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[B-lymphoma in a child with AIDS. Therapeutical implications]. 患有艾滋病的儿童b型淋巴瘤。治疗的影响。
Pub Date : 1993-01-01
F Monpoux, A Deville, N Sirvent, P Hoffman, J Cottalorda, R Mariani
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引用次数: 0
[Value and limits of autopsy in perinatal medicine. A plea for complete perimortem evaluation]. 尸检在围产期医学中的价值与局限。请求进行完整的死前评估]。
Pub Date : 1993-01-01
P Bétrémieux, P Pladys, P Poulain, H Jouan, S Odent, C Lefrançois, B Le Marec

The dead newborns and stillborns of a French department (Ille et Vilaine, préfecture: Rennes) were studied during a 3 year period by a multidisciplinary physician group. There were 128 newborns and 207 stillborns among whom autopsies were carried out in 90 (72%) and 107 (52%) respectively. The contribution of the autopsies to diagnosis was highly different in the two groups: 92% in newborns and 34% in the stillborns. In the stillborns, autopsy was only contributive when congenital malformations were observed, whereas it was not when the cause of the death was obstetrical. We conclude that an autopsy must be performed in all dead newborns and stillborns; however for stillborns complementary investigations must be added, particularly on the placenta.

一个多学科医师小组对法国某科室(Ille et Vilaine, pr fere: Rennes)的死亡新生儿和死胎进行了为期3年的研究。新生儿128例,死产儿207例,尸检90例(72%),死产儿107例(52%)。尸检对诊断的贡献在两组中差别很大:新生儿为92%,死胎为34%。在死胎中,只有观察到先天性畸形时,尸检才有帮助,而当死亡原因是产科时,尸检就没有帮助了。我们的结论是,必须对所有死亡的新生儿和死胎进行尸检;然而,对于死胎必须补充调查,特别是在胎盘。
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引用次数: 0
[Rapid diagnosis of tuberculous meningitis by polymerase chain reaction. A case in an infant]. 应用聚合酶链反应快速诊断结核性脑膜炎。婴儿一例]。
Pub Date : 1993-01-01
S Odent, J Minet, R Lelièvre, C Edan, M C La Rocca, C Jezequel

A fifteen-month-old child was admitted with a week history of isolated fever. On CSF (Cerebral Spinal Fluid) examination, hyperproteinorachy, hyperglycorachy and hypochlorurachy were found. The diagnosis of tuberculosis meningitis was suspected but usual tests were unable to find Mycobacterium tuberculosis in CSF, urine and sputum. Only the Polymerase Chain Reaction detected the Mycobacterium tuberculosis genome in the CSF. A specific treatment was started immediately. Apyrexia was obtained within 2 days; the outcome was favorable, without sequelae.

一名15个月大的婴儿入院,有一周的孤立发热史。脑脊液检查发现高蛋白尿痛、高糖尿痛和次氯尿痛。怀疑结核性脑膜炎的诊断,但常规检查无法在脑脊液、尿液和痰中发现结核分枝杆菌。只有聚合酶链反应在脑脊液中检测到结核分枝杆菌基因组。一种特殊的治疗立即开始。2 d内无食欲;结果良好,无后遗症。
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引用次数: 0
[Child kidnapping and organ trafficking]. [绑架儿童和贩卖器官]。
Pub Date : 1993-01-01
M Pinero
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引用次数: 0
[Two-stage repair of microtia]. [小体缺损的两阶段修复]。
Pub Date : 1993-01-01
F Disant, A Morgon

Modifications of the total ear reconstruction technique allowing a two-stage procedure is described. However this is only possible if the soft tissue has not yet been damaged by previous plastic surgery or tympanoplasties. The framework sculpture is improved in order to obtain a posterior conchal wall at the first stage without using a skin graft. A tissue expander is used during the operative time in order to improve the framework coverage. A bone anchored hearing aid is preferred to tympanoplasty when necessary, for bilateral microtia. This method is effective and does not compromise the skin qualities. The osteointergrated implant is put in place during the second external ear reconstruction stage. The total hospitalisation period is no longer than 8 days.

