Lesión diafragmática traumática. Revisión de 8 casos
Traumatic diaphragm injuries: a review of 8 cases
G. Gómez Sebastián
, J.J. Fibla Alfara, C. Farina Rios, A. Carvajal Carrasco, J.C. Penagos, G. Estrada Saló, C. León González
Servicio de Cirugía Torácica. Departamento de Neumología. Hospital de la Santa Creu i Sant Pau. Barcelona
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Salord, R.M. Miralda, P. Casan" "autores" => array:3 [ 0 => array:2 [ "nombre" => "N." "apellidos" => "Salord" ] 1 => array:2 [ "nombre" => "R.M." "apellidos" => "Miralda" ] 2 => array:2 [ "nombre" => "P." "apellidos" => "Casan" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289602752605?idApp=UINPBA00003Z" "url" => "/03002896/0000003800000009/v1_201307081507/S0300289602752605/v1_201307081507/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Lesión diafragmática traumática. Revisión de 8 casos" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "455" "paginaFinal" => "457" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "G. Gómez Sebastián, J.J. Fibla Alfara, C. Farina Rios, A. Carvajal Carrasco, J.C. Penagos, G. Estrada Saló, C. León González" "autores" => array:7 [ 0 => array:3 [ "nombre" => "G." "apellidos" => "Gómez Sebastián" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "J.J." "apellidos" => "Fibla Alfara" ] 2 => array:2 [ "nombre" => "C." "apellidos" => "Farina Rios" ] 3 => array:2 [ "nombre" => "A." "apellidos" => "Carvajal Carrasco" ] 4 => array:2 [ "nombre" => "J.C." "apellidos" => "Penagos" ] 5 => array:2 [ "nombre" => "G." "apellidos" => "Estrada Saló" ] 6 => array:2 [ "nombre" => "C." "apellidos" => "León González" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Cirugía Torácica. Departamento de Neumología. Hospital de la Santa Creu i Sant Pau. Barcelona" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Correspondencia: Servicio de Cirugía Torácica. Hospital de la Santa Creu i Sant Pau.Avda. Sant Antoni Maria Claret, 167. 08025 Barcelona" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Traumatic diaphragm injuries: a review of 8 cases" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2001-12-21" "fechaAceptado" => "2002-02-26" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec190465" "palabras" => array:3 [ 0 => "Rotura diafragmática" 1 => "Politraumatismo" 2 => "Lesión torácica" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec190466" "palabras" => array:4 [ 0 => "Diaphragm" 1 => "rupture" 2 => "Polytrauma" 3 => "Chest injury" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La rotura diafragmática traumática es una lesión poco frecuente, que aparece en politraumatismos o agresiones. Predomina en los varones entre los 20 y los 50 años de edad, siendo en Europa la principal causa los accidentes de tráfico. Su diagnóstico puede resultar dificultoso y pasar desapercibido, lo que puede provocar graves complicaciones tardías</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Presentamos 8 casos correspondientes al período 1991-2000. Todos los pacientes ingresaron en el servicio de urgencias de nuestro centro con el diagnóstico de politraumatismo con posible rotura de diafragma. Analizamos el motivo de ingreso, la clínica, las formas de diagnóstico, las lesiones asociadas, el tratamiento y la evolución, contrastando la bibliografía existente con nuestra experiencia</p>" ] "en" => array:1 [ "resumen" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Traumatic rupture of the diaphragm is a rare event that is usually found in polytrauma cases or after violent attacks. Patients are usually males between 20 and 50 years old, and car accidents are the main causes. Diagnosis can be difficult and injuries may go unnoticed, leading to serious delayed complications</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">We present 8 cases from 1991 through 2000. All patients came to the emergency department of our hospital with a diagnosis of traumatic rupture of the diaphragm. We analyze the reasons for admission, signs and symptoms, diagnostic approach, associated lesions, treatment and course, comparing our experience with reports in the literature</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:9 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Traumatic diapphragmatic hernia: a continuing challenge" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "G.L. Brown" 1 => "J.D. Richardson" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Thorac Surg" "fecha" => "1985" "volumen" => "39" "paginaInicial" => "170" "paginaFinal" => "172" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3970611" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Traumatic diaphragmatic hernia" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "R.M. 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