Tratamiento del derrame pleural maligno | Archivos de Bronconeumología

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"apellidos" => "Martí Huedó" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615318147?idApp=UINPBA00003Z" "url" => "/03002896/0000002400000005/v1_201509151026/S0300289615318147/v1_201509151026/es/main.assets" ] "es" => array:13 [ "idiomaDefecto" => true "titulo" => "Tratamiento del derrame pleural maligno" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "209" "paginaFinal" => "214" ] ] "autores" => array:2 [ 0 => array:3 [ "autoresLista" => "R. Rami Porta" "autores" => array:1 [ 0 => array:2 [ "nombre" => "R." "apellidos" => "Rami Porta" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Cirugía Torácica. Hospital Clínico y Provincial. Barcelona" "identificador" => "aff0005" ] ] ] 1 => array:3 [ "autoresLista" => "J.L. Bravo Bravo" "autores" => array:1 [ 0 => array:3 [ "nombre" => "J.L." "apellidos" => "Bravo Bravo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Sección de Cirugía Torácica. R.S. Ntra. Sra. de Covadonga. Oviedo" "etiqueta" => "*" "identificador" => "aff0010" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Treatment of malignant pleural effusion" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1988-01-07" "fechaAceptado" => "1988-01-25" "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "Para el tratamiento del derrame pleural maligno se dispone de varias modalidades terapéuticas. 1) Técnicas evacuadoras: los diuréticos, las toracocentesis y el drenaje con tubo eliminan el derrame, pero la recidiva suele ser la regla. Las derivaciones pleuro-venosas y pleuro-peritoneales, así como los reservorios para toracocentesis repetidas, están en fase de experimentación clínica y su uso se restringe a pacientes en mal estado general que no soportarían tratamientos más agresivos. 2) La radioterapia está indicada ante la presencia de adenopatías mediastínicas, linfoma o atelectasia pulmonar por obstrucción tumoral endobronquial. 3) La pleurectomía se reserva para pacientes con buen estado general, sin otras metástasis, cuando ha fracasado el tratamiento intrapleural. 4) Terapia intracavitaria: los productos sinfisantes, sobre todo el talco y el clorhidrato de tetraciclina, son los más indicados por producir pleurodesis duradera. Es la modalidad terapéutica más empleada por su elevada eficacia y baja morbilidad." ] "en" => array:1 [ "resumen" => "Many therapeutic modalities exist to manage the malignant pleural effusion. 1. Evacuative techniques: Diuretics, thoracocentesis and drainage with tube remove the effusion but recurrency is the rule. The pleuro-venous and pleuro-peritoneal bypass as well as the reservoir for repeated thoracocentesis are in clinical experimental stage and their use is restricted to patients in bad conditions who probably did not undergo a more aggressive treatment. 2. When mediastinal adenopathies, lymphoma or pulmonary atelectasia are present, radiotherapic treatment is indicated. 3. The pleurectomy is reserved for the patients in good condition with no other metastases, when the intrapleural treatment has failed. 4. Intracavitary therapy: the symphisant products, such as talc and tetracycline hydrochoride, are the most indicated to produce a durable pleurodesis. 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Amsterdam, 1987; Abstract 40; 16." ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/03002896/0000002400000005/v1_201509151026/S0300289615318159/v1_201509151026/es/main.assets" "Apartado" => array:4 [ "identificador" => "43805" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Diagnóstico y tratamiento" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000002400000005/v1_201509151026/S0300289615318159/v1_201509151026/es/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615318159?idApp=UINPBA00003Z"]

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Tratamiento del derrame pleural maligno

Treatment of malignant pleural effusion

R. Rami Porta

Servicio de Cirugía Torácica. Hospital Clínico y Provincial. Barcelona

J.L. Bravo Bravo*

* Sección de Cirugía Torácica. R.S. Ntra. Sra. de Covadonga. Oviedo

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                      "titulo" => "Intracavitary bleomycin for the control of malignant effusions"
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Article information

ISSN: 03002896
Original language: Spanish

DOI:10.1016/S0300-2896(15)31815-9

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2024 November	3	17	20
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2024 March	57	82	139
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2023 November	0	33	33
2023 October	0	57	57
2023 September	0	48	48
2023 August	0	22	22
2023 July	6	41	47
2023 June	0	1	1
2023 April	0	2	2
2023 March	2	5	7
2023 February	29	25	54
2023 January	36	24	60
2022 December	34	21	55
2022 November	61	23	84
2022 October	56	49	105
2022 September	39	17	56
2022 August	44	39	83
2022 July	27	34	61
2022 June	36	28	64
2022 May	36	35	71
2022 April	41	42	83
2022 March	39	39	78
2022 February	36	43	79
2022 January	55	51	106
2021 December	30	68	98
2021 November	40	39	79
2021 October	42	45	87
2021 September	32	46	78
2021 August	28	35	63
2021 July	32	49	81
2021 June	35	40	75
2021 May	31	27	58
2021 April	67	66	133
2021 March	94	59	153
2021 February	78	31	109
2021 January	76	27	103
2020 December	46	19	65
2020 November	66	23	89
2020 October	61	15	76
2020 September	66	17	83
2020 August	72	33	105
2020 July	132	32	164
2020 June	106	28	134
2020 May	72	24	96
2020 April	82	20	102
2020 March	87	29	116
2020 February	75	25	100
2020 January	123	25	148
2019 December	101	35	136
2019 November	137	52	189
2019 October	175	68	243
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2019 August	88	42	130
2019 July	127	52	179
2019 June	133	58	191
2019 May	127	62	189
2019 April	140	67	207
2019 March	118	45	163
2019 February	94	27	121
2019 January	62	26	88
2018 December	57	34	91
2018 November	55	69	124
2018 October	86	44	130
2018 September	73	66	139
2018 July	0	1	1
2018 May	21	2	23
2018 April	45	10	55
2018 March	7	9	16
2018 February	9	16	25
2018 January	8	11	19
2017 December	17	23	40
2017 November	11	49	60
2017 October	59	27	86
2017 September	56	15	71
2017 August	71	26	97
2017 July	71	18	89
2017 June	105	41	146
2017 May	93	30	123
2017 April	82	30	112
2017 March	69	28	97
2017 February	85	24	109
2017 January	77	15	92
2016 December	90	21	111
2016 November	51	23	74
2016 October	44	78	122
2016 September	31	53	84
2016 August	30	21	51
2016 July	43	24	67
2016 June	31	22	53
2016 May	33	15	48
2016 April	13	2	15
2016 March	14	1	15
2016 February	7	3	10
2016 January	26	14	40
2015 December	42	28	70
2015 November	34	10	44
2015 October	9	3	12
2015 September	1	0	1

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