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Intestinal intussusception secondary to massives and intake 肠套叠继发于肿块和摄入
Pub Date : 2019-01-01 DOI: 10.15406/jpnc.2019.09.00377
María Inguanzo-Ortiz
We present the case of a previously healthy 9-month-old infant who went to the Emergency Department due to a 7-hour evolution of paroxysms of abdominal pain with vegetative symptoms that alternated with hypoactivity and progressive lethargy. Anorexia and vomiting were also associated, fever was absent and the last stool was 12 hours prior, with normal characteristics. Vital signs were normal. On physical examination, the involvement of the general state with obtundation was noteworthy. The meningeal signs were negative, and there was no neurological focality. The abdomen was painful and presented tenderness on the right flank without signs of peritonism. Blood analysis was normal, and urine was negative for toxins. Abdominal radiograph revealed abundant radiopaque material in the small and large intestines without signs of intestinal perforation or pneumatosis (Figure 1). Abdominal ultrasonography confirmed ileocolic invagination. The parents denied the administration of contrast but reported copious sand intake 10 hours before the onset of symptoms. In view of the clinical suspicion of intestinal invagination secondary to massive sand intake, ultrasound guided hydrostatic reduction was performed. During the procedure, the symptoms suddenly ceased and the patient became asymptomatic. A large amount of sand was removed. Sand enteropathy due to ingestion of sand is rather common in horses.1 Geophagia is a form of pica considered normal in some cultures. Its aetiology is multifactorial and has been postulated as a marker of possible micronutrient deficit.2 One of its complications is intestinal obstruction and may be the point of origin of an intestinal intussusception.3-5
我们报告了一个先前健康的9个月大的婴儿,由于7小时的阵发性腹痛和植物性症状的演变,交替出现活动不足和进行性嗜睡,他去了急诊科。伴有厌食和呕吐,无发热,最后一次大便在12小时前,特征正常。生命体征正常。在体格检查中,一般状态与肿胀的关系值得注意。脑膜征为阴性,无神经病灶。腹部疼痛,右侧有压痛,无腹胀迹象。血液分析正常,尿液毒素检测呈阴性。腹部x线片显示小肠和大肠内有大量不透射线的物质,未见肠穿孔或肺积病征象(图1)。腹部超声检查证实回肠结肠内陷。父母否认服用了对比剂,但在症状出现前10小时报告了大量的沙子摄入。针对临床怀疑大量进沙后继发肠内陷,采用超声引导下静液复位。在手术过程中,症状突然消失,患者无症状。大量的沙子被移走了。由于摄入沙子而引起的沙性肠病在马中相当常见食土癖是异食癖的一种形式,在某些文化中被认为是正常的。其病因是多因素的,被认为可能是微量营养素缺乏的标志其并发症之一是肠梗阻,可能是肠套叠的起源点
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引用次数: 0
Predictive factors of neonatal mortality in intensive neonatal care unit at Goma Eastern Democratic Republic of Congo 东刚果民主共和国戈马新生儿重症监护病房新生儿死亡率的预测因素
Pub Date : 2019-01-01 DOI: 10.15406/JPNC.2019.09.00376
Many Mashako Ruhanga
