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Tytuł oryginału:
Long-term assessment of pulmonary function tests in pediatric survivors of acute respiratory distress syndrome.
Autorzy:
Abraham
Ron Ben,
Weinbroum
Avi A.,
Roizin
Hector,
Efrati
Ori,
Augarten
Arie,
Harel
Ran,
Moreh
Osnat,
Barzilay
Zohar,
Paret
Gideon
Źródło:
Med. Sci. Monitor 2002: 8 (3) s.CR153-CR157, il., tab., bibliogr. 32 poz.
Sygnatura GBL:
313,278
Hasła klasyfikacyjne GBL:
pulmonologia
pediatria
Typ dokumentu:
praca kliniczna
tytuł obcojęzyczny
Wskaźnik treści:
ludzie
dzieci 6-12 r.ż.
Streszczenie angielskie:
Background: The aim of the study was to evaluate long-term pulmonary function tests in pediatric survivors of acute respiratory distress syndrome (ARDS). Material/Methods: Observational study based on a telephone poll of retrospectively identified post ARDS children who were hospitalized in a pediatric intensive care unit (PICU) in a general 1200-bed teaching, tertiary, regional referral center for children. Results: Follow-up pulmonary function tests were achieved in only 7 children, with a man age of 7.3 ń 4.3 years (range 3-12) and following 5.6 ń 4.3 years after PICU discharge. The etiology for ARDS included: lymphoma (n = 2), pneumonia (n = 2), aspiration (n = 1), petrol ingestion (n - 1) and snake envenomation (n = 1) and snake envenomation (n = 1). The children had been ventilated for 9.4 ń 7.3 days and their worst PaO2/FiO2 ratio was 65.1 ń 17.0 mm Hg. The follow-up pulmonary functions in all the children was within normal limits except for one child who had mildly reduced DLco and one who had mild exercise-induced hypoxemia (oxyhemoglobin saturation of 94 p.c.). neither of the two nor the others showed subjective symptoms or clinical physical limitations. Conclusions: Children who survive ARDS apparently enjoy long-term normal pulmonary function. Some, however, amy present sublicnial dysfunction that persists for many years after the acute episode and evoked only by sophisticated lung tests.
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