Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 20 de 63
Filter
1.
Rev. cuba. med ; 59(4): e1435, oct.-dic. 2020. graf
Article in Spanish | LILACS, CUMED | ID: biblio-1144511

ABSTRACT

Introducción: La linfangioleiomiomatosis pulmonar constituye un desafío, tanto en su manejo diagnóstico como en la atención de sus complicaciones. Es una enfermedad rara que se caracteriza por la proliferación del músculo liso alrededor de las estructuras bronco-vasculares, linfáticos y en el intersticio pulmonar, unido a la dilatación quística de los espacios aéreos terminales. Objetivo: Describir la evolución clínica y el tratamiento de un paciente con linfangioleiomiomatosis pulmonar. Presentación de caso: Se presenta un caso de linfangioleiomiomatosis pulmonar que desde el punto de vista clínico se manifestó por neumotórax a repetición. Se llegó a diagnóstico definitivo mediante la realización de una biopsia de pulmón. Desarrollo: La linfangioleiomiomatosis es una entidad rara que afecta fundamentalmente a mujeres en edad fértil y que se caracteriza por la presencia de un patrón quístico difuso. Su prevalencia e incidencia es desconocida. Conclusiones: Se puede concluir que la presencia de neumotórax espontáneo o recidivante en una mujer en edad fértil, o embarazada, debe sospecharse linfangioleiomiomatosis(AU)


Introduction: Pulmonary lymphangioleiomyomatosis constitutes a challenge, both in its diagnostic management and in the care of complications. It is a rare disease characterized by the proliferation of smooth muscle around the bronchovascular and lymphatic structures and in the pulmonary interstitium, together with cystic dilation of the terminal air spaces. Objective: To describe a diagnosed case of pulmonary lymphangioleiomyomatosis. Case report: A case of pulmonary lymphangioleiomyomatosis is reported, which was clinically showed as recurrent pneumothorax. A definitive diagnosis was reached by performing a lung biopsy. Discussion: Lymphangioleiomyomatosis is a rare entity that mainly affects women of childbearing age and is characterized by the presence of a diffuse cystic pattern. Its prevalence and incidence is unknown. Conclusions: It can be concluded that the presence of spontaneous or recurrent pneumothorax in a woman of childbearing age, or pregnant, should be suspected lymphangioleiomyomatosis(AU)


Subject(s)
Humans , Female , Adult , Pneumothorax/complications , Lymphangioleiomyomatosis/diagnosis , Lymphangioleiomyomatosis/mortality , Lymphangioleiomyomatosis/pathology
2.
Arch. argent. pediatr ; 117(4): 416-419, ago. 2019. ilus
Article in English, Spanish | LILACS, BINACIS | ID: biblio-1054948

ABSTRACT

El tratamiento de los lactantes con quistes pulmonares congénitos conlleva una resección quirúrgica. Las variaciones en la ubicación y el tamaño del quiste de aire en el pulmón afectado implican la selección de diferentes estrategias quirúrgicas. La presencia de quistes pulmonares congénitos gigantes que imitan un neumotórax a tensión no permitiría tomar una decisión precisa y realizar un tratamiento oportuno durante una emergencia respiratoria. Los escasos informes sobre este tipo de experiencia hacen referencia a quistes a tensión durante la niñez. En este artículo, presentamos el caso de un niño con un quiste pulmonar congénito gigante que imita neumotórax a tensión según las manifestaciones clínicas y las evaluaciones del diagnóstico por imágenes. La descompresión instantánea del neumotórax a tensión no logró aliviar la dificultad respiratoria del niño. En los niños que presentan evidencia clínica de neumotórax a tensión, se debe excluir la posibilidad de un quiste pulmonar congénito gigante.


