Síndrome hemolítico urémico: Experiencia en 154 casos
| Autor: | Jaime Cordero T, Patricio Olivos M, Mario Varela G, Carlos Saieh A, Carmen Hernández F, Eugenio Rodríguez S, Oscar Fielbaum C, Jeanette González M, José Baeza R |
|---|---|
| Jazyk: | Spanish; Castilian |
| Rok vydání: | 1990 |
| Předmět: |
Pediatrics
medicine.medical_specialty síndrome hemolítico urémico business.industry medicine.medical_treatment Observation period Spring season Mean age Peritoneal dialysis Prodromal phase insuficiencia renal aguda Diarrhea Pediatrics Perinatology and Child Health medicine Chronic renal failure Anuria medicine.symptom business |
| Zdroj: | Revista chilena de pediatría v.61 n.5 1990 SciELO Chile CONICYT Chile instacron:CONICYT |
| Popis: | One hundred and fifty four patients with hemolytic uremic syndrome (HUS) were admitted from year 1968 throughout 1989 to a public children's hospital (n = 139) and to a private general clinic (n = 15) at Metropolitan Santiago, Chile. Their mean age at admission was 16 months, 64% of them were 6 to 18 month old. One third of patients were admitted at spring season. The prodromal phase lasted between 1 and 19 days. In 92% of cases there was antecedent diarrhea and 31% showed neurological involvement. Anuria was present in 44 patients (21%) lasting an average of 7 days; sixty one affected children (40%) became hypertensive. Sixty patients (39%) underwent peritoneal dialysis, remaining cases were given maintenance treatment for acute renal failure (ARF). No specific treatment was used except heparin in 5 children along the first years of these series. Ten patients (6%) died during the acute phase of their disease, but death occurred in only 2 of the 76 most recent cases, probably because of more accurate diagnosis and greater experience of the professional team in the management of ARF, even though very heterogeneous clinical presentations were observed along the whole observation period. Three patients developed chronic renal failure. |
| Databáze: | OpenAIRE |
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