Assuntos
Apoio Nutricional , Modalidades de Fisioterapia , Anticoagulantes , Humanos , Manejo da DorRESUMO
The AA report a clinical case of Portal Hypertension with a long period of survival, more than 12 years, during which it was not possible to clarify the etiology. The presence of chronic ethylism conditioned the attribution of the etiology to a chronic alcoholic hepatopathy, but a hepatic biopsy denied that cause. Through the re-examination of the differential diagnosis of the several causes of Portal Hypertension and through Echographic findings, the Budd-Chiari Syndrome diagnosis was established. The AA broach the causes, the means of diagnosis and the therapeutics of this syndrome and conclude that the etiological diagnosis of any Portal Hypertension must be done exhaustively, using all the available means, so that effective therapeutics can be achieved.
Assuntos
Hipertensão Portal/etiologia , Síndrome de Budd-Chiari/complicações , Humanos , Masculino , Pessoa de Meia-Idade , Fatores de TempoRESUMO
The high dose rate brachytherapy uses a single source os 192Ir with 10Ci of nominal activity in a remote afterloading machine. This technique allows an outpatient treatment, without the inconveniences of the conventional low dose rate brachytherapy such as use of general anesthesia, rhachianesthesia, prolonged immobilization, and personal exposition to radiation. The radiotherapy department is now studying 5 basic treatment schemes concerning carcinomas of the uterine cervix, endometrium, lung, esophagus and central nervous system tumors. With the Micro Selectron HDR, 257 treatment sessions were done in 90 patients. Mostly were treated with weekly fractions, receiving a total of three to four treatments each. No complications were observed neither during nor after the procedure. Doses, fraction and ideal associations still have to be studied, so that a higher therapeutic ratio can be reached.