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Register a new userHydatid Cysts Disease in Children
داء الكيسات العدارية عند الأطفال
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Damascus University ورقة بحثية
Publication date
1998
fields
Medicine
and research's language is
العربية
Authors
عصام أنجق( باحث )
Created by
Shamra Editor
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أجريت الدراسة في مستشفى الأطفال على حالات الكيسات العدارية المقبولة في الفترة مـا بـين ١/١/١٩٩٤ و لغاية ١/٩/١٩٩٦ ،إذ بلغ عدد الحالات المقبولة ٤٧ حالة، تراوحت نسـبة القبـول العام عدا الخديج و الوليد و الإقامة المؤقتة ما بين ٤,١ و ٤,٢ لكل ١٠٠٠ قبول بمعـدل ٨,١ لكـل ١٠٠٠ قبول.
This study was performed in children’s hospital of Damascus University which included all cases of hydatid cysts admitted to the hospital between 1/1/1994 and 1/9/1996. The number of cases totaled 47 which accounted for 1.4 to 2.4 per 1000 admission in different years.
Artificial intelligence review:
Research summary
تناولت هذه الدراسة حالات داء الكيسات العدارية عند الأطفال في مستشفى الأطفال بجامعة دمشق بين 1/1/1994 و1/9/1996. شملت الدراسة 47 حالة، وهو ما يمثل 1.4 إلى 2.4 لكل 1000 حالة دخول في سنوات مختلفة. جاءت معظم الحالات من الجزء الجنوبي من سوريا بنسبة 51%، بما في ذلك 36% من ريف دمشق و21% من الجزء الشمالي الشرقي من سوريا. كان 75% من المرضى من القرى، وتم تسجيل تاريخ اتصال بالحيوانات في 42.5% من الحالات. كان 53% من المرضى ذكورًا، وكانت أعمار المرضى بين 3-14 عامًا، حيث كان 62% منهم فوق سن التاسعة. كانت فترة الأعراض قبل الدخول أقل من شهر في 69% من الحالات. تأثرت الرئتان في 33 حالة، منها 15 حالة في الرئتين فقط، وتأثر الكبد في 30 حالة، منها 10 حالات في الكبد فقط. تم إجراء العلاج الجراحي في 43 حالة، وتم إعطاء عقار ألبيندازول في 18 حالة. تم علاج حالة واحدة فقط بعقار ألبيندازول بسبب تمزق الكيس. تماثلت 43 حالة للشفاء، وتوفيت حالة واحدة، وغادر طفلان المستشفى ضد النصيحة الطبية، وتم نقل طفل واحد إلى مستشفى آخر لإجراء الجراحة. أُجري اختبار التراص غير المباشر في 41 حالة، وكانت النتيجة إيجابية في 80.5% وسلبية في 8 حالات، منها 6 حالات كانت الكيسات في الرئتين.
Critical review
تعتبر هذه الدراسة مهمة لأنها تسلط الضوء على داء الكيسات العدارية عند الأطفال في سوريا، وتوفر بيانات قيمة حول انتشار المرض وعوامل الخطر المرتبطة به. ومع ذلك، هناك بعض النقاط التي يمكن تحسينها. أولاً، كان من الأفضل تضمين تحليل أعمق للعوامل الاجتماعية والاقتصادية التي قد تساهم في انتشار المرض. ثانيًا، لم يتم توضيح تفاصيل العلاج الطبي بشكل كافٍ، وكان من الممكن تقديم معلومات أكثر حول فعالية الأدوية المستخدمة. أخيرًا، كان من الممكن تضمين توصيات أكثر شمولاً للوقاية من المرض، خاصة في المناطق الريفية.
Questions related to the research
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ما هي الفترة الزمنية التي شملتها الدراسة؟
شملت الدراسة الفترة من 1/1/1994 إلى 1/9/1996.
-
ما هي النسبة المئوية للمرضى الذين كانوا من القرى؟
كان 75% من المرضى من القرى.
-
ما هو العمر الأكثر شيوعًا بين المرضى؟
62% من المرضى كانوا فوق سن التاسعة.
-
ما هي نسبة الحالات التي تأثرت فيها الرئتان فقط؟
تأثرت الرئتان فقط في 15 حالة من أصل 33 حالة تأثرت فيها الرئتان.
