RESUMEN
Acute renal failure developed in an infant aged 30 days during chemotherapy and irradiation for hepatic neuroblastoma (IV-S). Acute hemodialysis via a profunda femoris - long saphenous vein shunt was accomplished on 9 occasions in this 4 kg infant. The complications of septicemia and acute respiratory embarrassment caused by hepatomegaly were treated by appropriate antibiotic treatment, creation of a temporary ventral hernia and assisted ventilation. Careful attention to correct pediatric hemodialysis technique, as described, can permit long-term survival if the underlying disorder is also amenable to treatment.
Asunto(s)
Lesión Renal Aguda/terapia , Neoplasias Hepáticas/congénito , Neuroblastoma/congénito , Diálisis Renal , Lesión Renal Aguda/etiología , Humanos , Recién Nacido , Neoplasias Hepáticas/terapia , Masculino , Neuroblastoma/terapiaRESUMEN
Rupture of the diaphragm due to blunt trauma is rare in the pediatric age group. This article describes six such cases. This life-threatening condition should be suspected in the case of any serious thoracoabdominal trauma, even in the presence of negative radiographic findings on initial evaluation. In the very sick child, horizontal beam, lateral radiographs of the chest and abdomen have been extremely useful in establishing the diagnosis. The suspicion and investigation of associated diaphragmatic injury will result in earlier diagnosis and treatment.