysplasia punctata].
The case of an 11-year-old girl with a history of chondrodysplasia punctata is reported. She presented with a clinical picture of abdominal pain and vomiting. ⋯ In a plain abdominal X-ray film a gastric dilation was appreciated and a new volvulus was detected by means of a contrast radiogram. The diagnosis was confirmed at surgery and a gastropexy was performed without volvulus relapse.
-
Review Case Reports
[Paraplegia following surgical repair of a ductus and of a coarctation of the aorta in childhood].
The cases of two girls with 4 and 7 years of age presented. They had a patent ductus and an aortic coarcation which were subsequently surgically repaired. ⋯ With rehabilitation they are able to walk, however paraparexis persist. Anatomy of the arterial irrigation of the spinal cord is reviewed and also the pathophysiology and mechanisms of medullar ischemia.