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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
9
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pubmed:dateCreated |
1998-12-14
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pubmed:abstractText |
Open lung biopsy (OLB) is an important diagnostic tool in children with immune deficiency and/or chronic lung disease with diffuse pulmonary compromise. These patients require a tailored therapeutic approach owing to their fragile status and the side effects of unnecessary or inadequate treatment. Twenty-six patients of mean age 5.6 y underwent 41 open lung biopsies in our centre between 1991 and 1995. Seventeen (65%) were immunocompromised (including 13 with malignancy) and 9 had other lung diseases. The biopsies were diagnostic in 25 patients (96%), and complete clinical-pathological correlation was found in 11 (42%). A specific infectious aetiology was detected in nine patients (35%), all of them immunocompromised. Therapeutic changes were instituted on the basis of the biopsy findings in 18 patients (69%). Two patients had postoperative complications (prolonged pleural leak). We conclude that OLB is a safe diagnostic procedure even in the critically ill child and should be employed without hesitation when conventional methods fail to provide a definitive diagnosis to help redirect therapy.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Sep
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pubmed:issn |
0803-5253
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
87
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
945-8
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:9764888-Adolescent,
pubmed-meshheading:9764888-Biopsy,
pubmed-meshheading:9764888-Child,
pubmed-meshheading:9764888-Child, Preschool,
pubmed-meshheading:9764888-Critical Illness,
pubmed-meshheading:9764888-Female,
pubmed-meshheading:9764888-Humans,
pubmed-meshheading:9764888-Immunocompromised Host,
pubmed-meshheading:9764888-Infant,
pubmed-meshheading:9764888-Lung,
pubmed-meshheading:9764888-Male,
pubmed-meshheading:9764888-Predictive Value of Tests
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pubmed:year |
1998
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pubmed:articleTitle |
Open lung biopsy--successful diagnostic tool with therapeutic implication in the critically ill paediatric population.
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pubmed:affiliation |
Department of Paediatric Surgery, Schneider Children's Medical Centre of Israel, Beilinson Campus, Petah Tiqva.
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pubmed:publicationType |
Journal Article
|