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Biomedical subjects

J P Fournet

Publications and source records attributed to J P Fournet.

At least 19 recordsLinked to original sources
PubMed1989

[Volvulus of the small intestine in a 10-year-old child with malrotation].

We report a case of complete volvulus of the small bowel in a ten-year-old child. This major complication of incomplete malrotation of the primary digestive loop usually occurs within the first few months of life. Our unusual clinical observation is the opportunity to point out that vomiting and abdominal pain may be overlooked, with the volvulus then appearing to be the first manifestation. Two other points are discussed: limitation of the length of bowel removed by performing two procedures 24 hours apart, and use of continuous reinstillation of the digestive chyme during postoperative nutritional management.

Child↗
PubMed1988

[Neonatal cardiac rhabdomyoma and phakomatosis].

A large cardiac rhabdomyoma was discovered before delivery in a neonate, whose outcome was fatal. The baby and her mother had both cutaneous lesions suggestive of tuberous sclerosis, and the mother's sister had died from Von Hippel Lindau disease. The association of a cardiac rhabdomyoma and a tuberous sclerosis in the same patient is not uncommon, but the existence of Von Hippel Lindau disease in a member of the same family seems to be exceptional.

Angiomatosis↗
PubMed1985

[Meconium aspiration syndrome. Determination of a prognostic index].

A study was undertaken on 54 cases of meconial aspiration in order to establish a prognostic index allowing the early estimation of the risk of occurrence of refractory hypoxia. In order to do so, the factors statistically related to the occurrence of refractory hypoxia were taken into account. These factors consisted of the first arterial blood gas determination, first chest x-ray film and the initial Silverman index. A value was assigned to each parameter, with respect to the corresponding percentage of observed refractory hypoxias. The sum of the values determined the prognostic index, which varied from 6 to 25. For a high-risk threshold fixed at 15, sensibility was 78%, specificity 90% and the predictive value 84%. For an index between 16 and 20, 70% of patients developed refractory hypoxia. Occurrence was 100% for an index above 20 and refractory hypoxia occurred early. On the contrary with indexes between 6 and 14, occurrence was 15%. The calculation of this index might help clinicians in their therapeutic decisions.

Apgar Score↗
PubMed1980

[Left diaphragmatic agenesis with digestive duplication and extra-lobar pulmonary sequestration (author's transl)].

The association of a diaphragmatic hernia and a pulmonary sequestration is known, though very rare. The authors present one singular observation because it were involved in aplasia of the homolateral pillar and a digestive duplication. They insist about the gravity of the reflux inherent to the malformation; they suggest its differed cure in spite of nutritional difficulties. Pathogenic considerations are advanced on that malformative complexe which is combined with the broncho-pulmonaries malformations of the foregut. It seems a direct proof of the theory of "the accessory lung". Finally, is underlined the gravity of the aplasia of the diaphragmatic leaf extensive to the pillar.

Abnormalities, Multiple↗
PubMed1980

[Paediatric intensive care. 182 newborn high risk infants taken care by intensive care mobile units (author's transl)].

The high risk pregnancies must be admitted in maternity wards with intensive care units for children. As this rule is partially applied, since 1976 the emergency medical service of the Seine-Saint-Denis department accepts to dispatch a mobile care unit for children before birth. So, 182 newborns are taken care of from the very early minutes of life and then leaded in best conditions to a special unit. This work states the place of this type of intervening during the activity of paediatric mobile care unit, the benefits for the newborn, the obstacles and the limits for starting before the birth of such a special unti.

Female↗