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European Journal of Pediatric Surgery (EJPS)最新文献

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Quantitation of Defecation Function Using Radionuclide Artificial Stool in Children with Chronic Constipation* 放射性核素人工大便对慢性便秘患儿排便功能的定量研究*
Pub Date : 2000-12-01 DOI: 10.1055/s-2008-1072396
I. Kırıştıoğlu, T. Akbunar, N. Kılıç, İsmet Özel, E. Alper, H. Doğruyol
Schlussfolgerung:
结论:
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引用次数: 3
Carcinoid Tumors of the Appendix in Children - Epidemiology, Clinical Aspects and Procedure 儿童阑尾类癌:流行病学、临床和手术
Pub Date : 2000-12-01 DOI: 10.1055/s-2008-1072394
Th. Doede1, H. Foss2, J. Waldschmidt1
Introduction: Patients and Methods: Results: Conclusion: Einleitung: Patienten und Methode: Ergebnisse: Schlussfolgerung:
入内:患者与方法:结果:包容:进:病人与方法:结论:
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引用次数: 70
Beyond Multidisciplinary Care: A New Conceptual Model for Spina Bifida Services 超越多学科护理:脊柱裂服务的新概念模式
Pub Date : 2000-12-01 DOI: 10.1055/s-2008-1072413
S. Kinsman1,2, E. Levey1, V. Ruffing1, J. Stone1, L. Warren1
. The model is based on three main conceptual dimen sions - comprehensiveness, coordination and longitudinality. We are using the model to create standards of care, integrate services and improve their efficiency, and to develop policies regarding spina bifida services. Through this effort we hope to provide bet ter medical and rehabilitation services to those with spina bifida and meet the complex challenge the condition presents through out the lifespan.
. 该模型基于三个主要概念维度:全面性、协调性和纵向性。我们正在利用这一模式来制定护理标准,整合服务并提高效率,并制定有关脊柱裂服务的政策。通过这一努力,我们希望为脊柱裂患者提供更好的医疗和康复服务,并应对脊柱裂患者一生中所面临的复杂挑战。
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引用次数: 44
First Spanish Trauma Registry: Analysis of 1500 Cases 首个西班牙创伤登记:1500例病例分析
Pub Date : 2000-10-01 DOI: 10.1055/s-2008-1072382
J. Navascués, dei Rfo, R. Ruiz, J. S. Martfn, J. C. Berrocal, G. Fernández, R. S. Martfn, E. Molina, E. De, Tomas Palacios, J. De., A. Asensio, R. Mialdea, F. A. Tremoya, J. V. Estévez, G. Thieme, New Verlag Stuttgart, Y. Masson, E. Paris
Objectives: Methods: Results: Conclusions: Ergebnisse: Schlussfolgerungen:
目的:方法:结果:结论:荷叶菌:
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引用次数: 20
Is There a Correlation Between Organochlorine Compounds and Undescended Testes? 有机氯化合物与隐睾有相关性吗?
Pub Date : 2000-10-01 DOI: 10.1055/s-2008-1072381
S. Hosie, S. Loff, K. Witt, K. Niessen, K. Waag
Some pesticides and synthetic chemicals are known to act as hormonal modulators, often possessing oestrogenic activity (xenooestrogens). They are persistent and accumulate in fatty tissue. Aim of our study is to address the question, whether a selection of such compounds is to be found in the fatty tissue of children undergoing surgical procedures and whether there are differences in values obtained from patients with or without undescended testes. Fat samples of 48 patients, 18 of whom had undescended testes, were examined by high-resolution gas chromatography and mass spectrometry for DDT and metabolites, polychlorinated biphenyls (PCB), toxaphenes, hexachlorocyclohexane (HCH), chlorinated cyclodienes and chlorinated benzenes. We were able to find accumulation of all substances in every patient. Statistical analysis revealed a highly significant difference between patients from the control group and those from the undescended testes group for two compounds, namely heptachloroepoxide (HCE) and hexachlorobenzene (HCB), increased values being found in the patients with undescended testes. Since the aetiology of this entity is unknown in most of the cases, prenatal exposure to exogenous oestrogens is an attractive and plausible hypothesis. In order to confirm this, some questions will have to be answered in further studies: effect of exposure to xenooestrogens during a specific period of development, probable role of other substances with proven or suspected hormonal activity, potential synergism of such compounds and differences in individual susceptibility.
