Hayrettin Temel

Comparison of Nifedipine and Captopril in Children with Pulmonary Hypertension due to Broncopneumonia

This study included 40 children, who were diagnosed with pneumonia and pulmonary hypertension (from the radiographic and clinical features), was performed at Yuzuncu Yil University Faculty of Medicine, Department of Pediatrics, from September 2003 to July 2005. Patients who had pneumonia and congenital heart disease or systemic hypertension or renal and liver disease together were excluded from the study. Blood gas analysis and oxygen concentration, measured with pulse oximetry, were performed in all patients. Besides chest X-ray, electrocardiography and echocardiographic search was also carried out. Echocardiographic examination was performed by using M mode, two-dimensional echocardiography and colored Doppler sonotron Vingmed CFM 725. At echocardiographic examination, pulmonary hypertension is defined as above 35 mmHg of pulmonary artery pressure. For echocardiographic examination, patients with pulmonary hypertension were divided into two groups. Captopril (2 mg/kg/day, three doses a day) and nifedipine (0.5 mg/kg/day, three doses a day) were given to the first and the second group, respectively. Echocardiography was performed daily until normal pulmonary artery pressure was achieved. At the beginning of the treatment, the patients were treated with double antibiotics and antibiotic change was carried out in needed cases at the follow up. Digoxin was administered to the cases of respiratory infection with heart failure.

Kayısı çekirdeği yeme sonrası akut siyanür zehirlenme olgusu

Elma kayisi ve seftali gibi bazi bitkilerin cekirdek ve tohumlari onemli derecede siyanur glikozidlerini icermektedir Kayisi cekirdekleri hem icerdikleri siyanojen miktari fazlaligi hem de hidrojen siyanuru daha rahat salabilmeleri nedeni ile daha toksiktirler Oncesinde saglikli olan iki yas uc aylik erkek hasta Acil Poliklinigi rsquo;mize entube halde getirildi Oykude ailenin fertleri ile birlikte cok sayida kayisi cekirdegi yeme sonrasi bayilma yakinmasiyla goturuldugu hastanede entube edildigi ogrenildi Genel durumu kotu ve bilinci kapali idi Isik refleksi iki tarafli aliniyordu Derin tendon refleksleri artmisti Plantar yanit iki tarafli ekstansor idi Olgu siyanur zehirlenmesi tanisi ile Yogun Bakim rsquo;a alindi Monitorize edilerek devamli oksijen verildi Hidroksikobalamin ve sodyum bikarbonat verilmesi ve sodyum aciginin duzeltilmesinden sonra hastanin bilinci acildi ve genel durumu duzeldi Olgu yatisinin ikinci gununde sifa ile taburcu edildi Ebeveynlerin kucuk cocuklara kayisi cekirdegi yedirmemelerinin onemini vurgulamak amaciyla olgu sunuldu Turk Ped Ars 2012; 47: 141 2

Transvers miyelit tablosu ile getirilen akut dissemine ansefalomiyelit olgusu – Olgu Sunumu

Summary Acute disseminated encephalomyelitis is an inflammatory and demyelinating disorder of central nervous system A 9 year old male was admitted with unable to walk non sensation of legs urinary incontinence and encopresis for 2 days On physical examination muscle strength was 5 5 on upper extremities and 1 5 on lower extremities Loss of pain temperature and touch sensation was present on both lower extremities reaches to T8 level On spinal magnetic resonance imaging diffuse hyperintensity from C3 to conus medullaris was detected While electromyography was consistent with polyradiculoneuritis magnetic resonance imaging findings were concordant with acute disseminated encephalomyelitis On account of this case we would like to emphasize that acute disseminated encephalomyelitis should be considered in patients presented with transverse myelitis; therefore in addition to spinal magnetic resonance imaging cranial magnetic resonance imaging should be examined in these patients Turk Arch Ped 2010; 45: 299 302 Key words: Acute disseminated encephalomyelitis child transverse myelitis