Tratamiento del neumotórax espontáneo en pacientes mayores de 70 años
Treatment of spontaneous pneumothorax in patients over 70
J. Loscertales*, F. García Díaz, R. Jiménez Merchán, F.J. Ayarra, C. Arenas Linares, J.C. Girón Arjona
Servicio de Cirugía General y Torácica. Cátedra de Cirugía. Hospital Universitario de Sevilla. Sevilla
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Sarría Octavio de Toledo, T. Martínez-Berganza Asensio, R. Cozcolluela Cabrejas" "autores" => array:3 [ 0 => array:2 [ "nombre" => "L." "apellidos" => "Sarría Octavio de Toledo" ] 1 => array:2 [ "nombre" => "T." "apellidos" => "Martínez-Berganza Asensio" ] 2 => array:2 [ "nombre" => "R." "apellidos" => "Cozcolluela Cabrejas" ] ] ] 1 => array:2 [ "autoresLista" => "A. Samperiz Legarre, T. Rubio Obanos, F. Escolar Castellón" "autores" => array:3 [ 0 => array:2 [ "nombre" => "A." "apellidos" => "Samperiz Legarre" ] 1 => array:2 [ "nombre" => "T." "apellidos" => "Rubio Obanos" ] 2 => array:2 [ "nombre" => "F." "apellidos" => "Escolar Castellón" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615310437?idApp=UINPBA00003Z" "url" => "/03002896/0000003000000007/v1_201509151234/S0300289615310437/v1_201509151234/es/main.assets" ] "es" => array:13 [ "idiomaDefecto" => true "titulo" => "Tratamiento del neumotórax espontáneo en pacientes mayores de 70 años" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "344" "paginaFinal" => "347" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "J. Loscertales, F. García Díaz, R. Jiménez Merchán, F.J. Ayarra, C. Arenas Linares, J.C. Girón Arjona" "autores" => array:6 [ 0 => array:3 [ "nombre" => "J." "apellidos" => "Loscertales" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "F." "apellidos" => "García Díaz" ] 2 => array:2 [ "nombre" => "R." "apellidos" => "Jiménez Merchán" ] 3 => array:2 [ "nombre" => "F.J." "apellidos" => "Ayarra" ] 4 => array:2 [ "nombre" => "C." "apellidos" => "Arenas Linares" ] 5 => array:2 [ "nombre" => "J.C." "apellidos" => "Girón Arjona" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Cirugía General y Torácica. Cátedra de Cirugía. Hospital Universitario de Sevilla. Sevilla" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Hospital Universitario de Sevilla. Avda. Dr. Fedriani, 3. 41071 Sevilla." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Treatment of spontaneous pneumothorax in patients over 70" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1993-09-22" "fechaAceptado" => "1994-01-05" "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se presentan 48 pacientes mayores de 70 años afectados de neumotórax espontáneo (NE). La gravedad del cuadro clínico está condicionada por las lesiones previas pulmonares, sobre todo el enfisema, y el grado de insuficiencia respiratoria anterior al episodio de neumotórax.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se indican las pautas de tratamiento seguido, que incluyen drenaje pleural aspirativo, realizado en todos los casos, con un fracaso del 69%. La pleurodesis con tetraciclina se practicó en 23 pacientes, con un 35% de fracasos. El talcaje por toracoscopia se llevó a cabo en 5 pacientes, no siendo resolutivo en uno. La cirugía endoscópica videoasistida se realizó en 4 pacientes, con buenos resultados en tres de ellos. La cirugía reglada mediante toracotomía lateral se practicó en 20 casos con un solo fracaso justificado por las circunstancias del paciente.</p></span>" ] "en" => array:1 [ "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Forty-eight patients over the age of 70 with spontaneous pneumothorax (SP) are analyzed. The severity of the clinical picture is conditioned by the presence of earlier lung lesions, particularly related to emphysema, and by the degree of respiratory failure prior to SP.