Assuntos
Permeabilidade do Canal Arterial/cirurgia , Doenças do Prematuro/cirurgia , Permeabilidade do Canal Arterial/complicações , Permeabilidade do Canal Arterial/diagnóstico , Feminino , Humanos , Recém-Nascido , Masculino , México , Complicações Pós-Operatórias/mortalidade , Síndrome do Desconforto Respiratório do Recém-Nascido/complicaçõesRESUMO
Se refere la experiencia de los primeros cinco anos de trabajo en la Unidad de Cuidados Intensivos Neonatales del Centro Hospitalario 20 de Noviembro del ISSSTE, en el diagnostico y tratamiento quirurgico del conducto arterioso persistente en neonatos con sindrome de dificultad respiratoria sometidos a ventilacion mecanica. Se senalan los datos clinicos para su diagnostico; la edad gestacional, peso, dia promedio en que se efectuo el diagnostico, dia promedio en que fueron sometidos a la cirugia y se comparan estos datos observando su influencia entre el grupo de supervivientes y el grupo que sufrio una defuncion temprana
Assuntos
Recém-Nascido , Humanos , Masculino , Feminino , Permeabilidade do Canal Arterial , Recém-Nascido Prematuro , Indometacina , Procedimentos Cirúrgicos OperatóriosRESUMO
Sixteen newborn babies with severe respiratory distress and patent ductus arteriosus with congestive heart failure are presented. Fifteen of them were premature and one at full term. Management consisted of the accepted medical and ventilatory aids such as digitalis, diuretics, ventilators, etc. Thirteen cases were given indomethacin with clinical closure in five of them (38%). Ten cases underwent surgical closure with 30% mortality. It is recommended that these patients be given indomethacin inicially; if there is no response in 36 hours surgical closure of the duct should be performed prior to progressive deterioration and eventual death.
Assuntos
Permeabilidade do Canal Arterial/tratamento farmacológico , Indometacina/administração & dosagem , Síndrome do Desconforto Respiratório do Recém-Nascido/tratamento farmacológico , Administração Oral , Digoxina/uso terapêutico , Permeabilidade do Canal Arterial/cirurgia , Furosemida/uso terapêutico , Humanos , Indometacina/uso terapêutico , Lactente , Recém-Nascido , Intubação , Respiração Artificial , Síndrome do Desconforto Respiratório do Recém-Nascido/cirurgiaRESUMO
The 8 years (1967-1975) experience with axillary-femoral and femoro-femoral grafts in 40 patients is presented; 6 females and 34 males, between 50 and 90 years of age, with arteriosclerosis, all complicated by chronic illnesses. The results have been satisfactory, as the grafts are functioning from 2 months to 80 months (6 years, 8 months), most of them being more than 12 months old. Twenty eight of the 40 patients operated are alive. Four patients (10%) had infection of their grafts. In 6 (15%) the graft closed because of severe progresive distal obstruction. Three patients (7.5%) died in the first 32 post-operative days. In 9 (22.5%) the deaths were not related to surgery. The indications for placement of axillary-femoral and femoro-femoral grafts is established.