Pädiatrie und Pädologie
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Pädiatrie und Pädologie · Jan 1990
Case Reports[Tracheal compression caused by a foreign body in the esophagus].
A two-year-old girl presented with a four month history of chronic cough and recurrent lower respiratory tract infections. Reduction of appetite and especially refuse of solid food was accompanied with weight loss of 3 kg over a period of four months. ⋯ Both inspiratory and expiratory stridor were noted, prominently during eating. On the chest radiograph a coin shaped foreign body in the upper part of the esophagus was found, leading to a compression of the trachea.
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Pädiatrie und Pädologie · Jan 1990
[Pollinosis and bronchial asthma: pathogenesis, immunology, clinical aspects].
Rhinoconjunctivitis induced by pollen exposure and bronchial asthma are generally easily recognizable clinically. In asthma a number of differential diagnoses such as ciliary dyskinesia, cystic fibrosis and gastro-oesophageal reflux must be considered. ⋯ Future therapeutic consequences may be derived from anti-inflammatory strategies. This has already lead to reassessment and upgrading of use of corticosteroids in paediatric asthma.
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Pädiatrie und Pädologie · Jan 1988
[Acute foreign body aspiration as a respiratory emergency in childhood].
From 1957 to 1987 altogether 206 cases of tracheobronchial foreign body aspiration were diagnosed. Two third of the patients were one or two years old. Boys prevailed with 57 per cent. 55 per cent of all foreign bodies were nuts. ⋯ Six children had to undergo a thoracotomy. In one third of the cases the foreign body remained two weeks or longer in the bronchial tree. 66 children with such a "chronic" foreign body were later on examined by bronchography, which showed in 29 per cent severe deformations of the bronchial wall and in 14 per cent even bronchiectasis. An acute foreign body aspiration should always be considered and handled as an emergency.
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Pädiatrie und Pädologie · Jan 1985
Case Reports[Unusual cutaneous emphysema in a newborn infant following bilateral pneumothorax].
We report a patient with subcutaneous emphysema after a bilateral pneumothorax of gigantic extent: Subcutaneous emphysema extended over the chest, neck, axilla and both arms. The scalp was severed from the galea by an enormous air-cushion. ⋯ Therapy consisted of treatment of the underlying condition e. g. thoracocentesis with pleural drainage and artificial ventilation. The subcutaneous emphysema resolved without further therapeutic measures; only the subgaleal air was removed by aspiration.