The millennium Development Goals (MDGs) in 2015 have not been achieved.1 Neonatal death is defined as newborn death occurring within the first four weeks after birth.2,3 The first 28 days of life or the neonatal period is most vulnerable time for child’s survival. Globally 2.5 million children died in the first month of life in 2017. 1 million dying on the first day and close to 1 million dying within the next six days.4 A vast majority of global neonatal deaths take place in the in developing countries while approximately 70% of these deaths occur in just two World Health Organization: Africa and south-East Asian.5,6 In Sub-Saharan Africa alone 1.2 million newborns died every year equivalent to 13 000 deaths per days or almost nine death every minutes.7,8 50% of neonatal deaths occur in just five countries: Nigeria, Democratic, Republic of Congo, Ethiopia, Tanzania and Uganda. Majority of neonatal deaths in this party of Africa occur at home,9 in rural communities,10 among the poor and poorest,11 less educated,12,13 and in war regions.14‒16 Also causes and risk factors of neonatal death vary by country with the availability in relation with quality of health care.13 Democratic Republic of Congo, ranks second among Africa countries with higher neonatal mortality rate more than 28 per 1000 live births.17,18 Understanding those neonatal mortality factors is crucial to realize sustainable development goal in this country. Objective of this study was undertaken to assess maternal and neonatal risk factors of neonate’s deaths in Goma, East Democratic Republic of Congo. Methods and material
2015年的千年发展目标(MDGs)尚未实现新生儿死亡的定义是出生后头四周内发生的新生儿死亡。2,3生命的头28天或新生儿期是儿童生存最脆弱的时期。2017年,全球有250万儿童在出生后第一个月内死亡。100万人在第一天死亡,近100万人在接下来的6天内死亡全球绝大多数新生儿死亡发生在发展中国家,而这些死亡中约70%发生在世界卫生组织的两个地区:非洲和东南亚。5,6仅在撒哈拉以南非洲,每年就有120万新生儿死亡,相当于每天死亡1.3万人,或几乎每分钟死亡9人。7.5 50%的新生儿死亡仅发生在五个国家:尼日利亚、民主国家、刚果共和国、埃塞俄比亚、坦桑尼亚和乌干达。在非洲这一地区,大多数新生儿死亡发生在家中,9例发生在农村社区,10例发生在穷人和最穷的人中,11例受教育程度较低,12、13例发生在战区。14-16新生儿死亡的原因和危险因素也因国家的卫生保健质量而异刚果民主共和国在非洲国家中排名第二,新生儿死亡率较高,超过每1000例活产死亡28例。17,18了解这些新生儿死亡因素对于实现该国的可持续发展目标至关重要。本研究的目的是评估刚果民主共和国东部戈马市新生儿死亡的孕产妇和新生儿危险因素。方法与材料
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引用次数: 10
When Edwards meets Klinefelter: a new case of double Aneuploidy 当爱德华兹遇到Klinefelter:一个新的双非整倍体病例
Pub Date : 2019-01-01 DOI: 10.15406/jpnc.2019.09.00378
D. Hamod
The presence of abnormal numbers of a chromosome, known as Aneuploidy, is commonly encountered in the clinical practice of Pediatrics. Although Down syndrome (Trisomy 21) is still the most common example of aneuploidy, rarer forms include Patau syndrome (Trisomy 13), Edward syndrome (Trisomy 18), Turner syndrome (45X0) and Klinefelter syndrome (47XXY). Double aneuploidy, is a rare chromosomal abnormality detected after birth since most reported cases are presented in the form of one lethal aneuploidy and end in early miscarriage.1–3 It is extremely rare to find living newborn cases with double autosomal trisomy or autosomal trisomy with sex chromosome monosomy or trisomy.4,5 Knowing that Edward syndrome and Klinefelter syndrome are relatively common aneuploidies, to date, scant published cases of the double aneuploidy Trisomy 18/XXY have been described in the literature.6 This case report describes a new occurrence of double aneuploidy Edward syndrome/Klinefelter syndrome in a Lebanese baby boy. The present case is the first reported case of double aneuploidy in Lebanon.
