Klinische Pädiatrie
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Klinische Pädiatrie · Jan 1990
Review[Clinical significance and treatment of cardiac arrhythmia in children].
Cardiac dysrhythmias during childhood are not infrequent. Often they are found in otherwise healthy children, sometimes in connection with myocarditis, cardiomyopathy, congenital heart defects or after cardiac surgery. Cardiac dysrhythmias may be subdivided in bradydysrhythmias (sinuatrial block, sinus arrest, atrioventricular block) and tachydysrhythmias (supraventricular extrasystoles, supraventricular tachycardia, atrial flutter, atrial fibrillation, ventricular extrasystoles, and ventricular tachycardia). Frequently, cardiac dysrhythmias in children do not need treatment; in other cases, treatment is necessary and effective while for some cases a satisfactory treatment is not available at present.
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Klinische Pädiatrie · Jan 1990
Case Reports[Pericardial tamponade as a complication of the use of peripheral percutaneous silastic catheters].
We report on two cases of cardiac tamponade by pericardial infusion in premature infants. In both infants an infusion was given via a Silastic central venous catheter. Because of the cardiac tamponade resuscitation and pericardiocentesis had to be performed. Both infants survived this serious complication of a central venous catheter.
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Klinische Pädiatrie · Jul 1989
[Use of strong opioids in the treatment of cancer pain in adults and children].
A high percentage of adults and children with advanced cancer suffer from pain. Strong opioids for pain control, e.g. morphine, slow-released morphine or buprenorphine, should be administered early according to the intensity of pain. The analgesics should be given orally whenever possible. ⋯ Correctly used strong opioids produce only a few side-effects, especially constipation and vomiting. Many studies in adult cancer patients all over the world demonstrate the effectiveness of strong opioids for pain control. Children should be treated in the same way and comparable data in children with cancer pain must be collected.
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In addition to eosinophilic granuloma, chondroma, osteochondroma, aneurysmatic bone cyst, and osteomyelitis, the differential diagnosis of primary costal tumors in children must also include Ewing's sarcoma. Radiologic diagnostic problems in localizing the tumor, in differential diagnosis, and the importance of imaging procedures are discussed with reference to a 16-year-old female patient.
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Klinische Pädiatrie · Nov 1988
[Percutaneous removal of embolized catheters from pulmonary arteries or the right heart in children].
We report on our experience in four children with disconnected and embolized venous catheter segments in the pulmonary arteries or the right heart. In three of these, a percutaneous retrieval of the detached catheter via the femoral vene was successful. ⋯ Additionally, in two cases a tip deflecting guide wire system was proved as helpful for mobilisation of the catheter to better attainable sites of the heart. We conclude that pervenous retrieval of embolized catheter segments in children is possible and should be tried.