Treats of symptomatic infants with congenital cystic lung lesions (CCLLs) need surgical resection. Variable location and size of the air cyst of involved lung mean that different surgical strategies must be selected. The presence of huge CCLLs mimicking tension pneumothorax would hamper accurate judgment and timely treatment in dealing with respiratory emergencies. Rare experience reports are coping with childhood tension cystic lung lesion. We present a case of childhood huge CCLLs which was similar to tension pneumothorax based on clinical manifestations and imaging evaluations. Implementation of instant decompression measure against tension pneumothorax failed to alleviate respiratory distress of child. We should exclude the possibility of huge lung cystic lesion in children when clinical evidence inclines to the diagnosis of tension pneumothorax.


Subject(s)
Humans , Male , Infant , Pneumothorax/diagnostic imaging , Cysts/congenital , Lung Diseases , Pneumothorax/complications , Congenital Abnormalities , Cysts/surgery
3.
Rev. méd. Chile ; 146(11): 1343-1346, nov. 2018. graf
Article in Spanish | LILACS | ID: biblio-985708

ABSTRACT

Pulmonary expansion edema is a rare complication of the management of primary spontaneous pneumothorax. We report a 20 year old male admitted with a right primary spontaneous pneumothorax. A chest tube connected to a water seal was placed, achieving lung expansion. Immediately, the patient presented hypotension and a reduction in arterial oxygen saturation to 78%. Non-invasive ventilation was started. A chest X ray showed extensive right lung edema. The patient was managed with noradrenaline and albumin infusion with good response. Pulmonary edema resolved on day 3 but air leak was persistant so, the patient required surgery to excise apical bullae in the right lung. He was discharged during the following days in good condition.


Subject(s)
Humans , Male , Young Adult , Pneumothorax/complications , Pneumothorax/therapy , Pulmonary Edema/etiology , Pulmonary Edema/therapy , Drainage/adverse effects , Pulmonary Edema/diagnostic imaging , Radiography, Thoracic , Chest Tubes/adverse effects , Risk Factors , Treatment Outcome
4.
Rev. bras. anestesiol ; 66(4): 423-425,
Article in English | LILACS | ID: lil-787627

ABSTRACT

Abstract Nephrectomies are usually performed under general anesthesia alone or in combination with regional anesthesia and rarely under regional anesthesia alone. We report the management of a patient with chronic obstructive pulmonary disease with a history of recurrent spontaneous pneumothorax undergoing nephrectomy under regional anesthesia alone.


Resumo Geralmente, as nefrectomias são feitas sob anestesia geral, isoladamente ou em combinação com anestesia regional, e raramente sob anestesia regional sozinha. Relatamos o tratamento de um paciente com doença pulmonar obstrutiva crônica e história de pneumotórax espontâneo recorrente submetido à nefrectomia sob anestesia regional isolada.


Subject(s)
Humans , Male , Pneumothorax/complications , Pulmonary Disease, Chronic Obstructive/complications , Hydronephrosis/surgery , Hydronephrosis/complications , Anesthesia, Conduction/methods , Nephrectomy/methods , Recurrence , Kidney/surgery , Middle Aged
5.
Arch. argent. pediatr ; 114(4): e245-e248, ago. 2016. ilus
Article in English, Spanish | LILACS, BINACIS | ID: biblio-838250

ABSTRACT

La aspiración de hidrocarburos puede causar un daño significativo a los pulmones al inducir una respuesta inflamatoria, alveolitis exudativa hemorrágica y pérdida de la función del tensioactivo pulmonar. El efecto secundario más grave de la aspiración de hidrocarburos es la neumonía por aspiración. Anteriormente se han notificado casos de neumotórax, neumatocele, síndrome de dificultad respiratoria aguda (SDRA), absceso pulmonar, fístula broncopleural, derrame pleural bilateral hemorrágico y pioneumotórax. En este artículo presentamos el caso de un paciente hospitalizado debido a neumonía por aspiración que desarrolló pleuritis y neumotórax después de ingerir disolvente para pintura. Se presenta este caso ya que raramente se ha informado en niños como causa de complicaciones pulmonares diferentes. Es necesario evaluar integralmente a los pacientes con complicaciones asociadas a la intoxicación por hidrocarburos. Debe evitarse el alta hospitalaria temprana de los pacientes, quienes deben ser controlados durante, al menos, 48 horas, aunque no tengan síntomas respiratorios. Debe considerarse que los pacientes con neumonía química pueden tener complicaciones pulmonares graves.


