RESUMO
We report here a critically ill patient with renal-lung syndrome and multiple organ failure who was admitted at our Critical Care Service 40 days after onset. The clinical and biological findings suggested an immunological disorder like a systemic lupus eritematosus (SLE) inmmediate battery of immunological tests was carried out with metilprednisolane therapy and vital support measures. We confirm a SLE by serology after the patient died six days later. prompt diagnosis and treatment of these disorders may be life-preserving but the diagnosis may be complicated by the vagaries of serologic testing and the understandable hesitancy in utilizing invasive procedures, including open or thoracoscopic lung biopsy, fibrobronchoscopy with transbronchial biopsy and lavage in these critically ill patients
Assuntos
Humanos , Adulto , Feminino , Hemorragia , Alvéolos Pulmonares , Unidades de Terapia IntensivaRESUMO
Se presenta un programa de computación en lenguaje basic, para calcular el aporte de agua y sodio en distintas alteraciones del balance hidrosalino
Assuntos
Humanos , Software , Cloreto de Sódio , Hidratação , Sódio , Cloreto de Sódio , ÁguaRESUMO
Se presentan dos programas en Basic para cálculo del aporte de calorías y proteínas en el inicio de un plan de alimentación parenteral, realizados con ordenador norma MSX con 64K de memoria