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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se estudian 135 pacientes sometidos a exploraci&#243;n fibroendosc&#243;pica con toma de biopsia y&#47;o muestra para su estudio citol&#243;gico&#44; por haber presentado hemoptisis severa&#44; con el fin de determinar el proceso responsable de la misma&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Despu&#233;s de hacer un estudio comparativo entre los hallazgos obtenidos por visi&#243;n endosc&#243;pica y los microsc&#243;picos&#44; llegamos a la conclusi&#243;n de que el examen precoz del &#225;rbol traqueobronquial es muy &#250;til para determinar la localizaci&#243;n topogr&#225;fica del proceso hemopt&#243;ico &#40;65&#44;21&#37;&#41;&#44; y el estudio microsc&#243;pico de la mucosa permite determinar su etiolog&#237;a en un porcentaje importante de pacientes en los que el examen directo no evidenciaba lesi&#243;n responsable de sangrado&#44; siendo los tumores &#40;29&#44;62&#37;&#41;&#44; bronquitis &#40;16&#44;29&#37;&#41; y tuberculosis pulmonar &#40;12&#44;59&#37;&#41; los hallazgos m&#225;s frecuentes&#46;</p></span>"
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Vol. 24. Issue 5.
Pages 200-202 (September - October 1988)
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Vol. 24. Issue 5.
Pages 200-202 (September - October 1988)
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Biopsia y citologia bajo control fibroendoscopico en las hemoptisis severas
Biopsy and citology under fiberendoscopic control in severe hemoptysis
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I. Sánchez de las Matas Sánchez*, R.V. Estrada Saiz*, J.A. Ramírez Armengol**
* Departamento de Medicina Interna. Hospital Universitario San Carlos. Universidad Complutense. Madrid
** Servicio Central de Endoscopias, Hospital Universitario San Carlos. Universidad Complutense. Madrid
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Se estudian 135 pacientes sometidos a exploración fibroendoscópica con toma de biopsia y/o muestra para su estudio citológico, por haber presentado hemoptisis severa, con el fin de determinar el proceso responsable de la misma.

Después de hacer un estudio comparativo entre los hallazgos obtenidos por visión endoscópica y los microscópicos, llegamos a la conclusión de que el examen precoz del árbol traqueobronquial es muy útil para determinar la localización topográfica del proceso hemoptóico (65,21%), y el estudio microscópico de la mucosa permite determinar su etiología en un porcentaje importante de pacientes en los que el examen directo no evidenciaba lesión responsable de sangrado, siendo los tumores (29,62%), bronquitis (16,29%) y tuberculosis pulmonar (12,59%) los hallazgos más frecuentes.

We study 135 patients who were submitted to fiberendoscopic exploration with biopsy and/or sample taken for citologic study because of severe hemoptysis, with the purpose of ruling out the relevant etiology.

After performing a comparative study of endoscopic and microscopic flndings, we concluded that the early exploration of the tracheobronchial tree is highly useful in determining the topographic localization of the hemoptoic process (65.21%) and the microscopic study enabled to determine its etiology in an important number of patients, in whom the direct examination did not show any evidence of alteration responsible of the bleeding. Tumors (29.62%), bronchitis (16.29%) and pulmonary tuberculosis (12.59%) were the most frequent findings.

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Copyright © 1988. Sociedad Española de Neumología y Cirugía Torácica
Archivos de Bronconeumología
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