[Thrombopenia and erythroblastopenia in a 1-month-old infant treated with valproate].
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Biomedical subjects
Publications and source records attributed to J L Guillon.
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Gastroesophageal reflux (GER) may induce severe complications in infants: besides esophagitis numerous authors have established a relationship between GER and relapsing respiratory infections, between GER and apnea, cyanosis or bradycardia. This required a more precise estimation of the postural treatment than the clinical data of vomiting or the weight curve. Esophageal pH studies are considered to be the most valuable investigational technique in case of GER. It allowed us to study the importance of acid reflux in 43 patients under 1 year of age in different postures: 45 degrees upright in an infant-seat, horizontal prone and 30 degrees prone positions.
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The authors in a first part of their contribution indicate the various types of imaging investigations which can be used by the radiologist: Conventional radiographs og the thorax; Conventional complementary examinations: esophagogram, conventional tomography, tracheo-bronchography, angiography, pulmonary scintigraphies; Modern complementary investigations: CT echography, digitalized angiography, magnetic resonance imaging. In the second part of this article the authors explain which are the most appropriate procedures for every type of tracheal and/or bronchial malformation.
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