Hydrocarbon aspiration (HA) can cause significant lung disease by inducing an inflammatory response, hemorrhagic exudative alveolitis, and loss of surfactant function. The most serious side effect of HA is aspiration pneumonia. Pneumothorax, pneumatocele, acute respiratory distress syndrome (ARDS), pulmonary abscess, bronchopleural fistula, bilateral hemorrhagic pleural effusion and pyopneumothorax were previously reported. Hereby we report a patient hospitalized due to aspiration pneumonia who developed pleurisy and pneumothorax after drinking paint thinner. It is presented as it was seldom reported in children to cause distinct pulmonary complications. Patients with complaints associated withhydrocarbon poisoning must be fully evaluated. They must not be discharged from the hospital early and must be followed for at least 48 hours even if they don't have respiratory symptoms. It should be kept in mind that severe pulmonary complications can develop in patients with chemical pneumonia.


Subject(s)
Humans , Male , Child , Pleurisy/chemically induced , Pneumonia/chemically induced , Pneumothorax/chemically induced , Solvents/poisoning , Hydrocarbons/poisoning , Pleurisy/complications , Pneumonia/complications , Pneumothorax/complications , Severity of Illness Index
6.
Article in English | IMSEAR | ID: sea-154426

ABSTRACT

Primary spontaneous haemopneumothorax (PSHP) is a rare condition. Potentially grave consequences do occur as a result of a failure to reach the diagnosis early. We report a case of a 17-year-old male who presented with a picture of PSHP but was later also found to have a component of haemothorax. He underwent thoracoscopy which was converted to thoracotomy. A torn vascular adhesion was the source of bleeding which was clipped and haemostasis was achieved.


Subject(s)
Adolescent , Emergency Medical Services , Hemopneumothorax/complications , Hemopneumothorax/diagnosis , Hemopneumothorax/surgery , Humans , Male , Pneumothorax/complications , Pneumothorax/diagnosis , Pneumothorax/surgery
7.
Clinics ; 69(5): 335-340, 2014. tab
Article in English | LILACS | ID: lil-709608

ABSTRACT

OBJECTIVES: To evaluate the performance of fine and cutting needles in computed tomography guided-biopsy of lung lesions suspicious for malignancy and to determine which technique is the best option for a specific diagnosis. METHODS: This retrospective study reviewed the data from 362 (71.6%) patients who underwent fine-needle aspiration biopsy and from 97 (19.7%) patients who underwent cutting-needle biopsy between January 2006 and December 2011. The data concerning demographic and lesion characteristics, procedures, biopsy sample adequacy, specific diagnoses, and complications were collected. The success and complication rates of both biopsy techniques were calculated. RESULTS: Cutting-needle biopsy yielded significantly higher percentages of adequate biopsy samples and specific diagnoses than did fine-needle aspiration biopsy (p<0.05). The sensitivity, specificity, and accuracy of cutting-needle biopsy were 93.8%, 97.3%, and 95.2%, respectively; those of fine-needle aspiration biopsy were 82.6%, 81.3%, and 81.8%, respectively (all p<0.05). The incidence of pneumothorax was higher for fine-needle aspiration biopsy, and that of hematoma was higher for cutting-needle biopsy (both p<0.05). CONCLUSIONS: Our experience using these two techniques for computed tomography-guided percutaneous biopsy showed that cutting-needle biopsy yielded better results than did fine-needle aspiration biopsy and that there was no significant increase in complication rates to indicate the best option for specific diagnoses. .


