RESUMO
Utilizing a double-lumen endobronchial tube, synchronized independent lung ventilation (SILV) was successfully employed to manage severe unilateral pulmonary contusion in a 6-year old trauma patient. This appears to represent the youngest reported patient in whom this technique has been utilized. Early institution of this treatment modality may substantially increase survival.
Assuntos
Contusões/terapia , Lesão Pulmonar , Respiração Artificial/métodos , Acidentes de Trânsito , Criança , Humanos , Intubação Intratraqueal , Respiração com Pressão Positiva , Traumatismos Torácicos/complicaçõesRESUMO
We have reported the case of a 47-year-old man who had massive splenomegaly and marked pancytopenia for which no cause was determined. Splenectomy produced dramatic improvement. The clinical, hematologic, and pathologic findings are characteristic of nontropical idiopathic splenomegaly, or Dacie's syndrome. In 20% of the 46 cases described in the literature, malignant lymphoma has subsequently developed.
