Neumotorax Espontaneo. A proposito de 121 Casos
Spontaneous pneumothorax: report in 121 episodes
J. Ortiz de Solorzano Aurusa*****, F.A. Garcia Gil**, A. Martinez-Berganza Asensio****, A. Jimenez Bernado***, F. Lamata Hernandez***, A. Garcia Cirac*****, M. Gonzalez Gonzalez*
* Catedrático de Cirugía. Clínica-Cátedra de Patología y Clínica Quirúrgica «B». Hospital Clínico Universitario. Zaragoza
** Profesor titular de Cirugía. Clínica-Cátedra de Patología y Clínica Quirúrgica «B». Hospital Clínico Universitario. Zaragoza
*** Profesor ayudante de Cirugía. Clínica-Cátedra de Patología y Clínica Quirúrgica «B». Hospital Clínico Universitario. Zaragoza
**** Profesor Ayudante de Médica. Clínica-Cátedra de Patología y Clínica Quirúrgica «B». Hospital Clínico Universitario. Zaragoza
***** Residente de Cirugía. Clínica-Cátedra de Patología y Clínica Quirúrgica «B». Hospital Clínico Universitario. Zaragoza
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Zaragoza" "etiqueta" => "**" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Profesor ayudante de Cirugía. Clínica-Cátedra de Patología y Clínica Quirúrgica «B». Hospital Clínico Universitario. Zaragoza" "etiqueta" => "***" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Profesor Ayudante de Médica. Clínica-Cátedra de Patología y Clínica Quirúrgica «B». Hospital Clínico Universitario. Zaragoza" "etiqueta" => "****" "identificador" => "aff0020" ] 4 => array:3 [ "entidad" => "Residente de Cirugía. Clínica-Cátedra de Patología y Clínica Quirúrgica «B». Hospital Clínico Universitario. Zaragoza" "etiqueta" => "*****" "identificador" => "aff0025" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Spontaneous pneumothorax: report in 121 episodes" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1986-02-24" "fechaAceptado" => "1986-09-29" "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se presenta una serie de 106 pacientes, con un total de 121 episodios de neumotorax espontáneo. En 16 (15%) existían antecedentes de uno o varios episodios anteriores. El 92,4% eran varones y en 83% de los pacientes se evidenció un hábito tabáquico. El síntoma más constante fue el dolor (96,6%) y la localización más frecuente la derecha (53,7%). En un 71% la etiología fue desconocida y el el 18,8% debida a bullas. El tratamiento realizado fue: conservador en 36, aspiración simple en 4, drenaje torácico en 74, practicándose 19 toracotomías en 17 pacientes. El índice de recidivas según el tratamiento fue: 11,1% en el tratamiento conservador; 0% en la aspiración simple; 10,8% para el drenaje torácico y 0% en las toracotomías.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">En el texto se analizan las indicaciones para la toracotomía en caso de neumotorax espontáneo, sus vías de abordaje, técnicas, así como su morbilidad. La mortalidad de la serie fue nula.</p></span>" ] "en" => array:1 [ "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">We report on a series of 106 patients with an overall number of 121 spontaneous pneumothorax episodes. Sixteen patients (15%) had an history of one or more previous episodes. 92,4% of the patients were males and 83% were smokers. The most constant symptom was pain (96,6%) and most of the episodes (53,7%) were right — sided. The etiology was unknown in 71% of the episodes while 18,8% of them were due to bullae. The therapeutic approach was conservative in 36 episodes, simple aspiration in 4, thoracic drainage in 74, and 19 thoracotomies were done in 17 patients. The recurrence rates according to the treatment used were: 11,1% for conservative treatment; 0% for simple aspiration; 10,8% for thoracic drainage; and 0% for thoracotomy.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The indications for thoracotomy in spontaneous pneumothorax, its approaches and techiques as well as its morbidity are reviewed. There was no mortality in our series.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:49 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 2 | 6 | 8 |