修改全耳重建技术允许两个阶段的程序描述。然而,这只有在软组织尚未被以前的整形手术或鼓室成形术损坏的情况下才有可能。改进框架雕塑,以便在第一阶段不使用皮肤移植而获得后耳廓壁。在手术期间使用组织扩张器以改善框架覆盖。对于双侧小耳症,必要时首选骨锚定助听器,而不是鼓室成形术。这种方法是有效的,不损害皮肤质量。在第二外耳重建阶段植入骨结合植入物。住院总时间不超过8天。
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引用次数: 0
[1st Francophile Congress on Organ Transplantation in Children. Lyon, France, 10-11 December 1993. Abstracts]. 第1届儿童器官移植大会。1993年12月10日至11日,法国里昂。摘要]。
Pub Date : 1993-01-01
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引用次数: 0
[Peutz-Jeghers syndrome. A case in an adolescent]. [Peutz-Jeghers综合症。青少年一例]。
Pub Date : 1993-01-01
E Lachkar, G Marcon, C Barthélémy, Y Suignard, Y Chavrier

The Peutz-Jeghers syndrome includes periorificial melanin spots and digestive adenoma, transmitted according to an autosomal dominant mode. We report on a case discovered in a 13 year-old girl presenting with anaemia.

Peutz-Jeghers综合征包括口周黑色素斑点和消化腺瘤,根据常染色体显性模式传播。我们报告一个病例发现在一个13岁的女孩表现为贫血。
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引用次数: 0
[Ethical problems raised by neonatal intensive care]. [新生儿重症监护引起的伦理问题]。
Pub Date : 1993-01-01
M Dehan
{"title":"[Ethical problems raised by neonatal intensive care].","authors":"M Dehan","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":19935,"journal":{"name":"Pediatrie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19040638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Recurrent cutaneous herpes in the newborn and acyclovir]. [新生儿复发性皮肤疱疹与阿昔洛韦]。
Pub Date : 1993-01-01
J Haddad, V Pierrat, B Langer, S Rousseau, D Astruc, J Messer, P Lequien

The authors report two cases of cutaneous recurrent herpes occurring after a neonatal herpes simplex virus type 2 (HSV2) infection and comment on the role of acute or suppressive therapy by aciclovir (ACV). The two infants were not treated by ACV after the neonatal period. None of the recurrent cutaneous herpes episodes was followed by viral widespread. One case reported by Bergström et al on a relapse of HSV2 encephalitis occurring after a cutaneous herpes in a child argues for the use of ACV in recurrent herpes. However, ACV might alter host defense response to HSV2 infection in neonates and children. Thus, it seems not yet recommended to use ACV either as acute or suppressive therapy in recurrent cutaneous herpes unless a progression of the viral disease is noted.

作者报告了两例新生儿单纯疱疹病毒2型(HSV2)感染后发生的皮肤复发性疱疹,并对阿昔洛韦(ACV)急性或抑制性治疗的作用进行了评论。这两名婴儿在新生儿期后未接受ACV治疗。无复发性皮肤疱疹发作后继发病毒性传播。Bergström等人报道的一个儿童皮肤疱疹后发生HSV2脑炎复发的病例主张在复发性疱疹中使用ACV。然而,ACV可能会改变新生儿和儿童对HSV2感染的宿主防御反应。因此,目前似乎还不推荐使用ACV作为复发性皮肤疱疹的急性或抑制性治疗,除非注意到病毒性疾病的进展。
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引用次数: 0
[Diagnosis and treatment of Lyme disease in children. A letter from the Canadian Society of Pediatrics]. 儿童莱姆病的诊断与治疗。一封来自加拿大儿科学会的信]。
Pub Date : 1993-01-01
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引用次数: 0
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Pediatrie
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