Adult respiratory distress syndrome in newborns: 5 cases

Aiming to set out the occurrence of the Adult Respiratory Distress Syndrome (ARDS) in the neonatal period, and according to recent descriptions in literature, we prospectively analyzed 5 cases. The criterion adopted to characterize ARDS was the expanded defintion of the syndrome suggested by Murray & Matthay, (10), conjointly with non-invasive cardiac monitoring, to exclude pulmonary edema resulting from myocardial dysfunction. For each case, evolution was briefly described, as well as the predisposing conditions associated to the clinical score punctuation for diagnosis, stressing the importance of adequate identification and fastest possible mangement of such source of systemic effects. Upon admission at the intensive care unit (Ped. ICU), the five cases were either related to sepsis or to the syndrome of multiple organ failure, or to both syndromes were essentially triggered by severe anoxia neonatorum, respiratory distress of the newborn and/or previous hospitalization with hypoxemia and use of a higher inspired fraction of oxygen. The primary causes of death were related to uncontrolled infection or shock, and not directly related to pulmonary failure

Sinéquia intra-uterina: análise de 28 casos / Intrauterine adhesion: analysis of 28 cases

Säo estudados 28 casos de sinéquias intra-uterinas. Após sucinta revisäo da literatura, säo tecidos comentários referentes à incidência, localizaçäo, fisiopatologia, quadro clínico, diagnóstico, diagnóstico diferencial e terapêutica. Em 6 tabelas säo analisados os antecedentes menstruais, a etiologia, o quadro clínico, diagnóstico, os aspectos da histerossalpingografia, o achado histopatológico e os resultados. Säo referidos bons resultados no que concerne à normalizaçäo dos ciclos menstruais, registrado em 60,8% dos casos, porém, em relaçäo à gestaçäo, apenas três engravidaram, duas abortaram e em uma a gestaçäo evoluiu a termo