Subject(s)
Aged , Female , Humans , Male , Middle Aged , Biopsy, Fine-Needle/instrumentation , Lung Diseases/pathology , Lung/pathology , Biopsy , Incidence , Lung Diseases , Lung , Pneumothorax/complications , Retrospective Studies , Radiography, Interventional/methods , Sensitivity and Specificity , Tomography, X-Ray Computed
8.
Yonsei Medical Journal ; : 166-171, 2013.
Article in English | WPRIM | ID: wpr-66226

ABSTRACT

PURPOSE: Several risk factors for development of reexpansion pulmonary edema (REPE) after drainage of pneumothoraces have been reported, but the association between the method of thoracostomy and the development of REPE is unknown. The aim of this study was to compare the frequency of REPE after treatment of spontaneous pneumothorax with trocar or hemostat assisted closed thoracostomy. MATERIALS AND METHODS: We performed a prospective, observational study including 173 patients with spontaneous pneumothorax who visited the emergency department from January 2007 to December 2008. In 2007, patients were treated with hemostat-assisted drainage, whereas patients in 2008 were treated with trocar-assisted drainage. The main outcome was the development of REPE, determined by computed tomography of the chest 8 hours after closed thoracostomy. Outcomes in both groups were compared using univariate and multivariate analyses. RESULTS: Ninety-two patients were included, 48 (42 males) of which underwent hemostat-assisted drainage and 44 (41 males) underwent trocar-assisted drainage. The groups were similar in mean age (24+/-10 vs. 26+/-14 respectively). The frequencies of REPE after hemostat- and trocar-assisted drainage were 63% (30 patients) and 86% (38 patients) respectively (p=0.009). In multivariate analysis, trocar-assisted drainage was the major contributing factor for developing REPE (odds ratio=5.7, 95% confidence interval, 1.5-21). Age, gender, size of pneumothorax, symptom duration and laboratory results were similar between the groups. CONCLUSION: Closed thoracostomy using a trocar is associated with an increased risk of REPE compared with hemostat-assisted drainage in patients with spontaneous pneumothorax.


Subject(s)
Adult , Female , Hemostatic Techniques , Humans , Male , Multivariate Analysis , Pneumothorax/complications , Prospective Studies , Pulmonary Edema/diagnosis , Risk Factors , Surgical Instruments , Thoracostomy/adverse effects , Tomography, X-Ray Computed , Treatment Outcome , Young Adult
9.
Clinics ; 66(3): 449-451, 2011. tab
Article in English | LILACS | ID: lil-585956

ABSTRACT

INTRODUCTION: Rib fractures are the most common type of injury associated with trauma to the thorax. In this study, we investigated whether morbidity and mortality rates increased in correlation with the number of fractured ribs. MATERIALS AND METHODS: Data from 214 patients with rib fractures who applied or were referred to our clinic between January 2007 and December 2008 were retrospectively evaluated. The patients were allocated into three groups according to the number of fractures: 1) patients with an isolated rib fracture (RF1) (n = 50, 23.4 percent), 2) patients with two rib fractures (RF2) (n = 53, 24.8 percent), and 3) patients with more than two rib fractures (RF3) (n = 111, 51.9 percent). The patients were evaluated and compared according to the number of rib fractures, mean age, associated chest injuries (hemothorax, pneumothorax, and/or pulmonary contusion), and co-existing injuries to other systems. FINDINGS: The mean age of the patients was 51.5 years. The distribution of associated chest injuries was 30 percent in group RF1, 24.6 percent in group RF2, and 75.6 percent in group RF3 (p<0.05). Co-existing injuries to other systems were 24 percent in group RF1, 23.2 percent in group RF2, and 52.6 percent in group RF3 (p<0.05). Two patients (4 percent) in group RF1, 2 patients (3.8 percent) in group RF2, and 5 patients (4.5 percent) in group RF3 (total n = 9; 4.2 percent) died. CONCLUSION: Patients with any number of rib fractures should be carefully screened for co-existing injuries in other body systems and hospitalized to receive proper treatment.


