ABSTRACT
A subgroup of patients infected with the Hantavirus develops a pulmonary syndrome (HPS) characterized by severe acute respiratory failure and myocardial depression, that has a high mortality rate. Extracorporeal life support (ECLS) could be a valuable therapeutic tool in such patients. We report a 24 years old male with HPS that was successfully managed when an arterio-venous shunt was added to a conventional veno-arterial ECLS technique. Precise criteria have been developed to predict which patients should be considered for this treatment.
Subject(s)
Adult , Humans , Male , Arteriovenous Shunt, Surgical/methods , Extracorporeal Membrane Oxygenation/methods , Hantavirus Pulmonary Syndrome/therapy , Pulmonary Artery/surgery , Arteriovenous Shunt, Surgical/instrumentation , Extracorporeal Membrane Oxygenation/instrumentationABSTRACT
Revisión retrospectiva y descriptiva de 67 casos de mordedura por latrodectus manctans ocurridos en 7 periódos estivales (1983-1990) en el Hospital de Galvarino, IX Región, Chile. Se confirma predominio de incidencia en varones jóvenes que desarrollan faenas agrícolas en horario diurno. Cuadro clínico con predominio de las manifestaciones tóxicas generales. El tratamiento sintomático con dipirona y neostigmina tiene éxito en 90 por ciento con alta al 4§ día. Se confirma correlación lineal negativa (r=0,801) entre cantidad de H2O caída en primavera y número de casos con mordedura en verano