RESUMO
In the submitted case-history the authors publish the case of successful treatment of a 9-year-old girl whose life was at risk after intoxication with a large dose of amitriptyline. Concurrently they deal with the social background of emotional disorders and some peculiar features in this girl with suicidal behaviour; attention is also drawn to specific features of the psychopathological picture of psychiatric child morbidity.
Assuntos
Amitriptilina/intoxicação , Criança , Feminino , Humanos , Intoxicação/diagnóstico , Intoxicação/terapia , Tentativa de SuicídioRESUMO
Prevalence of congenital heart diseases was studied prospectively in all 664,218 infants live born in Bohemia from 1977 to 1984. All children who died were autopsied and those suspected of having a heart disease were examined at the specialized center. In total, 664/100,000 infants were born with a heart defect, most of them in Prague (957,9/100,000) and in Central Bohemia (739.4) and in Northern Bohemia (619.3). The lowest prevalence was found in West Bohemia (515.1/100000 live births). The relative frequency of congenital heart defect categories differed significantly among regions. Evidence of regional differences in prevalence of congenital heart diseases and their forms suggests that environmental factors can play an important role in the etiology of congenital heart defects.
Assuntos
Cardiopatias Congênitas/epidemiologia , Tchecoslováquia/epidemiologia , Humanos , Recém-Nascido , PrevalênciaRESUMO
The ECG changes in children with acute myocarditis have been reported. The individual case-reports were presented in brief, and the detailed descriptions of ECG changes have been made in all 5 patients. Following findings have been reflected: A-V blocks of I-III degrees, polytopic supraventricular and ventricular pseudocontractions, supraventricular tachyarrhythmias and repolarisation changes. Etiologically, the infection with Coxsackie virus from the B group was stated, one cyse of rheumatic carditis, and possible interrelation with varicella infection was discussed in one female patient.
Assuntos
Eletrocardiografia , Miocardite/fisiopatologia , Doença Aguda , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Masculino , Miocardite/diagnósticoRESUMO
By examining all of 91,823 children born in 1980 in Bohemia, congenital heart disease was proved in 589 (6.415/1000 liveborns) and cardiomyopathy in 24 (0.261/1000 liveborns). Further 166 (1.808/1000 liveborns) were follow-up with a diagnosis of congenital heart disease by pediatric cardiologists in the field, but at the age of 4 years we didn't prove the defect any more. Prevalence of heart defects: ventricular septal defect (31.4%), atrial septal defect (11.4%), aortic stenosis (7.6%), pulmonary stenosis (7.1%), coarctation of the aorta (5.8%), transposition of the great arteries (5.4%), patent ductus arteriosus (4.8%), atrioventricular canal and hypoplastic left heart (4.1%), tetralogy of Fallot (3.6%). Other defects occurred less frequently than in 2.5% of all congenital heart disease.