Subject(s)
Adolescent , Adult , Aged , Aged, 80 and over , Female , Humans , Male , Middle Aged , Young Adult , Rib Fractures/epidemiology , Age Distribution , Age Factors , Analysis of Variance , Epidemiologic Factors , Hemothorax/complications , Pneumothorax/complications , Retrospective Studies , Rib Fractures/etiology , Rib Fractures/mortality , Sex Distribution , Turkey/epidemiology
11.
Article in English | IMSEAR | ID: sea-138626

ABSTRACT

A case of unilateral re-expansion pulmonary oedema in a chronic pneumothorax is presented. The patient had a longstanding left-sided pneumothorax. Intercostal drainage tube was inserted following which the patient developed severe hypotension and respiratory failure. Chest radiograph (postero-anterior view) showed partial lung expansion with unilateral pulmonary oedema. The patient responded to the standard management of pulmonary oedema and the lung was fully re-expanded.


Subject(s)
Adolescent , Chronic Disease , Humans , Male , Pneumothorax/complications , Pneumothorax/diagnostic imaging , Pneumothorax/therapy , Pulmonary Edema/etiology , Pulmonary Edema/diagnostic imaging , Pulmonary Edema/therapy
12.
Article in English | WPRIM | ID: wpr-127081

ABSTRACT

OBJECTIVE: To describe the high-resolution CT (HRCT) findings of re-expansion pulmonary edema (REPE) following a thoracentesis for a spontaneous pneumothorax. MATERIALS AND METHODS: HRCT scans from 43 patients who developed REPE immediately after a thoracentesis for treatment of pneumothorax were retrospectively analyzed. The study group consisted of 41 men and two women with a mean age of 34 years. The average time interval between insertion of the drainage tube and HRCT was 8.5 hours (range, 1-24 hours). The patterns and distribution of the lung lesions were analyzed and were assigned one of the following classifications: consolidation, ground-glass opacity (GGO), intralobular interstitial thickening, interlobular septal thickening, thickening of bronchovascular bundles, and nodules. The presence of pleural effusion and contralateral lung involvement was also assessed. RESULTS: Patchy areas of GGO were observed in all 43 patients examined. Consolidation was noted in 22 patients (51%). The geographic distribution of GGO and consolidation was noted in 25 patients (58%). Interlobular septal thickening and intralobular interstitial thickening was noted in 28 patients (65%), respectively. Bronchovascular bundle thickening was seen in 13 patients (30%), whereas ill-defined centrilobular GGO nodules were observed in five patients (12%). The lesions were predominantly peripheral in 38 patients (88%). Of these lesions, gravity-dependent distribution was noted in 23 cases (53%). Bilateral lung involvement was noted in four patients (9%), and a small amount of pleural effusion was seen in seven patients (16%). CONCLUSION: The HRCT findings of REPE were peripheral patchy areas of GGO that were frequently combined with consolidation as well as interlobular septal and intralobular interstitial thickening.


Subject(s)
Adolescent , Adult , Aged , Drainage , Female , Humans , Lung/diagnostic imaging , Male , Middle Aged , Observer Variation , Pneumothorax/complications , Pulmonary Edema/complications , Retrospective Studies , Tomography, X-Ray Computed/methods , Young Adult
13.
Rev. Soc. Cardiol. Estado de Säo Paulo ; 19(2): 94-107, abr.-jun. 2009. tab, ilus
Article in Portuguese | SES-SP, LILACS, SES-SP | ID: lil-525958

ABSTRACT

A dor torácica é um dos sintomas mais temidos pelos médicos emergencistas, pois, muitas vezes, o diagnóstico diferencial é difícil e onoroso, e depende da experiência do profissional. Entre os possíveis diagnósticos podemos citar o infarto agudo do miocárdio, o aneurisma dissecante da aorta, o tromboembolismo pulmonar, o pneumotórax e a ruptura de esôfago como os de maior gravidade. Nesses casos, a abordagem tanto diagnóstica como terapêutica deverá ser a mais rápida possível, tendo implicação direta na sobrevida desses pacientes. Nesse sentido, a realização de exames de imagem torna-se crucial, como o ecocardiograma, a tomografia computadorizada, a ressonância nuclear magnética e a cineangiocoronariografia. Assim, se o diagnóstico for feito em tempo hábil e se houver profissional qualificado para o tratamento clínico ou cirúrgico, a mortalidade e as complicações serão minimizadas.


