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Vol. 17. Issue 2.
Pages 64-67 (March - April 1981)
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Vol. 17. Issue 2.
Pages 64-67 (March - April 1981)
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Efectos de la toracocentesis sobre el intercambio gaseoso
Effects of thoracentesis on gaseous inerchange
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M. Perpiña, F. Abad, E. Benlloch, V. Marco
Servicio de Neumología. Departamento de Medicina Interna. Ciudad Sanitaria de la Seguridad Social «La Fe». Valencia
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En 20 pacientes con evidencia clínica y radiológica de derrame pleural se han estudiado las repercusiones de la toracocentesis sobre el intercambio gaseoso. A diferencia de los resultados obtenidos por otros autores, se observó una ligera mejoría de la Pa02 y, concordantemente, una disminución de la DA.a02, sin cambios significativos de la PaC02 y pH. La mejoría de la oxigenación encontrada por nosotros podría ser explicada por un incremento de la relación ventilación/perfusión en las áreas en que previamente estaba disminuida por la compresión del líquido pleural. Se apuntan los factores que pudieran justificar la variabilidad de resultados en otras series así como la necesidad de proseguir el estudio con series más homogéneas.

Summary

For twenty patientes with clinical and radiological evidence of pleural effusion the authors have studied the repercussions of thoractensis on gaseosus interchange. Differing from the results obteined by other authors, the autors of this papel observed a slight improvement of Pa02 and, concordantly, a decrease of DA-a02, without significant changes of PaC02 and pH. The improvement of oxygenation found by the authors could be explained by an increase of the relation ventilation/perfusión in the areas in which it was previously decreased by compression of the pleural liquid. The authors note the factors that could justify the variability of results in other series as well as the necessity of continuing the study with more homogenous series.

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Copyright © 1981. Sociedad Española de Neumología y Cirugía Torácica
Archivos de Bronconeumología
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