RESUMO
The paper reports on three cases of congenital lobular emphysema with warning respiratory manifestations as early as infancy. Starting from the clinical picture of respiratory distress, the diagnosis was established radiologically. The authors discuss the etiopathogenic aspects of the disease and its clinical-radiological manifestations, with the decisive role of the radiological exploration in diagnosis. The extension of respiratory dysfunction and the possible complications determine the opportunity of surgery.
Assuntos
Enfisema Pulmonar/congênito , Terapia Combinada , Quimioterapia Combinada , Humanos , Lactente , Pulmão/patologia , Pulmão/cirurgia , Enfisema Pulmonar/diagnóstico por imagem , Enfisema Pulmonar/terapia , RadiografiaRESUMO
The paper reports on the etiopathogenetic aspects of mediastinitis, clinical and radiological semeiology, the latter with a decisive role in establishing the diagnosis. The priority character of therapy is emphasized. Three cases of mediastinitis in children are presented: a mediastinal abscess, a suppurated mediastinitis with favourable evolution after drainage and a mediastinitis secondary to a fistula on a postcaustic stenosed esophagus.
Assuntos
Mediastinite/diagnóstico , Abscesso/complicações , Abscesso/diagnóstico , Abscesso/terapia , Queimaduras Químicas/complicações , Queimaduras Químicas/etiologia , Cáusticos/efeitos adversos , Criança , Pré-Escolar , Terapia Combinada , Estenose Esofágica/induzido quimicamente , Estenose Esofágica/complicações , Feminino , Humanos , Masculino , Mediastinite/etiologia , Mediastinite/terapia , Mediastino/diagnóstico por imagem , RadiografiaRESUMO
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.