RESUMO
Several techniques of patent ductus arteriosus occlusion primarily by thoracotomy have been practiced. They have shown to be more reliable than nonsurgical procedures. Videothoracoscopy has been useful in several intrathoracic surgical procedures with faster recovery and minimal mortality and morbidity. We report 2 patients with clipping and ligation of a patent ductus arteriosus by a thoracoscopic approach. This technique may be useful in children with a noncomplicated patent ductus arteriosus. It allows an easier recovery and causes less pain.
Assuntos
Permeabilidade do Canal Arterial/cirurgia , Toracoscopia , Criança , Pré-Escolar , Constrição , Feminino , Humanos , Ligadura/métodos , MasculinoRESUMO
In a sample of hospitalized patients, serum levels of T3, T4 and TSH were measured on the next day after admission. We included 26 patients admitted to Internal Medicine ward (group I) and 27 patients admitted to the intensive care unit (group II), comparing the results with those of 25 normal volunteers (group I). Mean values of T3 and T4 tend to be lower in patients than in healthy subjects, especially in those patients more aggravated, but differences were not statistically significant. In group II there were 5 patients with low T3, 4 with low T4 and two with both alterations. In group III, two patients had low T3, three had low T4 and 10 had both low T3 and low T4. The ratio between normal and abnormal results was significantly different between sick and healthy individuals, and between patient in the intensive care unit and the Internal Medicine ward, suggesting a correlation with gravity. 52.8% of patients hospitalized studied showed almost one alteration in the thyroid function tests.
Assuntos
Pacientes Internados , Testes de Função Tireóidea , Humanos , Unidades de Terapia Intensiva , Medicina Interna , Glândula Tireoide/fisiopatologia , Tireotropina/sangue , Tiroxina/deficiência , Tri-Iodotironina/deficiênciaRESUMO
Thirty-nine patients (29 children and ten adults) underwent OLT for liver disease associated with A1AD from March 1980 to March 1986. Thirty of thirty-six patients (83%) with available data were homozygous phenotype PiZZ. The other six were Pi heterozygotes, being either PiMZ or PiSZ. The mean A1A activity in homozygous and heterozygous patients was 38.8 mg/dL and 114.3 mg/dL respectively. Eight patients died during the first 3 months after OLT (20%). The 5-year actuarial survival is 83% and 60% in pediatric and adult recipients respectively. Today 30 (76%) of the recipients are alive, with follow-ups of 8 to 64 months (average 27 months). The quality of life in the surviving patients is excellent.