染色体数目异常的存在,被称为非整倍体,在儿科临床实践中经常遇到。虽然唐氏综合症(21三体)仍然是最常见的非整倍体,但更罕见的形式包括Patau综合征(13三体),Edward综合征(18三体),Turner综合征(45X0)和Klinefelter综合征(47XXY)。双非整倍体是一种罕见的出生后检测到的染色体异常,因为大多数报告的病例以一个致命的非整倍体的形式出现,并以早期流产结束。1-3新生儿双常染色体三体或常染色体三体合并性染色体单体或三体的病例极为罕见。知道爱德华综合征和Klinefelter综合征是相对常见的非整倍体,迄今为止,文献中很少报道双非整倍体18/XXY三体本病例报告描述了一名黎巴嫩男婴双非整倍体爱德华综合征/Klinefelter综合征的新发生。本病例是黎巴嫩首次报道的双非整倍体病例。
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引用次数: 3
Spontaneous rupture of a left subclavian artery pseudoaneurysm in a child 儿童左锁骨下动脉假性动脉瘤自发性破裂
Pub Date : 2019-01-01 DOI: 10.15406/jpnc.2019.09.00379
H. Sv
A 14-year-old boy with history of generalized joint hypermobility and ongoing genetics work-up for connective tissue disorder presented to our hospital for one day of acute left-sided chest pain and shortness of breath after feeling a “pop” in his chest while trying to put on a jacket. He was tachycardic and had absent breath sounds in the left lobe. A chest X-ray showed a large left pleural effusion and a subsequent CT chest demonstrated a large left hemothorax with a psuedoaneurysm of the left subclavian artery (LSCA) at the base of the vertebral artery. Angiography confirmed the presence of a LSCA pseudoaneurysm that measured 15 by 8mm (Figure 1A video/Panel A). A 5mm by 3 cm Cordis OptaPro balloon was then placed in the LSCA just distal to the vertebral artery and proximal angiogram demonstrating that the bleed could be occluded without obstructing flow to the vertebral artery. Subsequently, the patient underwent successful placement of a 6 mm Gore VBX stent (Figure 1B video/Panel B) via positioning with an Amplatz Extra Stiff wire in the distal LSCA without obstruction to flow to the vertebral artery. At follow-up, the patient is doing well and was recently confirmed to have PLOD1-related kyphoscoliotic Ehlers-Danlos syndrome (1902+1G>T variant). Causes of subclavian artery pseudoaneurysms include connective-tissue disorders, congenital defects and infections.
一名14岁男孩,有广泛性关节活动过度病史,正在进行结缔组织疾病遗传学检查,在试图穿夹克时感到胸部“啪”的一声后,因急性左侧胸痛和呼吸短促来到我院。他心跳过速左肺叶无呼吸音。胸部x光片显示左侧大量胸腔积液,随后的胸部CT显示左侧大量血胸并在椎动脉底部左侧锁骨下动脉(LSCA)出现假性动脉瘤。血管造影证实LSCA假性动脉瘤的存在,尺寸为15 × 8mm(图1A视频/面板a)。然后将5mm × 3cm的Cordis OptaPro球囊放置在LSCA椎动脉远端,近端血管造影显示出血可以被阻塞,而不会阻塞椎动脉的血流。随后,患者通过Amplatz Extra Stiff金属丝在LSCA远端定位成功放置了6mm Gore vx支架(图1B视频/面板B),没有阻碍椎动脉的血流。在随访中,患者情况良好,最近被证实患有plod1相关的后凸性Ehlers-Danlos综合征(1902+1G >t变体)。锁骨下动脉假性动脉瘤的病因包括结缔组织紊乱、先天性缺陷和感染。
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引用次数: 0
Management of febrile neutropenia in pediatric cancer patients 小儿肿瘤患者发热性中性粒细胞减少症的处理
Pub Date : 2019-01-01 DOI: 10.15406/JPNC.2019.09.00369
M. Acosta
Rey Manuel Hurtado Llamas,1 María Elena Haro Acosta,2 Joan Dautt Silva3 1Pediatric Hematologist, Gynecology-Pediatrics and Family Medicine Hospital No. 31 of the Mexican Institute of Social Security (IMSS). Mexico 2D.C. and Pediatrician, Coordinator of Health Research, Baja California Delegation of IMSS, México 3Medical intern, Gynecology-Pediatrics and Family Medicine Hospital No. 31 of IMSS, Mexico
Rey Manuel Hurtado Llamas,1 María Elena Haro Acosta,2 Joan Dautt Silva3 1儿科血液学家,墨西哥社会保障研究所(IMSS)第31妇科儿科和家庭医学医院。墨西哥2特区。IMSS下加利福尼亚州代表团卫生研究协调员、儿科医生,墨西哥IMSS第31妇科、儿科和家庭医学医院医学实习生
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引用次数: 5
Diagnose at admission and factors associated with management outcome of neonate in ayder referral hospital, Northern Ethiopia: institutional based cross-sectional record review study 埃塞俄比亚北部ayder转诊医院新生儿入院诊断及管理结果相关因素:基于机构的横断面记录回顾研究
