Acta médica portuguesa
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The authors report a case of 32-week-old newborn, admitted to the Intensive Care Unit for Newborns. Mechanical ventilation was needed from the first day of life. ⋯ On the seventh day pneumoperitoneum was diagnosed, emergency surgery was performed revealing perforation of Meckel's diverticulum. Perinatal asphyxia and indomethacin administration probably played an important role in this process.
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Acta médica portuguesa · Dec 1998
Comparative Study[The initial loss of consciousness in spontaneous subarachnoid hemorrhage. What does it mean?].
Poor outcome and rebleeding, after admission to hospital of patients with spontaneous subarachnoid hemorrhage (SAH) has been found to be predicted by loss of consciousness at ictus (LOCi). In this study, we assessed the clinical and neuro-radiological significance of the LOCi in non-traumatic SAH. ⋯ In this study, LOCi has independent predictive power for a poor neurologic condition on admission and for the finding of aneurysm on angiogram. Loss of consciousness at ictus may be explained by the direct impact of the initial hemorrhage on the brain from a large tear in the aneurysmal wall, causing a quick rise in intracranial pressure (with LOCi) but a relatively short bleeding time.