RESUMO
Pneumothorax progresses quickly in newborns and can lead to death. This study collected data prospectively over a 2-year period on risk factors, clinical course and prognostic factors of newborn cases diagnosed and treated for pneumothorax. Thirty patients were evaluated for risk factors including concurrent disease, method and duration of chest drainage, oxygen saturation and mechanical ventilation. Pneumothorax developed mostly in male and mature infants during the first 48 h following birth; risk factors included concurrent respiratory distress syndrome and meconium aspiration. Mechanical ventilation was undertaken in 18 (60%) of the patients. Closed-tube drainage was used in 28 (93%) of the patients. Nine out of 10 patients (90%) whose oxygen saturation remained < 90% died. Thus, pneumothorax may develop during the neonatal period, especially in the presence of risk factors, and neonates with < 90% oxygen saturation, despite treatment, have a high mortality rate.
Assuntos
Doenças do Recém-Nascido/diagnóstico , Pneumotórax/diagnóstico , Progressão da Doença , Feminino , Humanos , Recém-Nascido , Doenças do Recém-Nascido/mortalidade , Masculino , Pneumotórax/complicações , Pneumotórax/mortalidade , Prognóstico , Fatores de Risco , Turquia/epidemiologiaRESUMO
In this article, the case of a 30-years-old female patient with supravalvular aortic stenosis is reported. Her clinical picture was otherwise completely different from Williams syndrome. Since supravalvular aortic stenosis is rarely seen, its forms are discussed and it is concluded that supravalvular aortic stenosis can be present without Williams syndrome.
Assuntos
Estenose da Valva Aórtica/congênito , Adulto , Estenose da Valva Aórtica/diagnóstico , Feminino , Humanos , Síndrome de Williams/diagnósticoRESUMO
A retrospective analysis of 230 cases of empyema thoracis which occurred in our clinic during the last 14 years have been presented. The causes, the pathogen organism, treatment with antibiotic are enumerated. The surgical treatment carried in resistant cases have been described Ten patients (4.34 percent) died due to respiratory failure and septic shock. Importance of early and appropriate treatment has been stressed.
Assuntos
Empiema Pleural/etiologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Criança , Pré-Escolar , Empiema Pleural/mortalidade , Empiema Pleural/terapia , Feminino , Humanos , Lactente , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Turquia/epidemiologiaRESUMO
Hydatid cysts are common in Turkey. Authors have seen 248 cases of lung hydatid cysts; Fifty hydatid cyst of lung had ruptured. Their symptoms and detailed findings are reported. Rupture caused asphyxia in 3, haemoptysis in 20, lung abcess in 16, rupture in pleural cavity in 4 and anaphylactic reaction in one case.
