RESUMO
Objective: To report our experience of tracheobronchial foreign body removal in childrenusing flexible bronchoscopy as the primary mode. Methods: Hospital records oftracheobronchial foreign body extractions between January, 2006 and January, 2018 werereviewed. Clinical presentations, radiological findings, location and types of tracheobronchialforeign bodies, types of bronchoscopes, complications and outcome of the procedures wereanalyzed. Results: 283 extractions in children with median (range) age of 18 (5-168) monthswere reviewed. Extraction by flexible bronchoscope, using wire baskets or grasping forceps,was successful in 260 cases. No major complications were encountered. Mean (SD) time forthe procedure was 31 (6.3) minutes. Conclusions: Airway foreign bodies can safely beremoved by flexible bronchoscopy with minimal complications. This procedure can beconsidered the primary mode for removal of airway foreign bodies by a trained andexperienced person
RESUMO
Our aim was to study the prevalence, age-wise distribution, and clinical spectrum of congenital heart disease (CHD) at a multi-speciality corporate hospital in North India. A retrospective analysis of records of 10,641 patients over a five-and-a-half year period was done. Clinical examination, echocardiography and color doppler were used as diagnostic tools. A prevalence of 26.4 per 1000 patients was observed. VSD (ventricular septal defect) was the commonest lesion (21.3%), followed by ASD (atrial septal defect) in 18.9% and PDA (patent ductus arteriosus) in 14. 6%. Tetralogy of Fallot was the commonest cyanotic heart disease (4.6%). Maximum number of children with heart disease (82.9%) were diagnosed between 0-3 years of age.
Assuntos
Adolescente , Criança , Pré-Escolar , Permeabilidade do Canal Arterial/epidemiologia , Feminino , Cardiopatias Congênitas/epidemiologia , Comunicação Interatrial/epidemiologia , Comunicação Interventricular/epidemiologia , Humanos , Índia/epidemiologia , Lactente , Recém-Nascido , Masculino , Prevalência , Estudos Retrospectivos , Fatores de Risco , Tetralogia de Fallot/epidemiologiaRESUMO
Neonatal Boerhaave's syndrome is a rare condition. Most cases are idiopathic. We report a case of neonatal Boerhaave's syndrome associated with duodenal atresia which could have precipitated the former.