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A Romanos Lezcano

Publications and source records attributed to A Romanos Lezcano.

At least 19 recordsLinked to original sources
PubMed1990

[Hanhart syndrome (aglossia-adactylia syndrome). Report of 2 cases].

We discuss two cases of Hanhart syndrome, diagnosed at 3 days and 4 months respectively. Minimal diagnostic criteria (micrognathia and peromelia) are reported, and various etiologic hypothesis are discussed. This syndrome includes others as: aglossia-adactylia, hypoglossia-hypodactylia, oro-acral, oro-mandibular-limb-hipogenesis, ankyloglosia superior, glossopalatine ankylosis, peromelia and micrognathia. Emphasize the impossibility of prevention; the patients may die because of food aspiration, both parents an children being subsidiary of psychological support. The possibilities of logopedical treatment and prothesis of peromelic limb must be evaluated.

Abnormalities, Multiple↗
PubMed1989

[Brain death in the child. Review of 12 cases].

Twelve brain death diagnosed children have been retrospectively surveyed. Their age ranged between seven months and thirteen years (mean = 5.7 years old). Etiology was as follows: eight of cranial trauma, two of ground-trapped asphyxia, one of hypernatremic dehydration ans one of subglottic laryngitis. When a brain death diagnosis was suggested, neurodiagnosis complementary tests were carried out eight cases presented an isoelectric EEG since the first recording and their evoked potentials did no reflect any response. Among the eight children to whom brain angiogammography was made, five presented no flow in the first study. Brain circulation signs were detected in two other children, disappearing subsequently. When the EEG was isoelectric, positive responses were never obtained from the brainstem. However, flow was detected in two cases. We suggest that, in doubtful cases, absence of brain radioisotopic activity is the most specific way to assess brain death in children.

Adolescent↗
PubMed1989

[Seasonal incidence of congenital hip dislocation. A risk factor].

The congenital dislocation of the hip stational variation frequency is a known anecdotical data in various screening, but its etiology is unknown. Several authors had reported an increase of CDH during fall or winter time. The theory that they support for this finding is the wear use in some countries for the newborn, inducing extension and approximation of the limbs, which could justify the hip dislocation. Another etiological factors proposed by some authors is the climatical influence in mothers hormonal secretion. We have studied 33,000 alive newborns with a CDH frequency about 9.78 per thousand. The new fact that we report is an increase of CDH cases during springtime, without parallel increase in births. The hypothesis we support is: stational variations of CDH is not caused by mechanical factors instead there are another unknown agents. Nevertheless we advocate the springtime as a "risk factor" in our region.

Hip Dislocation, Congenital↗
PubMed1989

[Neonatal varicella: indications for the use of varicella-zoster specific immunoglobulin].

Case reports from January-1986 through December-1988 of neonates born to women who develop varicella and neonates with household postnatal exposure are presented. Mother developed varicella in three cases (15 days before delivery, at delivery, 10 days after delivery), the last case was infected by direct exposure from his brothers. Only neonates with household contacts developed varicella. In every case varicella-zoster immunoglobulin a doses of 0.2 mg/kg/day from the three days was administered. Adding aciclovir intravenous a daily doses of 15 mg/kg/8h for seven days in neonates who developed varicella. Are propose considered a high risk group the neonates with postnatal exposure.

Acyclovir↗
PubMed1989

[Study of oxygenation and ventilation in critically ill children by non-invasive methods].

Oxygenation and ventilation were studied by invasive and non-invasive methods in 31 critically ill children; the average age was 27.1 +/- 12.6 months (range from 1 to 144 months). All the patients were receiving mechanical ventilation and had arterial catheters. We correlated PtcO2, PtcCO2 and StcO2 with their respective arterial values, when FiO2 was 1.0, 0.6 and 0.4. There was a good correlation (p less than 0.001) in the three values of FiO2, but it was especially significant in 0.4 (r = 0.904 for PaO2 and PtcO2, r = 0.905 for PaCO2 and PtcCO2 and r = 1 for SaO2 and StcO2). We conclude that StcO2 is the most reliable transcutaneous parameter to evaluate oxygenation state in critically ill patients.

Child↗
PubMed1988

[Hospital infection and resistance to antibiotics at a pediatric intensive care unit].

A retrospective study of nosocomial infection and its aetiological agents antimicrobial sensitivity in a pediatric ICU during 65 months is reported. Using statistical analysis association was found between infection site and certain diagnostic-therapeutic procedures, such as urinary infection and urinary tract catheter, respiratory lower tract infection and respiratory assistance devices, bacteremia with intravenous catheters. Also found relationship between age and causal agents: Streptococcus faecalis is the main microorganism in newborns and Pseudomonas aeruginosa in older patients. Gram negative bacilli sensitivity increased significantly for some antimicrobial drugs: carbenicillin, cefotaxime, gentamicin, fosfomycin and tobramycin, whereas gram positive microorganisms sensitivity decreased to cephalothin, cefoxitin, trimethoprim-sulphamethoxazole and gentamicin.

Anti-Bacterial Agents↗
PubMed1988

[Biliary lithiasis in childhood: apropos of 10 cases].

Ten cases of cholelithiasis in children are reviewed. Mean age was seven years. Abdominal pain was the main symptom leading to diagnosis. In all the cases, the diagnosis was made by ultrasonography. Risk factors were found in two cases. Surgical treatment was performed in four cases.

Adolescent↗
PubMed1988

[Experimental study on the process of repair-healing of the flexor system in the growing chick].

In the present work, in view of the concern for tendinous injuries in children hand flexor apparatus, tendinous healing and its functional and morphological recuperation were studied after section and surgical restoration of the leg flexor apparatus of chicken at different growth stages. We conclude that best results are obtained when the rehabilitation begins ten days after surgery.

Age Factors↗
PubMed1988

[Hemodynamic course in relation to mechanical ventilation in the postoperative period of extracorporeal surgery in children].

Hemodynamic evolution and its relationship with the factors that have an effect upon gaseous exchange, during the early phase after extracorporeal circulation in sixty nine children, are reviewed. They are divided into three groups: group I (APH), arterial pulmonary hypertension; group II (OF), overflow, and group III (C), control. Results in the three phases of mechanical ventilation (IPPV, IMV and CPAP), are compared. We found that only in group I (APH), the pulmonary mechanics was altered. The programmed hyperventilation (IPPV) in group III (C), underlie the results of correlation between ventilatory and hemodynamic parameters with the oxygenation. There are high pulmonary vascular resistance in group I (APH); this explains the positive correlation between diastolic pulmonary arterial pressure and cardiac output. There are a good right ventricle function in I (APH) and III (C) groups. The hemodynamic patterns in IPPV are not depending on the pulmonary state.

Blood Pressure↗