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1.
Rev. méd. Chile ; 128(3): 309-14, mar. 2000. ilus, tab
Artigo em Espanhol | LILACS | ID: lil-260190

RESUMO

Background: Management of intestinal intussusception in children has evolved from exclusively surgical treatments to nonoperative reduction under fluoroscopic monitoring. Aim: To report a 10 year experience in a University Hospital in the management of intestinal intussusception. Patients and methods: Seventy two patients, aged 2 to 72 months of age, with an uncomplicated intussusception, that were treated by barium or air enema, were studied. Results: The success rate was 73 percent with barium reductions, and 100 percent with air reductions. In 17 patients (24 percent), enema reduction was unsuccessful and were subjected to a surgical reduction. Conclusions: Nonsurgical reduction is safe and effective as the initial treatment of uncomplicated intussusception in children


Assuntos
Humanos , Masculino , Feminino , Lactente , Pré-Escolar , Intussuscepção/terapia , Sulfato de Bário/uso terapêutico , Enema , Distribuição por Idade , Distribuição por Sexo
2.
Rev. méd. Chile ; 128(3): 323-9, mar. 2000. ilus
Artigo em Espanhol | LILACS | ID: lil-260193

RESUMO

Hemoptysis is an infrequent symptom in childhood and potentially life threatening. The most common causes in this age group are bronchiectasis secondary to cystic fibrosis, cardiovascular and pulmonary congenital anomalies and a miscelaneous group of causes including retained intrabronchial aspirated foreign bodies. We report a previously healthy 5-year-old girl with recurrent pneumonias associated with episodes of hemoptysis. She was admitted in our institution to investigate the persistence of hemoptysis. Based on clinical history, aspiration of a vegetal foreign body was postulated as the etiology and it was confirmed in the pathological examination after surgical exploration, with pulmonary lobe resection. The importance of a good history taking in pediatric hemoptysis is emphatized


Assuntos
Humanos , Feminino , Pré-Escolar , Bronquiectasia/etiologia , Hemoptise/etiologia , Corpos Estranhos/complicações , Brônquios/cirurgia , Pneumonia/etiologia
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