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21.
A Ohlsson SA Calvert M Hosking AT Shennan 《Acta paediatrica (Oslo, Norway : 1992)》1992,81(10):751-756
This randomized controlled trial was designed to answer the question: does administration of dexamethasone to neonates with bronchopulmonary dysplasia decrease the need for assisted ventilation? Twenty-five infants with a birth weight < 1501 g, requiring mechanical ventilation and FiO2 of ± 0.30 at 21-35 days of age, were randomized to treatment with iv dexamethasone or to sham injections for 12 days. The primary outcome criterion was extubation within seven days after study entry. Treatment (n= 12) and control (n= 13) groups were well matched at entry. Dexamethasone facilitated weaning from assisted ventilation (p= 0.0154). There was no increased incidence of infection. Dexamethasone treatment resulted in a significant increase in glucosuria (p= 0.0002) and in systolic blood pressure (p= 0.0034). There was a significant decrease in heart rate (p= 0.0001) and a significant weight loss (p= 0.0002) following dexamethasone treatment. Dexamethasone treatment facilitated weaning from assisted ventilation but several systemic effects were noted that deserve further evaluation before dexamethasone becomes routine treatment. 相似文献
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Anatomy and pathology of the kidney by gray scale ultrasound 总被引:1,自引:0,他引:1
25.
Background Sequentially evolving intracranial bilateral haematomas, where the second haematoma develops after the surgical removal of
the first one is rarely reported.
Aim To report a patient who developed an epidural haematoma after evacuation of a contralateral subdural haematoma.
Methods A 49-year-old male was admitted to our department after head injury. A brain computerized tomography (CT) scan revealed an
acute subdural haematoma in the right temporal area which was evacuated. During his stay in the intensive care unit, he was
submitted to intracranial pressure monitoring, which soon rose.
Results A new CT scan showed an acute epidural haematoma in the contralateral parietal area that was also evacuated.
Conclusions While rising intracranial pressure after the evacuation of a traumatic haematoma is usually attributed to brain oedema or
recurrent haematoma at the craniotomy site, the development of a contralateral epidural haematoma requiring surgical treatment
should not be overlooked. 相似文献
26.
Mercado S; Hunter DW; Castaneda-Zuniga WR; Amplatz K; Young AT; Cardella JF; Lange PH; Hulbert JC; Reddy P 《Radiology》1986,158(1):207-209
Percutaneous nephrostolithotomy, which can require a double puncture, is presently the method of choice in our institution for the removal of renal stones. Patients that underwent this procedure were evaluated to identify the possible reasons for the double puncture. Of 200 patients evaluated, 14 needed a second tract. The three variables that determined whether a second puncture was needed, in order of importance, were number and size of the stones, with second tracts needed in patients with multiple stones and staghorn calculi; anatomical variations of the renal collecting system itself, with bifid systems the most significant anatomic variation; and the dexterity of the radiologist in performing the puncture and the ability of the urologist to extract the stone. Second tracts were needed more frequently in patients who presented with stones in both the lower and middle poles of the collecting systems. 相似文献
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