RESUMO
OBJECTIVE: To report on the prevalence of unrecognized congenital heart disease (CHD) among elementary school children (231 schools, 6 cities in Tak province). MATERIAL AND METHOD: Between January, 2006 and December 2006, 38,055 children were examined by trained nurses and health officers to ausculate the precordium. Those with abnormal heart sounds were re-evaluated by pediatric cardiologists. RESULTS: Of the 278 subjects with abnormal heart sounds, 43 had proven heart disease, 40 showed CHD (1.05 per 1,000) and three had rheumatic valvular diseases. CONCLUSION: Understanding the case rate helped approximate the number of children who are currently undetected but have heart problems or may develop heart problems in the future. Every diseased person will receive treatment.
RESUMO
A 13-year-old boy was diagnosed with isolated congenital pulmonary AV fistula at the left lower lobe of the lung. He was operated for left lower lobe lobectomy. 18 hours after the operation, the patient developed intracerebral and intraventricle hemorrhage with hydrocephalus and brain edema. As a result he was operated on again for a ventriculoperitoneal shunt. 5 months after the operation. Brain MRI was done and indicated a suspected AVM at pineal region. 6 months after the operation, he reported normal health condition and could regularly perform daily activities including exercises.
RESUMO
A Thai women, aged 22 years old, came to hospital with Patent Ductus Arteriosis (PDA). Left thoracotomy, with division and suturing PDA, was performed. The second day after operation, she developed paraplegia below umbilical level. The CT-scan detected an extradural hematoma in the spinal cavity from T3-T6. To remove the blood clot, the T spine laminectomy was performed. 6 months after the laminectomy, the patient was able to perform her regular exercise.