References used
Behrman R. E., Vaughen V. C.: Nelson Text Book of Pediatrics. 15th ed., Saunders. W. B. Company 1996
Ben Salah S., et al: Hydatid Cysts in Children, Diagnostic & Therapeutic Aspects. A Propos of 1195 Cases. Ann. Pediatr. J., 36: 441-449, 1989
Deodhar M. C., et al., Solitary Pulmonary Hydatid Cyst. Indian Pediatrics Journal. 25, 683-684, 1988
rate research
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The aim of this study is to determine the prevalence of
pulmonary hydatid cysts, determine the best approach of surgical
treatment, and determine the outcomes of hydatid disease in, isolated or
coexisting pulmonary or extrapulmonary hydatidosis.
The study was conducted at the Department of
Thoracic Surgery at Damascus University, between January 1993 and
December 2002, on 206 patients
This study included 502 children between 0,5-15 years old. They were all subjected to duodenal biobsy for several reasons, and underwent investigations; Hb, MCV, MCH, MCHC and RDW.
The prevalence of celiac disease among anemic children was higher
than nonanemic patients (36,04% vs 12,14%). The mean duration of compliance was higher in both anemic children and celiac patients than in comparing groups .The mean levels of Hb,MCV,MCH and MCHC were lower in celiac group, while RDW was higher. Anemia was the most common presentation of celiac disease and it was seen in 77% among celiac children, while failure to thrive was detected in 43% of celiac group. Clinicians should consider celiac disease as a possible cause of anemia in all subjects with unexplained or refractory anemia
Aim of study: Evaluating the oral health status of children with congenital heart
disease in comparison with the healthy children in Lattakia city.
Materials and Methods: A total of 100 children aged between 5 and 12 years
attending the pediatric
clinic of AL-Assad Hospital-Lattakia were included. The study
group was consisted of 50 children diagnosed with heart disease. The control group was
consisted of 50 healthy children of the same age and gender. Dental caries, plaque,
gingivitis and developmental enamel defects were assessed for each child in the two
groups.
Results: Mean dmft, gingivitis and plaque were significantly higher in the cardiac
group as compared to the control group. Statistically, no significant differences were found
in the comparison between the prevalence of developmental enamel defects and mean
DMFT for the two groups.
Conclusion: Children with congenital heart disease had a poor oral health compared
to the healthy children, which increased the risk of susceptibility to bacteremia and
development of infective endocarditis. Therefore, dental care for children with heart
disease must be seriously considered at an early age when the first tooth erupts.
OBJECTIVES: Hydatidosis is an infectious widespread disease
caused by Echinococcus granulsus. The involvement may be single,
multiple or combined in different organs especially in the liver and
lungs. The surgical excision is still the treatment o
f choice through
thoracotomy, laparotomy, thoraco-abdominal and sternotomy. The aim
of this study was to introduce a new surgical approach for pulmonary
hydatid cysts using video assisted thoracoscopic surgical methods.
METHODS: 88 patients (age range 6-74 years) underwent surgery
for single pulmonary hydatid cysts from 1996-1999. 40 were females
and 48 were males. 33 had an intact cyst, 33 had a ruptured cyst to the
bronchus, 7 had rupture to the pleural cavity and 15 had an infected
cyst.
All patients underwent a minithoracotomy with video-assisted
thoracoscopy.
Several appearances were assigned in duodenum during endoscopy in patients with celiac disease, this study was conducted to determine the diagnostic value of some endoscopic markers in celiac patients in order to be used in the clinical diagnosis of
the disease an additional factor supporting the diagnosis. The study included 504 children reviewed the different symptoms (failure to thrive, chronic diarrhea or constipation, unexplained anemia, weight loss), and underwent an upper gastrointestinal endoscopy. Four markers were evaluated in the second and third part of the duodenum are: scalloping, reduction of duodenal folds, nodular mucosal pattern, and chronic inflammation (punctate whitish spots) . Celiac disease was diagnosed at 123 patients, which was based on the result of the pathology biopsy taken during endoscopy, the patients ranged in age from 6 months to 15 years. Scalloping was the highest sensitivity and specificity marker of 89% ,96 % respectively. Diagnostic values for these signs in general ( 91% sensitivity, 76% specific, positive predictive value 56 %, and negative predictive value 97% ). We observed that the presence of celiac disease, as well as histological grade rating by Marsh classification respect to the existence of endoscopic markers.
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