Atelektazili yenidoğan bebeklerde nebülize rhDNaz tedavisi Gereç ve yöntem: Akciğerlerinde atelektazi olan 8 yenidoğan (7 prematüre) retrospektif olarak. darlığın tanı, tedavisi ve koruyucu hekimlikte yapılması gerekenler tartışıldı. ABSTRACT . atelektazi, yutma zorluğu, üst gastrointestinal kanamalar ve ölümdür. Tanı ve tedavisinde konsensüs olmamasına karşın günümüzde tedavisi sıklıkla rekürrent pnömoni, atelektazi; üriner sistem tutulumlarında obstrüksiyon.
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A second dose was administered 4 hours after the initial dose. Treatment of the disease is in the form of surgery.
Spontaneous perforation was detected in the other 60 The mean duration of hospitalization was determined to be Nebulized route was more successful than the intratracheal route. Morbidity was observed in 30 cases Behcet Uz Children’s Hospital.
In addition, 21 cases had hydropneumothorax, 17 had pneumothorax, and 36 had atdlektazi. Atelectasis was the most frequent cause of morbidity in these patients 10 cases. Both nebulized and intratracheal rhDNase administrations are successful without any adverse reactions for the treatment of persistent atelectasis, especially in neonates with viscous secretions and pneumonia with upper lobe atelectasis.
In our study, of the pulmonary hydatid cyst cases operated on between and76 cases had ruptured into the pleura for various reasons, and the different clinicoradiological presentations were evaluated retrospectively. Clinical and radiological responses were evaluated separately. The same protocol was repeated on the second day. Etiologically, iatrogenic perforation was detected in four cases and thoracic trauma in nine cases six car accidents and three falls from a height.
Positive radiological and clinical responses to atelekhazi and recurrence of atelectasis in the whole study group were In this study, pleural complications of hydatid cysts were presented in 76 cases. The age distribution of the cases was between 7 and 56 years, and the mean age was Current treatment of atelectasis consists of certain conventional modalities.
Possible parenchymal protection should be applied in surgical treatment, and anatomic resection should not be performed unless necessary. Atelectasis increases the risk of secondary pulmonary infections related with prolonged artificial ventilation. An anthelmintic drug use history was found in three cases of ruptured pleura.
Hydatid cyst disease, endemic in Eastern region of Turkey, is a significant parasitic public health problem. This disease can progress asymptomatically for a long time and can sometimes lead to life-threatening emergency situations, such as tension pneumothorax.
Twelve intubated patients received 1. Two cases that were admitted to the emergency unit and were immediately administered a tube thoracostomy developed tension pneumothorax.
However, there is still no evidence-based, ”gold standard” treatment.
The most frequent symptom due to pleural rupture in patients was dyspnea 44 cases, The delayed admission of a patient to a physician causes the atelektxzi to become more complicated and to increase the morbidity and mortality rates. Therefore, it requires early and aggressive treatment in newborns cared in neonatal intensive care units NICUs. Response to rhDNase was better in cases with upper lung lobe involvement.
Chest physiotherapy and tracheal aspiration was performed 1 hour after the second dose. In this study, we aimed to compare and evaluate the clinical and radiological changes in infants who received nebulized or intratracheal rhDNase for persistent atelectasis unresponsive to conventional treatment options.