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Treatment guidelines are listed. Pleural drainage/aspiration, applied in all cases, was of no avail in 69%. Tetracycline was injected into the pleural space of 23 patients, with failure recorded in 35%. Talc was applied by thoroscopy in 5 patients, to no avail. Video-assisted endoscopic surgery was carried out in 4 patients, with good results in 3. Surgery with access by lateral thoracotomy was carried out in 20 patients, with a single failure that was explained by the patient's condition.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:21 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Bases morfológicas de neumotórax espontáneo y su reacción pleural" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "O. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 13 | 4 | 17 |
| 2024 October | 84 | 26 | 110 |
| 2024 September | 86 | 43 | 129 |
| 2024 August | 83 | 53 | 136 |
| 2024 July | 62 | 40 | 102 |
| 2024 June | 112 | 45 | 157 |
| 2024 May | 93 | 44 | 137 |
| 2024 April | 73 | 48 | 121 |
| 2024 March | 89 | 40 | 129 |
| 2024 February | 101 | 65 | 166 |
| 2024 January | 0 | 12 | 12 |
| 2023 December | 0 | 5 | 5 |
| 2023 November | 0 | 17 | 17 |
| 2023 October | 0 | 2 | 2 |
| 2023 July | 0 | 3 | 3 |
| 2023 June | 0 | 1 | 1 |
| 2023 March | 4 | 6 | 10 |
| 2023 February | 31 | 36 | 67 |
| 2023 January | 32 | 25 | 57 |
| 2022 December | 41 | 26 | 67 |
| 2022 November | 58 | 21 | 79 |
| 2022 October | 40 | 29 | 69 |
| 2022 September | 40 | 22 | 62 |
| 2022 August | 45 | 34 | 79 |
| 2022 July | 31 | 43 | 74 |
| 2022 June | 25 | 43 | 68 |
| 2022 May | 35 | 37 | 72 |
| 2022 April | 45 | 58 | 103 |
| 2022 March | 35 | 41 | 76 |
| 2022 February | 38 | 28 | 66 |
| 2022 January | 38 | 36 | 74 |
| 2021 December | 21 | 33 | 54 |
| 2021 November | 26 | 47 | 73 |
| 2021 October | 23 | 32 | 55 |
| 2021 September | 32 | 45 | 77 |
| 2021 August | 20 | 30 | 50 |
| 2021 July | 27 | 33 | 60 |
| 2021 June | 26 | 37 | 63 |
| 2021 May | 21 | 22 | 43 |
| 2021 April | 33 | 44 | 77 |
| 2021 March | 42 | 26 | 68 |
| 2021 February | 43 | 11 | 54 |
| 2021 January | 24 | 21 | 45 |
| 2020 December | 29 | 16 | 45 |
| 2020 November | 10 | 13 | 23 |
| 2020 October | 17 | 10 | 27 |
| 2020 September | 10 | 7 | 17 |
| 2020 August | 19 | 6 | 25 |
| 2020 July | 13 | 19 | 32 |
| 2020 June | 25 | 13 | 38 |
| 2020 May | 12 | 19 | 31 |
| 2020 April | 21 | 11 | 32 |
| 2020 March | 21 | 20 | 41 |
| 2020 February | 12 | 19 | 31 |
| 2020 January | 35 | 20 | 55 |
| 2019 December | 30 | 28 | 58 |
| 2019 November | 8 | 14 | 22 |
| 2019 October | 8 | 12 | 20 |
| 2019 September | 12 | 20 | 32 |
| 2019 August | 23 | 19 | 42 |
| 2019 July | 16 | 31 | 47 |
| 2019 June | 13 | 27 | 40 |
| 2019 May | 21 | 35 | 56 |
| 2019 April | 19 | 43 | 62 |
| 2019 March | 5 | 25 | 30 |
| 2019 February | 8 | 13 | 21 |
| 2019 January | 5 | 12 | 17 |
| 2018 December | 10 | 22 | 32 |
| 2018 November | 29 | 12 | 41 |
| 2018 October | 25 | 23 | 48 |
| 2018 September | 19 | 12 | 31 |
| 2018 May | 5 | 1 | 6 |
| 2018 April | 9 | 7 | 16 |
| 2018 March | 10 | 5 | 15 |
| 2018 February | 6 | 6 | 12 |
| 2018 January | 7 | 9 | 16 |
| 2017 December | 8 | 17 | 25 |
| 2017 November | 6 | 19 | 25 |
| 2017 October | 7 | 18 | 25 |
| 2017 September | 10 | 17 | 27 |
| 2017 August | 15 | 27 | 42 |
| 2017 July | 5 | 12 | 17 |
| 2017 June | 10 | 15 | 25 |
| 2017 May | 10 | 18 | 28 |
| 2017 April | 9 | 14 | 23 |
| 2017 March | 7 | 10 | 17 |
| 2017 February | 4 | 22 | 26 |
| 2017 January | 2 | 9 | 11 |
| 2016 December | 12 | 14 | 26 |
| 2016 November | 26 | 25 | 51 |
| 2016 October | 18 | 13 | 31 |
| 2016 September | 25 | 22 | 47 |
| 2016 August | 18 | 10 | 28 |
| 2016 July | 14 | 6 | 20 |
| 2016 June | 15 | 10 | 25 |
| 2016 May | 18 | 5 | 23 |
| 2016 April | 8 | 0 | 8 |
| 2016 March | 8 | 0 | 8 |
| 2016 February | 9 | 2 | 11 |
| 2016 January | 16 | 6 | 22 |
| 2015 December | 26 | 12 | 38 |
| 2015 November | 26 | 5 | 31 |
| 2015 October | 4 | 1 | 5 |
| 2015 September | 2 | 0 | 2 |
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