Pub Date : 2019-01-01 DOI: 10.15406/JPNC.2019.09.00373
Masresha Leta
Abbreviations: AIDS, acquired immunodeficiency syndrome; ANC, antenatal care; CI, confidence interval; CSA, central statistics agency; EDHS, Ethiopian demographic and health survey; ETB, Ethiopian birr; EONS, early onset of neonatal sepsis; FMOH, federal ministry of health; HIV, human immune deficiency virus; HIE, hypoxic-ischemic-encephalopathy; IEC, information education and communication; MAS, meconium aspiration syndrome; MMR, maternal mortality ratio; MSc, master of science; NICU, neonatal intensive care unit; PI, principal investigato; SGH, subgalian hemorrhage; STI, sexually transmitted infection; UN, united nation; UNICEF, united nations children’s fund; WHO, world health organization
缩写词:艾滋病,获得性免疫缺陷综合征;产前保健;CI,置信区间;中央统计机构;埃塞俄比亚人口和健康调查;ETB,埃塞俄比亚比尔;EONS,早发性新生儿败血症;联邦卫生部;HIV,人类免疫缺陷病毒;赶快,hypoxic-ischemic-encephalopathy;信息教育和传播;MAS:胎便吸入综合征;产妇死亡率;理学硕士;新生儿重症监护病房;PI,首席调查员;SGH:胃下出血;STI,性传播感染;UN,联合国;联合国儿童基金会;世界卫生组织
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引用次数: 10
Periodontal condition in children with hemato-oncological diseases 血液肿瘤疾病患儿的牙周状况
Pub Date : 2019-01-01 DOI: 10.15406/JPNC.2019.09.00375
M. Acosta
{"title":"Periodontal condition in children with hemato-oncological diseases","authors":"M. Acosta","doi":"10.15406/JPNC.2019.09.00375","DOIUrl":"https://doi.org/10.15406/JPNC.2019.09.00375","url":null,"abstract":"","PeriodicalId":92678,"journal":{"name":"Journal of pediatrics & neonatal care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67080766","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
Role of honey in children with acute cough in upper respiratory tract infection: randomized, placebo-controlled study 蜂蜜对上呼吸道感染急性咳嗽患儿的作用:随机、安慰剂对照研究
Pub Date : 2019-01-01 DOI: 10.15406/JPNC.2019.09.00380
J. Shrestha
Cough is an important defensive reflex that enhances the clearance of secretions and particles from the airways and helps to protect the lower airways from the aspiration of foreign material.1 It can be of infectious origin i.e. bacterial or viral and/or due to irritant or allergen in the respiratory tract.2 Acute cough in majority of children is from Upper Respiratory Tract Infection (URTI) i.e. common cold. Hallmarks of the common cold include runny nose, cough, and congestion. Mostly cough from acute URTIs are due to viral infections.3 Cough can be distressing for parents especially when it interferes with child’s daily activities and disturb parents and child’s sleep. It also results in absenteeism from school. As it is a major concern for parents, it is the most common presenting symptom to the general practitioners.4 Though an immediate remedy is usually sought by the caregiver, there is no effective treatment beyond ordinary supportive care. American Academy of Pediatrics (AAP) strongly recommends against the use of over-the-counter cough and cold medications in infants and children below two years of age. It also highlights that cold and cough products do not work in children younger than 6 years and can have potentially serious side effects.5 The World Health Organization (WHO) has noted honey as a potential treatment of cough and cold symptoms, and it is considered as a demulcent that is inexpensive, popular, and safe(outside of the infant population).6 The objective of this trial was to compare the effects of a single nocturnal dose of honey to placebo on nocturnal cough and the sleep difficulty associated with URTI.