一些农药和合成化学品被认为是激素调节剂,通常具有雌激素活性(异种雌激素)。它们是持久的,并在脂肪组织中积累。我们研究的目的是解决这样一个问题,即在接受外科手术的儿童的脂肪组织中是否会发现这种化合物的选择,以及从患有或没有隐睾的患者中获得的值是否存在差异。采用高分辨率气相色谱和质谱法对48例患者(其中18例为隐睾患者)的脂肪样本进行滴滴涕及其代谢物、多氯联苯(PCB)、毒虫、六氯环己烷(HCH)、氯化环二烯和氯化苯的检测。我们在每个病人身上都发现了所有物质的积累。统计分析显示,七氯环氧化物(HCE)和六氯苯(HCB)两种化合物在隐睾组和对照组之间差异极显著,在隐睾组患者中升高。由于这一实体的病因不明,在大多数情况下,产前暴露于外源性雌激素是一个有吸引力的和合理的假设。为了证实这一点,必须在进一步的研究中回答一些问题:在特定发育时期接触异种雌激素的影响,其他已证实或怀疑具有激素活性的物质的可能作用,这些化合物的潜在协同作用以及个体易感性的差异。
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引用次数: 157
Small-Bowel Perforation in Very Low Birth Weight Neonates Treated with High-Dose Dexamethasone 大剂量地塞米松治疗极低出生体重新生儿小肠穿孔
Pub Date : 2000-10-01 DOI: 10.1055/s-2008-1072384
M. D. Laet, M. Dassonville, A. Johansson, C. Lerminiaux, V. Seghers, S. V. D. Eijnden, D. Blum, J. Vanderwinden
Introduction: Material and Methods: Results: Conclusion: Zielsetzung: Material und Methodik: Ergebnisse: Schlussfolgerungen:
结果:结论:Zielsetzung:材料与方法:Ergebnisse: Schlussfolgerungen;
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引用次数: 15
Venoocclusive Liver Disease (VOD) as a Complication of Wilms' Tumour Management in the Series of Consecutive 206 Patients 静脉闭塞性肝病(VOD)在连续206例Wilms肿瘤治疗中的并发症
Pub Date : 2000-10-01 DOI: 10.1055/s-2008-1072380
P. Czauderna1, K. Kątski2, J. Kowalczyk2, A. Kurylak3, B. Łopatka4, G. Skotnicka-Klonowicz5, K. Sawicz-Birkowska6, J. Godziński7
Conclusions: Schlussfolgerungen:
Conclusions:结论:
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引用次数: 43
A New and Successful Chance in Surgical Treatment of Gastrooesophageal Reflux in Severely Neurologically Impaired Children: Bianchi's Procedure 重度神经损害儿童胃食管反流手术治疗的新机遇:Bianchi手术
Pub Date : 2000-10-01 DOI: 10.1055/s-2008-1072378
L. Dall’Oglio1, C. Gatti, M. Villa1, S. Amendola, E. Sala, G. Federici, di Abriola', G. Thieme, V. Stuttgart, N. York, Masson Editeur, Paris
Aim: Methods: Results: Conclusions: Zielsetzung: Methodik: Ergebnisse: Schlussfolgerungen:
Aim:方法:结果:认可:目标:方法:推理:结论:
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引用次数: 14
Successful EXIT (Ex Utero Intrapartum Treatment) Procedure in a Fetus Diagnosed Prenatally with Congenital High-Airway Obstruction Syndrome Due to Laryngeal Atresia 一名产前诊断为喉闭锁所致先天性高气道阻塞综合征的胎儿的成功退出(宫内治疗)手术
Pub Date : 2000-10-01 DOI: 10.1055/s-2008-1072385
T. Bui, C. Grunewald, B. Frenckner, R. Kuylenstierna, G. Dahlgren, A. Edner, Lena Granstrom, H. Selldén
Congenital high-airway obstruction syndrome (CHAOS) is due to rare malformations and has been reported previously in only few cases. If the diagnosis can be made prenatally, the ex utero intrapartum treatment (EXIT) procedure may be life-saving. A healthy 28-year old nulli-para was referred because of isolated ascites found at gestational week 16 during routine ultrasound scan. Repeated scans showed overdistended hyperechogenic lungs with inverted diaphragm and a dilated trachea, which was interpreted as a CHAOS resulting from laryngeal atresia. The ascites eventually disappeared. An EXIT procedure was performed at 35 weeks of gestation. Anesthesia of the mother was induced with thiopental, succinylcholine and fentanyl followed by intubation, and maintained with isoflurane and nitrous oxide. A low abdominal midline incision was performed followed by a low transverse incision of the uterus. The fetal head, right arm and shoulder were delivered and intramuscular anesthesia was administered to the fetus. Immediate laryngoscopy confirmed the diagnosis and a tracheostomy was therefore performed. Surfactant was given after a few minutes of ventilation. Compliance improved and when the fetus was easy to ventilate, it was delivered. The baby is developing normally at 18 months of age. Surgical correction of the malformation will be performed after two years of age. It is concluded that some fetuses with a prenatal diagnosis of CHAOS can benefit from the EXIT procedure at delivery. This necessitates a multidisciplinary management team.
先天性高气道阻塞综合征(CHAOS)是由罕见的畸形引起的,以前只报道过少数病例。如果能在产前做出诊断,那么子宫外产内治疗(EXIT)程序可能会挽救生命。一位健康的28岁孕妇,在妊娠第16周的常规超声扫描中发现孤立的腹水。反复扫描显示过度扩张的高回声肺,膈倒置和气管扩张,这被解释为喉闭锁引起的混乱。腹水最终消失了。在妊娠35周时进行EXIT手术。母亲采用硫喷妥钠、琥珀胆碱和芬太尼插管麻醉,异氟醚和氧化亚氮维持麻醉。先行低腹中线切口,再行子宫低横切口。娩出胎头、右臂和肩,对胎儿进行肌内麻醉。立即喉镜检查证实诊断,因此进行了气管切开术。通气几分钟后给予表面活性剂。依从性改善,胎儿易通气时分娩。婴儿在18个月大时发育正常。手术矫正畸形将在两岁后进行。结论是,一些产前诊断为CHAOS的胎儿可以从分娩时的EXIT程序中受益。这就需要一个多学科的管理团队。
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引用次数: 71
Surgery of Subglottic Stenosis in Neonates and Children 新生儿和儿童声门下狭窄的手术治疗
Pub Date : 2000-10-01 DOI: 10.1055/s-2008-1072377
M. Ja, V. Ma, M. Delgado, B. Fj, J. Vázquez
Schlussfolgerungen:
结论:
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引用次数: 12
期刊
European Journal of Pediatric Surgery (EJPS)
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