Subject(s)
Humans , Aneurysm, Dissecting/complications , Aneurysm, Dissecting/diagnosis , Pulmonary Embolism/complications , Pulmonary Embolism/diagnosis , Pneumothorax/complications , Pneumothorax/diagnosis , Diagnosis, Differential , Chest Pain/complications , Chest Pain/diagnosis
14.
Annals of Thoracic Medicine. 2009; 4 (4): 182-186
in English | IMEMR | ID: emr-99937

ABSTRACT

The study compares the efficiency, side effects and complications of autologous blood pleurodesis with talcum powder and tetracycline. This prospective study evaluated 50 patients with persistent air leak resulting from primary and secssondary spontaneous pneumothorax between February 2004 and March 2009. The patients inclussded 32 [64.0%] males and 18 [36.0%] females with a median age of 39 years [range 14-69 years]. All cases had persistent air leak of more than seven days. Pleurodesis was performed using autologous blood in 20 [40.0%] patients, talc powder in 19 [38.0%] patients and tetracycline in 11 [22.0%] patients through a chest tube. Air leak cessation times after pleurodesis, side effects and pulmonary function tests [PFT] in the first and third months were measured. Recurrent primary spontaneous pneumothorax was the cause of persistent air leak in all cases. Air leaks were expiratory only in 54.0% of cases. We obtained a success rate of 75.0% using autologous blood, 84.2% using talc powder and 63.6% using tetracycline. Mean air leak termination interval was significantly [P < 0.001] shorter in patients treated with autologous blood in comparison to talc powder and tetracycline. We observed a significant [P < 0.05] decline in PFT in patients treated with talc powder compared with tetracycline and autologous blood. Vital capacity, FVC and FEV1 were significantly lower in patients treated with tetracycline compared with autologous blood. This study shows that autologous blood pleurodesis compared to talc powder and tetracycline is related with shorter leak cessation time and less pulmonary function decline in patients with persistent air leak. We think further randomized clinical trials of pleurodesis as treatment could increase its use in thorax surgery by demonstrating the safety and the efficacy of this procedure


Subject(s)
Humans , Male , Female , Prospective Studies , Talc/administration & dosage , Talc , Tetracycline/administration & dosage , Tetracycline , Blood Transfusion, Autologous , Pneumothorax/complications , Pneumothorax/therapy
15.
Iranian Journal of Radiology. 2008; 5 (4): 235-237
in English | IMEMR | ID: emr-87248

ABSTRACT

Pneumoscrotum is a rare condition that occurs following a variety of procedural and pathological causes. We report a case of multiple trauma, pneumothorax and surgical emphysema, who presented with a swollen scrotum


Subject(s)
Humans , Male , Pneumothorax/complications , Scrotum , Subcutaneous Emphysema , Chest Tubes , Radiography, Thoracic , Multiple Trauma
17.
Rev. argent. resid. cir ; 11(2): 17-19, nov. 2006. tab
Article in Spanish | LILACS | ID: lil-563229

ABSTRACT

Objetivos: Determinar si el avenamiento pleural guiado por radioscopía en pacientes con neumotórax, se asocia con menos complicaciones y recolocaciones, disminuyendo la estadía hospitalaria.Lugar: Hospital PúblicoMaterial y Métodos: 31 pacientes con neumotórax entre enero y noviembre de 2004. Se los dividió en dos grupos, seleccionados al azar; en uno, el avenamiento pleural se realizó guiado por radioscopia y en el otro no. Sexo masculino 90%. Promedio de edad: 32 años. Neumotórax espontáneo 11, neumotórax traumático 20. Avenamiento pleural guiado por radioscopia: 16 y grupo control (sin radioscopia) 15.Resultados: En el grupo de pacientes tratados utilizando el IDI no hubo necesidad de recolocar el tubo, la estadía hospitalaria fue de 7.18 días; en el grupo control, se requirieron 3 recolocaciones por mal función del tubo de avenamiento y la estadía hospitalaria fue de 8.8 días.Conclusión: La colocación del tubo de avenamiento pleural guiado por radioscopia es un procedimiento seguro que facilita la colocación del tubo en el espacio pleural, corroborando la posición del mismo, disminuyendo la necesidad de recolocaciones, logrando resultados terapéuticos aceptables y reproducibles.


