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1.
Pediatric Allergy and Respiratory Disease ; : 78-83, 2005.
Artigo em Coreano | WPRIM | ID: wpr-128716

RESUMO

Mediastinal tumors are uncommon in the pediatric age group and teratoma comprises 5 percent of mediastinal lesions developing in the anterior mediastinum. It is characterized by staying asymptomatically till adulthood and the most common symptoms of mediastinal teratoma are chest pains, dyspnea, and coughs due to the compression of adjacent airways. Untreated benign teratoma can cause complications such as atelectasis of the lung, adjacent tissue compression, infection and rupture of mass. The diagnosis can be made by chest radiography and chest CT, and the treatment of choice is surgical. We report a 2 year, 10 months male patient who presented with coughs, respiratory difficulty caused by pleural effusion due to rupture, and perforation of the mass. The diagnosis was made by chest radiography and chest CT and he underwent surgical resection successfully.


Assuntos
Humanos , Masculino , Dor no Peito , Tosse , Diagnóstico , Dispneia , Pulmão , Neoplasias do Mediastino , Mediastino , Derrame Pleural , Atelectasia Pulmonar , Radiografia , Ruptura , Teratoma , Tórax , Tomografia Computadorizada por Raios X
2.
Journal of Korean Society of Pediatric Endocrinology ; : 76-80, 2004.
Artigo em Coreano | WPRIM | ID: wpr-153302

RESUMO

Pyriform sinus fistula (PSF) is a persistent embryologic third or fourth pharyngeal pouch, which typically presents as a congenital sinus tract that originates from the pyriform sinus. PSF is among the most uncommon congenital malformation of the neck. The usual clinical manifestations are either acute thyroiditis or abscess, usually on the left side of the neck. We report a case of PSF in a 9-year old female with a left cervical abscess who had been diagnosed by barium esophagogram and treated endoscopically by injection of histoacryl.


Assuntos
Criança , Feminino , Humanos , Abscesso , Bário , Embucrilato , Fístula , Pescoço , Seio Piriforme , Glândula Tireoide , Tireoidite
3.
Journal of the Korean Society of Neonatology ; : 54-64, 2004.
Artigo em Coreano | WPRIM | ID: wpr-172765

RESUMO

PURPOSE: Barotrauma is one of the most important risk factors of chronic lung disease (CLD) in neonates. However, so-often called `high pressure' does not specify the magnitude or duration of positive pressure ventilation in relation to development of CLD. We investigated whether cumulative effect of positive pressure ventilation over time was more closely associated with CLD than the magnitude of maximal peak inspiratory pressure (PIP) or mean airway pressure (MAP). METHODS: Clinical data were collected from 53 very low birth weight (VLBW) infants (24; CLD and 29; non-CLD) who were treated with mechanical ventilation due to respiratory distress syndrome (RDS) at the neonatal intensive care unit (NICU) in Yonsei University Medical Center. Areas under the pressure-time curve for peak inspiratory pressure (AUCPIP), mean airway pressure (AUCMAP), and FiO2 (AUCFiO2) were calculated from hourly changes of the ventilatory parameters plotted against time during the first 5 days of life, and were compared with the magnitudes of episodic, maximum PIP, MAP or FiO2. RESULTS: The AUCMAP and AUCPIP in CLD group was significantly higher than in non-CLD group (639.8+/-142.9 cmH2O hr vs. 474.2+/-148.0 cmH2O hr, P 0.05). After statistical correction for independent factors related to development of CLD, AUCMAP was shown to be most meaningful. CONCLUSION: Our data are suggestive of the importance of cumulative barotrauma over time in CLD rather than episodic barotrauma caused by cross-sectional or intermittent high peak pressures.


Assuntos
Humanos , Lactente , Recém-Nascido , Centros Médicos Acadêmicos , Barotrauma , Recém-Nascido de muito Baixo Peso , Terapia Intensiva Neonatal , Pneumopatias , Pulmão , Respiração com Pressão Positiva , Respiração Artificial , Fatores de Risco
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