| 2024 October | 35 | 35 | 70 |
| 2024 September | 30 | 40 | 70 |
| 2024 August | 38 | 45 | 83 |
| 2024 July | 31 | 32 | 63 |
| 2024 June | 41 | 34 | 75 |
| 2024 May | 38 | 34 | 72 |
| 2024 April | 32 | 29 | 61 |
| 2024 March | 36 | 33 | 69 |
| 2024 February | 28 | 29 | 57 |
| 2024 January | 0 | 14 | 14 |
| 2023 December | 0 | 4 | 4 |
| 2023 November | 0 | 16 | 16 |
| 2023 October | 0 | 7 | 7 |
| 2023 September | 0 | 9 | 9 |
| 2023 August | 0 | 9 | 9 |
| 2023 July | 0 | 18 | 18 |
| 2023 June | 0 | 1 | 1 |
| 2023 May | 0 | 1 | 1 |
| 2023 April | 0 | 6 | 6 |
| 2023 March | 2 | 2 | 4 |
| 2023 February | 16 | 20 | 36 |
| 2023 January | 18 | 31 | 49 |
| 2022 December | 19 | 43 | 62 |
| 2022 November | 31 | 21 | 52 |
| 2022 October | 58 | 35 | 93 |
| 2022 September | 15 | 23 | 38 |
| 2022 August | 42 | 48 | 90 |
| 2022 July | 38 | 53 | 91 |
| 2022 June | 52 | 31 | 83 |
| 2022 May | 30 | 28 | 58 |
| 2022 April | 23 | 34 | 57 |
| 2022 March | 36 | 32 | 68 |
| 2022 February | 26 | 27 | 53 |
| 2022 January | 19 | 33 | 52 |
| 2021 December | 16 | 41 | 57 |
| 2021 November | 15 | 39 | 54 |
| 2021 October | 18 | 37 | 55 |
| 2021 September | 13 | 40 | 53 |
| 2021 August | 12 | 40 | 52 |
| 2021 July | 19 | 29 | 48 |
| 2021 June | 20 | 28 | 48 |
| 2021 May | 16 | 29 | 45 |
| 2021 April | 29 | 41 | 70 |
| 2021 March | 25 | 20 | 45 |
| 2021 February | 38 | 10 | 48 |
| 2021 January | 24 | 10 | 34 |
| 2020 December | 22 | 17 | 39 |
| 2020 November | 16 | 15 | 31 |
| 2020 October | 7 | 10 | 17 |
| 2020 September | 9 | 6 | 15 |
| 2020 August | 12 | 21 | 33 |
| 2020 July | 14 | 12 | 26 |
| 2020 June | 8 | 11 | 19 |
| 2020 May | 11 | 19 | 30 |
| 2020 April | 19 | 7 | 26 |
| 2020 March | 17 | 13 | 30 |
| 2020 February | 10 | 14 | 24 |
| 2020 January | 26 | 10 | 36 |
| 2019 December | 26 | 30 | 56 |
| 2019 November | 9 | 27 | 36 |
| 2019 October | 13 | 19 | 32 |
| 2019 September | 5 | 14 | 19 |
| 2019 August | 13 | 11 | 24 |
| 2019 July | 14 | 28 | 42 |
| 2019 June | 13 | 23 | 36 |
| 2019 May | 33 | 25 | 58 |
| 2019 April | 29 | 22 | 51 |
| 2019 March | 7 | 15 | 22 |
| 2019 February | 3 | 3 | 6 |
| 2019 January | 4 | 5 | 9 |
| 2018 December | 8 | 12 | 20 |
| 2018 November | 20 | 14 | 34 |
| 2018 October | 32 | 12 | 44 |
| 2018 September | 11 | 5 | 16 |
| 2018 May | 6 | 1 | 7 |
| 2018 April | 5 | 5 | 10 |
| 2018 March | 6 | 9 | 15 |
| 2018 February | 6 | 9 | 15 |
| 2018 January | 6 | 7 | 13 |
| 2017 December | 9 | 11 | 20 |
| 2017 November | 8 | 10 | 18 |
| 2017 October | 6 | 17 | 23 |
| 2017 September | 7 | 12 | 19 |
| 2017 August | 6 | 20 | 26 |
| 2017 July | 5 | 5 | 10 |
| 2017 June | 10 | 13 | 23 |
| 2017 May | 11 | 11 | 22 |
| 2017 April | 7 | 9 | 16 |
| 2017 March | 4 | 18 | 22 |
| 2017 February | 4 | 5 | 9 |
| 2017 January | 8 | 6 | 14 |
| 2016 December | 6 | 5 | 11 |
| 2016 November | 18 | 13 | 31 |
| 2016 October | 18 | 15 | 33 |
| 2016 September | 12 | 7 | 19 |
| 2016 August | 11 | 5 | 16 |
| 2016 July | 27 | 6 | 33 |
| 2016 June | 18 | 8 | 26 |
| 2016 May | 13 | 2 | 15 |
| 2016 April | 11 | 1 | 12 |
| 2016 March | 11 | 1 | 12 |
| 2016 February | 9 | 2 | 11 |
| 2016 January | 22 | 14 | 36 |
| 2015 December | 21 | 9 | 30 |
| 2015 November | 28 | 4 | 32 |
| 2015 October | 4 | 1 | 5 |
| 2015 September | 1 | 0 | 1 |
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