Anales españoles de pediatría
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Thirty children presenting status asthmaticus in fifty episodes were studied during a period of three and a half years. All of them showed acute respiratory failure secondary to asthma. ⋯ We have noticed that there is a lower number of admissions for SA in our ICU and a different seasonal tendency. Precious treatment of asthmatic crisis selective inhaled beta 2 bronchodilators can prevent the ICU admission of an asthmatic patient.
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Shunting the ventricular fluid to a body cavity out side the cranium is the preferred method of treatment of progressive hydrocephalus of whatever cause. The distal end of the shunt should be in the peritoneal cavity or in the right atrium by way of the jugular vein and superior vena cava. ⋯ Ventriculoperitoneal shunt was used essentially. The most common complications we catheter obstruction peritoneal and ventricular.
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The preventive measures of bicycle accidents in children, depends on the knowledge of the risk of use of the bicycle by children. In our study, over 50% of severe bicycle accidents had CNS trauma, pointing the need of brain protection. In view of our experience we recommend the teaching of the rules of circulation to children and the necessity of periodic bicycle revisions.
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Sixteen cases of mononucleosis due to cytomegalovirus, are presented. The selection of patients was based on clinical criteria. ⋯ Differences were significant in hepatomegaly. We conclude that the clinical picture of cytomegalovirus mononucleosis is very similar to those of the Epstein-Barr mononucleosis.