[Cardiac arrhythmia in amitriptyline poisoning in children].

Unlabelled: Amitriptyline (Antideprin) determines severe intoxications, especially because of its cardiac side effects.

Method: We studied 8 children (2-14 years old) admitted with signs of amitriptyline intoxication.

Results: The clinical picture revealed altered general status, generalized hypertonia, arterial hypotension up to collapse, mydriasis, coma and cardiac arrhythmia.

Successful use of Molecular Absorbent Regenerating System (MARS) dialysis for the treatment of fulminant hepatic failure in children accidentally poisoned by toxic mushroom ingestion.

Background: Acute liver failure (ALF) as a result of mushroom poisoning is associated with a high mortality (particularly in children), despite optimal medical therapy (OMT), including charcoal haemoperfusion and haemodiafiltration. MARS is a new, cell-free, extracorporeal liver assistance method utilizing an albumin dialysate for the removal of albumin-bound toxins.

Methods: We describe the first series in the literature (also first MARS treatments in Romania) with ALF because of mushroom poisoning in children (M/F=2/4, age=7-16 years).

Value of intravenous ATP in the diagnosis and treatment of tachyarrhythmias in children.

Actual researches show that adenosine and its forerunner, ATP, can realise a nodal block in intravenous (i.v.) administration.

Etiological, clinical and pathomorphological aspects of acute respiratory distress syndrome in children.

Acute respiratory distress syndrome (ARDS) is the result of severe injuries of different etiologies of the capillary system in patients with previously healthy lungs, resulting in noncardiogenic pulmonary edema. The authors studied 42 infants in whom the histopathologic aspects were suggestive for ARDS. The etiologic factors of this syndrome were: severe gastroenteritis with hypovolemic or endotoxic shock (13 cases), sepsis (9 cases), fulminans purpura (2 cases), severe neurological disorders (13 cases), pulmonary infections (5 cases).

[Myocardial infarct in children. The anatomicoclinical aspects].

Nine cases of myocardial infarction in the newborns (8 cases aged between 7 days and 6 months) and infants (1 case aged 12 years and 6 months) were followed up for 15 years. The etiology was different: mediocalcosis of the coronaries, congenital abnormalities of the heart marked hypertrophy of left ventricular myocardium (endocardial fibroelastosis or nonobstructive hypertrophic cardiomyopathy) severe hypoxia (severe acute bronchopneumopathies), and AAR, cardioarticular form, with multiple attacks in the infant. The ECG aspects were not specific in most children and clinically the prevailing finding was severe decompensated cardiac failure.