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            "apellidos" => "Santos Luna"
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            "apellidos" => "Muñoz Cabrera"
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se analiza una serie de 59 casos de cuerpo extra&#241;o &#40;CE&#41; aspirado en ni&#241;os&#46; El cuadro asf&#237;ctico agudo en 34 casos fue la forma cl&#237;nica m&#225;s frecuente de presentaci&#243;n&#44; conoci&#233;ndose en estos casos el antecedente aspirativo en la gran mayor&#237;a&#46; La triada semiol&#243;gica ventilaci&#243;n asim&#233;trica&#44; polipnea&#47;tiraje y roncus&#47;sibilancias constituy&#243; el hallazgo exploratorio m&#225;s frecuente&#46; La radiolog&#237;a aport&#243; datos diagn&#243;sticos en el 85&#37; y fue definitiva en 4 casos de CE met&#225;lico&#46; En todos se confirm&#243; el diagn&#243;stico mediante la extracci&#243;n del CE con broncoscopia r&#237;gida&#44; realiz&#225;ndose &#233;ste antes de 7 d&#237;as en el 41&#37;&#46; Los CE vegetales fueron los m&#225;s frecuentes &#40;79&#44;6&#37;&#41;&#44; constituyendo la semilla de girasol casi un tercio del total&#46; No hubo mortalidad ni complicaciones graves inherentes a la t&#233;cnica&#46;</p></span>"
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        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">We study a series of 59 cases of foreign bodies &#40;FB&#41; inhalation in children&#46; The asphyctic acute form was the most frequent presenting feature&#44; the inhalating event was known in most cases&#46; The semiologic triad consisting of asymetrical ventilation&#44; polypnea&#47;retraction of the supraclavicular fossae with inspiration and rhonchi&#47;wheezing was the most frequent exploratory findings&#46; The radiographic study was useful in 85&#37; of cases and diagnostic in four cases of inhalation of metallic FB&#46; The diagnosis was confirmed by recovering the FB by means of a rigid fiberendoscope&#59; in 41&#37; of cases&#44; the fiberendoscopic study was performed before seven days elapsed&#46; The vegetal FB were the most frequently found &#40;79&#46;6&#37;&#41; and the inhalation of sunflower seeds were responsible of near one third of total cases&#46; There was no mortality nor severe complications inherent to procedure&#46;</p></span>"
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                          "autores" => array:4 [
                            0 => "J&#46;C&#46; Guerin"
                            1 => "M&#46; Bonnetoy"
                            2 => "J&#46;M&#46; Chavaillon"
                            3 => "J&#46;C&#46; Kalb"
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                      ]
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                      "titulo" => "Les aspects pneumologiques des corps &#233;tranger bronchique chez l&#8217;enfant&#46; Experience de 100 cas"
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                          "etal" => false
                          "autores" => array:5 [
                            0 => "M&#46; Khiati"
                            1 => "J&#46; Couvreur"
                            2 => "A&#46; Grimfeld"
                            3 => "G&#46; Le Moing"
                            4 => "G&#46; Tournier"
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                      "titulo" => "The flexible fiberoptic bronchoscope in foreign body removal&#46; Experience in 300 cas"
                      "autores" => array:1 [
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                          "etal" => false
                          "autores" => array:1 [
                            0 => "O&#46;S&#46; Cunanan"
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                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Chest"
                        "fecha" => "1978"
                        "volumen" => "73"
                        "numero" => "suppl"
                        "paginaInicial" => "725"
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                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/639586"
                            "web" => "Medline"
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              "etiqueta" => "10&#46;"
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                      "titulo" => "Use of open tube bronchoscope in the extraction of foreign bodies"
                      "autores" => array:1 [
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                          "etal" => false
                          "autores" => array:2 [
                            0 => "P&#46;H&#46; Holinger"
                            1 => "L&#46;D&#46; Holinger"
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                    ]
                  ]
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                      "Revista" => array:7 [
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                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/639585"
                            "web" => "Medline"
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              ]
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              "identificador" => "bib0055"
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                      "titulo" => "Foreign bodies in the airway&#46; Five-year retrospective study with special reference to management"
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                          "etal" => false
                          "autores" => array:4 [
                            0 => "S&#46;R&#46; Cohen"
                            1 => "G&#46;B&#46; Jewis Jr&#46;"
                            2 => "W&#46;I&#46; Herbert"
                            3 => "K&#46;A&#46; Geller"
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                        ]
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                    ]
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                      "Revista" => array:5 [
                        "tituloSerie" => "Ann Otol"
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                        "paginaInicial" => "437"
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                      "titulo" => "Incidence et gravit&#233; des CE bronchiques&#46; R&#233;sultats et perspectives"
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                          "autores" => array:2 [
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                            1 => "A&#46; Dasaulty"
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                  "host" => array:1 [
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                      "Revista" => array:5 [
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                    0 => array:2 [
                      "titulo" => "Cuerpos extra&#241;os traqueobronquiales"
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                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46;C&#46; Puzo"
                            1 => "J&#46; Castella"
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                      "Revista" => array:5 [
                        "tituloSerie" => "Arch Bronconeumol"
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Journal Information
Vol. 24. Issue 5.
Pages 197-199 (September - October 1988)
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Vol. 24. Issue 5.
Pages 197-199 (September - October 1988)
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Cuerpos extraños en la via aerea. Patologia infantil
Foreign bodies in the airway, a children's disease
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L.M. Entrenas, F. Santos Luna, L. Muñoz Cabrera, J. Muñoz Alguacil, A. Cosano Povedano
Servicio de Neumología. Hospital Regional Reina Sofía. Córdoba
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Se analiza una serie de 59 casos de cuerpo extraño (CE) aspirado en niños. El cuadro asfíctico agudo en 34 casos fue la forma clínica más frecuente de presentación, conociéndose en estos casos el antecedente aspirativo en la gran mayoría. La triada semiológica ventilación asimétrica, polipnea/tiraje y roncus/sibilancias constituyó el hallazgo exploratorio más frecuente. La radiología aportó datos diagnósticos en el 85% y fue definitiva en 4 casos de CE metálico. En todos se confirmó el diagnóstico mediante la extracción del CE con broncoscopia rígida, realizándose éste antes de 7 días en el 41%. Los CE vegetales fueron los más frecuentes (79,6%), constituyendo la semilla de girasol casi un tercio del total. No hubo mortalidad ni complicaciones graves inherentes a la técnica.

We study a series of 59 cases of foreign bodies (FB) inhalation in children. The asphyctic acute form was the most frequent presenting feature, the inhalating event was known in most cases. The semiologic triad consisting of asymetrical ventilation, polypnea/retraction of the supraclavicular fossae with inspiration and rhonchi/wheezing was the most frequent exploratory findings. The radiographic study was useful in 85% of cases and diagnostic in four cases of inhalation of metallic FB. The diagnosis was confirmed by recovering the FB by means of a rigid fiberendoscope; in 41% of cases, the fiberendoscopic study was performed before seven days elapsed. The vegetal FB were the most frequently found (79.6%) and the inhalation of sunflower seeds were responsible of near one third of total cases. There was no mortality nor severe complications inherent to procedure.

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