咳嗽是一种重要的防御反射,它能增强呼吸道分泌物和颗粒的清除,并有助于保护下呼吸道免受异物的吸入它可以是感染性的,即细菌或病毒和/或由于刺激物或过敏原在呼吸道大多数儿童的急性咳嗽是由上呼吸道感染(URTI)即普通感冒引起的。普通感冒的特征包括流鼻涕、咳嗽和充血。急性尿路感染引起的咳嗽多是由病毒感染引起的咳嗽会让父母感到痛苦,尤其是当它干扰了孩子的日常活动,扰乱了父母和孩子的睡眠时。这也导致了旷课。由于这是家长关心的主要问题,这是全科医生最常见的症状虽然照护者通常会寻求立即的补救措施,但除了普通的支持性照护之外,没有其他有效的治疗方法。美国儿科学会(AAP)强烈建议婴儿和两岁以下儿童不要使用非处方咳嗽和感冒药。它还强调,感冒和咳嗽产品对6岁以下的儿童不起作用,可能有潜在的严重副作用世界卫生组织(WHO)指出,蜂蜜是治疗咳嗽和感冒症状的潜在药物,它被认为是一种廉价、流行和安全的镇痛剂(除婴儿外)本试验的目的是比较夜间单剂量蜂蜜与安慰剂对夜间咳嗽和与尿路感染相关的睡眠困难的影响。
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引用次数: 2
Current status and challenges for LSDs in Bangladesh 孟加拉国lsd的现状和挑战
Pub Date : 2019-01-01 DOI: 10.15406/jpnc.2019.09.00368
M. Hussain
Inborn errors of metabolism are a common cause of inherited disease1 of which lysosomal storage diseases (LSDs) are a significant subgroup.2,3 Although the first clinical descriptions of patients with lysosomal storage disorders (LSDs) were reported at the end of the nineteenth century by Warren Tay,4 Bernard Sachs (1887; Tay-Sachs disease)5, and by PhillipeGaucher (1882; Gaucher disease)6,the biochemical nature of the accumulated products was only elucidated some 50 years later7. Considerably more time was then required for the demonstration by Hers that there was a link between an enzyme deficiency and a storage disorder (Pompe disease).8
先天性代谢错误是遗传性疾病的常见原因1,其中溶酶体贮积病(lsd)是一个重要的亚群。2,3虽然溶酶体贮积症(lsd)患者的第一个临床描述是在19世纪末由Warren Tay,4 Bernard Sachs (1887;5,由PhillipeGaucher (1882;戈谢病)6,积累产物的生化性质直到大约50年后才被阐明7。随后,她花了相当多的时间来证明酶缺乏和储存障碍(庞贝病)之间存在联系
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引用次数: 1
Retroperitoneal lymphatic malformation: a case report 腹膜后淋巴畸形1例
Pub Date : 2019-01-01 DOI: 10.15406/JPNC.2019.09.00381
Farida Ambusaidi
Lymphatic malformations are type of congenital vascular malformations. It is commonly seen in head and neck area.1,2 It can be seen in the abdomen in the liver, spleen, pancreas, mesentery and retroperitoneam. Retroperitoneal location is very rare with cases compromised less than 1% from all abdominal cases.1 Most of the patients are asymptomatic, however minority may present with abdominal distension or pain, intestinal or uretric obstruction or hematuria, cyst infection or hemorrhage.2–4 The cases usually present in the first two years of life and the initial investigation include ultrasound which shows multicystic lesion crossing multiple compartments. Retroperitoneal extension is better assessed by CT scan or MRI studies. There are multiple options to significantly reduce the size of lesion, including aspiration and Sclerotherapy, however both have high recurrence rate.1,5 The radical surgical excision is still by far the treatment of choice with low recurrence rate and less complications.1,4,5
淋巴管畸形是一种先天性血管畸形。它常见于头颈部。1、2腹部肝脏、脾脏、胰腺、肠系膜及腹膜后可见。腹膜后位置非常罕见,在所有腹部病例中,受损的病例不到1%大多数患者无症状,但少数患者可出现腹胀或疼痛、肠或输尿管梗阻或血尿、囊肿感染或出血。2-4病例通常出现在生命的头两岁,最初的检查包括超声检查,显示多囊性病变跨越多个隔室。腹膜后伸展最好通过CT扫描或MRI检查来评估。有多种方法可以显著减小病变的大小,包括抽吸和硬化治疗,但两者的复发率都很高。1,4,5根治性手术切除仍是目前复发率低、并发症少的治疗选择
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引用次数: 0
期刊
Journal of pediatrics & neonatal care
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