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Primary Results of Late Surgical Treatment in Children with Tetralogy of Fallot from a Developing Country

World Journal of Cardiovascular Diseases 2019年第8期9卷 538-544页

作者： M. Hofbeck D. A. Affangla A. Hanser L. Sieverding G. Wiegand R. Kaulitz M. Kumpf M. Moustafi F. Neunhoeffer C. Schlensak G. A. Bazolo Ba Ngouala D. M. Ba I. Basse M. Leye Department of Pediatric Cardiology University Hospital of Tübingen Tübingen Germany Faculty of Medicine University of Thiès Thiès Senegal Department of Thoracic and Cardiovascular Surgery University Hospital of Tübingen Tübingen Germany louga regional hospital Louga Senegal

Objectives: The purpose was to show how important is to operate on the Senegalese African children presenting with Tetralogy of Fallot (TOF) regardless of their age. Methods: It is a retrospective, descriptive analysis of data from the Department of Pediatric Cardiology, University hospital of Tuebingen’s data base which was searched for all cases of TOF in foreign patients younger than 15 years between 05/2004-10/2016. Results: 16 children from Senegal with TOF were referred for treatment. Mean age of patients was 7.0 years (range 0.9 - 14.8 years). Primary corrective surgery was performed in 13/16 patients. A primary shunt procedure was required in 3/16 patients. All patients were discharged in good condition with a median 13 postoperative days. We did not register any deaths. All became asymptomatic with pulse oximetry oxygen saturations greater than 95%. The right ventricular outflow tract (RVOT) gradient was less than 30 mmHg in all patients and 2 patients had moderate pulmonary valvular insufficiency. Conclusions: It was still necessary to operate Senegalese children presenting with TOF irrespective of their age.

关键词： Tetralogy of Fallot Late Repair Developing Country Non-Governmental Non-Profit Organization

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Accidental Ingestion of Nitric Acid in an Agricultural Company: A Case Study and Literature Review

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Occupational Diseases and Environmental Medicine 2024年第1期12卷 21-27页

作者： Asséga Sylvain Sagna Mame Thioro Aïssatou Fall Mossane Dominique Ndour Sidy Diallo Société de Cultures Légumières (SCL) Saint-Louis Sénégal West Africa Farms (WAF) Yamane Louga Sénégal International Committee of The Red Cross Dakar Sénégal Saint-Louis regional hospital Center Saint-Louis Sénégal

Introduction: Though common in society, caustic accidental ingestion is rare in the agricultural industry. This study describes a case of ingestion of nitric acid used as an agricultural fertilizer by an ordinary worker at the Société de Cultures Légumières. Clinical Case: This is a 33-year-old unschooled woman who ingested a sip of nitric acid from an abandoned labelled acid canister near a farming plot of land. She showed a burn of the oral cavity with a bleeding tablecloth and an intense retrosternal pain. The duodenal oesophagus fibroscopy screening that was carried out 18 hours after the accident, revealed an esophagitis class 2b. The tests revealed no anomalies. Fifteen (15) days after the accident, the FOGD was normal. Following an 8-month-follow up, no signs of stenosis or degeneration were noted. Conclusion: The accidental ingestion of nitric acid is rare in adult. Its treatment is mainly symptomatic and aims at preserving vital functions without directly fighting the ingested substance off. The right actions must be integrated into the 15-minute Health and Safety awarenesssessions for optimum pre-hospital management. The hospital evaluation is mandatory and is carried out thanks to the digestive endoscopy, which is still relevant in this indication, but is completed by the thoraco-abdominal CT. The latter is very sensitive the transmural necrosis diagnosis.

关键词： Accident Agriculture Caustic Fibroscopy Senegal

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