Subject(s)
Humans , Male , Female , Case Reports , Thoracic Surgery/instrumentation , Thoracic Surgery/methods , Drainage/methods , Thoracostomy/instrumentation , Thoracostomy/methods , Thoracostomy/trends , Chest Tubes , Pneumothorax/surgery , Pneumothorax/complications , Pneumothorax/diagnosis , Pneumothorax/therapy , Pleural Effusion
18.
Pulmäo RJ ; 15(3): 200-202, 2006. ilus
Article in Portuguese | LILACS | ID: lil-612442

ABSTRACT

Hemopneumotórax espontâneo é uma ocorrência incomum, sendo que o sangramento volumoso é considerado uma complicação ainda mais rara do pneumotórax espontâneo. Os autores descrevem o caso de um paciente que apresentou dor torácica aguda e dispnéia, com radiografia de tórax mostrando pneumotórax e derrame pleural. Durante a drenagem pleural tubular, ocorreu sangramento importante (1200mL). Foi submetido à toracotomia, na qual foi encontrado um vaso aberrante. O pós-operatório transcorreu sem incidentes.


Subject(s)
Humans , Male , Adult , Hemopneumothorax/complications , Hemopneumothorax/diagnosis , Pneumothorax/complications , Pneumothorax/diagnosis , Drainage/instrumentation
19.
Indian J Pediatr ; 2005 May; 72(5): 425-8
Article in English | IMSEAR | ID: sea-82079

ABSTRACT

Respiratory distress due to either medical or surgical causes occurs commonly in neonates. It is the most common cause of admission to a neonatal surgical intensive care facility in a tertiary care hospital. The distress can be caused by a variety of clinical conditions; common conditions treated in medical intensive care units are transient tachypnea of the new born, respiratory distress syndrome, pulmonary air leak and pneumothorax. In surgical causes of respiratory distress in neonates the underlying mechanisms include airway obstruction, pulmonary collapse or displacement and parenchymal disease or insufficiency; the common causes are congenital diaphragmatic hernia, congenital cystic adenomatoid malformation, congenital lobar emphysema and esophageal atresia with or without tracheo-esophageal fistula. Obstructive lesions of the new born airway include choanal atresia, macroglossis, Pierre-Robin syndrome, lymphangioma, teratoma or other mediastinal masses, cysts, subglottic stenosis and laryngo tracheomalacia. Imaging plays a very major role in the pre-operative diagnosis of these conditions and proper pre-operative resuscitation helps in improving the results of surgery dramatically.


Subject(s)
Airway Obstruction/complications , Cystic Adenomatoid Malformation of Lung, Congenital/complications , Esophageal Diseases/complications , Hernia, Diaphragmatic/complications , Humans , Infant, Newborn , Pneumothorax/complications , Pulmonary Emphysema/complications , Respiratory Distress Syndrome, Newborn/diagnosis
20.
Indian J Pediatr ; 2005 May; 72(5): 445-7
Article in English | IMSEAR | ID: sea-78448

ABSTRACT

Spontaneous pneumothorax is a recognised cause of respiratory distress in the neonatal period. Spontaneous pneumothorax occurring during the neonatal period in siblings within a family is rare. We report a case of spontaneous pneumothorax occurring in two siblings in the neonatal period.


Subject(s)
Female , Genetic Predisposition to Disease , Humans , Infant, Newborn , Male , Pneumothorax/complications , Respiratory Distress Syndrome, Newborn/diagnosis , Treatment Outcome
SELECTION OF CITATIONS
SEARCH DETAIL