RESUMO
The paper reports on two cases of pneumomediastinum in the newborn child: a benign form with clinical picture and radiological scan of subcutaneous cervical emphysema; and a severe form of pneumocystosis complicated with suffocating pneumomediastinum and pneumothorax. The authors discuss the etiopathogenic aspects of pneumomediastinum in the newborn, the clinical and radiological semeiologies, the latter being of a high diagnosis importance. The therapeutic modalities are indicated in terms of the extent to which breathing is affected.
Assuntos
Enfisema Mediastínico/diagnóstico , Humanos , Recém-Nascido , Masculino , Enfisema Mediastínico/etiologia , Enfisema Mediastínico/patologia , Pneumotórax/diagnóstico , Pneumotórax/etiologia , Pneumotórax/patologia , Enfisema Subcutâneo/diagnóstico , Enfisema Subcutâneo/etiologia , Enfisema Subcutâneo/patologiaRESUMO
By a complex biochemical, immunologic, morphohistochemical and ultrastructural study, carried out on a group of 42 obese and 38 diabetic children, comparatively with 12 normal controls, the authors arrive at conclusions which prove that obesity and diabetes mellitus carry great atherogenic risk factors. Even though the intimate atherogenesis mechanism is not perfectly known, the abnormal values of insulinemia, lipidemia and cortisolemia are certainly involved in this process. In diabetes mellitus the immunologic factor is also involved. Microangiopathy in diabetes mellitus and capillary lesions in the adipose tissue of obese children may also represent atherogenic risk factors. An efficient prophylaxis in atherosclerosis must therefore begin in childhood.
