Alteraciones radiograficas en niños con asma agudizado
Radiographic alterations in children with acute asthma
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Rego" "autores" => array:6 [ 0 => array:2 [ "nombre" => "A." "apellidos" => "Roman" ] 1 => array:2 [ "nombre" => "P." "apellidos" => "Romero" ] 2 => array:2 [ "nombre" => "E." "apellidos" => "Fernandez" ] 3 => array:2 [ "nombre" => "R.M." "apellidos" => "Bandres" ] 4 => array:2 [ "nombre" => "J.L." "apellidos" => "Del Campo" ] 5 => array:2 [ "nombre" => "G.F." "apellidos" => "Rego" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Neumología. Instituto Nacional de Silicosis. Oviedo" "identificador" => "aff0005" ] ] ] 1 => array:3 [ "autoresLista" => "A. Diaz" "autores" => array:1 [ 0 => array:3 [ "nombre" => "A." "apellidos" => "Diaz" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Servicio de Radiología. Instituto Nacional de Silicosis. Oviedo" "etiqueta" => "*" "identificador" => "aff0010" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Radiographic alterations in children with acute asthma" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1984-06-26" "fechaAceptado" => "1984-11-24" "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Para determinar el valor de la radiografía de tórax convencional en niños con asma agudizado, evaluamos las de 73 niños, de 7 a 15 años.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Cuarenta y seis pacientes (63%) (grupo I) no tenían alteraciones; 19 (26%) (grupo II) presentaban radiografía «positiva no complicada» (hiperinsuflación, incremento de marcas vasculares centrales, engrosamiento peribronquial, atelectasia subsegmentaria única) y 8 (10,9 %) (grupo III) radiografía «positiva complicada» (atelectasias segmentarias e infiltrados); no hubo ningún caso de neumotórax ni de neumomediastino).</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Los del grupo III tenían más leucocitos que los del II (p < 0,05) y que los del I (p < 0,05). Los del III presentaban crisis más prolongadas que los del II (p < 0,05) y que los del I (p < 0,001). No había diferencias en los parámetros de la agudización.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">No se recomienda la realización de la radiografía de tórax de forma rutinaria dada la escasa prevalencia de la forma «positiva complicada» y su falta de influencia en la recuperación de la agudización. La leucocitosis y la larga duración de la crisis son parámetros útiles para la indicación de la exploración radiográfica.</p></span>" ] "en" => array:1 [ "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">In an attempt to evaluate the usefulness of conventional chest radiography in children with acute asthma we studied 73 children aged from 7 to 15 years.</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Forty-six of the children from group I (63%) did not show any alterations; nineteen from group II (26%) had positive, non-complicated images (hyperinflation, increased central lung marking, peribronchial enlargement and atelectasis involving the lower segments only) while eight children from group III (10.9%) had positive, complicated images (segmental atelectasis and infiltrates); there were no cases with pneumothorax or pneumomediastinum.</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Leucocyte counts were higher in group III than in group II (p < 0.05) or group I (p < 0.05). The acute attack lasted longer in group III than in group II (p < 0.05) and group I (p < 0.001). There were no differences in the parameters of acuteness.</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Routine chest x-rays are not considered advisable because positive complicated images are infrequent and do not exert any influence on recovery from acute attacks.</p><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">A high leucocyte count and persistence of the acuteness are indications that a chest x-ray may be required.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:15 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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| 2019 February | 11 | 3 | 14 |
| 2019 January | 8 | 5 | 13 |
| 2018 December | 11 | 10 | 21 |
| 2018 November | 11 | 14 | 25 |
| 2018 October | 19 | 9 | 28 |
| 2018 September | 22 | 4 | 26 |
| 2018 May | 5 | 1 | 6 |
| 2018 April | 6 | 3 | 9 |
| 2018 March | 8 | 7 | 15 |
| 2018 February | 6 | 7 | 13 |
| 2018 January | 7 | 6 | 13 |
| 2017 December | 9 | 9 | 18 |
| 2017 November | 6 | 6 | 12 |
| 2017 October | 7 | 13 | 20 |
| 2017 September | 4 | 4 | 8 |
| 2017 August | 4 | 6 | 10 |
| 2017 July | 6 | 5 | 11 |
| 2017 June | 9 | 8 | 17 |
| 2017 May | 17 | 8 | 25 |
| 2017 April | 12 | 6 | 18 |
| 2017 March | 5 | 4 | 9 |
| 2017 February | 8 | 9 | 17 |
| 2017 January | 6 | 4 | 10 |
| 2016 December | 6 | 4 | 10 |
| 2016 November | 15 | 9 | 24 |
| 2016 October | 24 | 18 | 42 |
| 2016 September | 11 | 10 | 21 |
| 2016 August | 15 | 6 | 21 |
| 2016 July | 22 | 8 | 30 |
| 2016 June | 15 | 8 | 23 |
| 2016 May | 17 | 4 | 21 |
| 2016 April | 8 | 0 | 8 |
| 2016 March | 10 | 0 | 10 |
| 2016 February | 16 | 1 | 17 |
| 2016 January | 9 | 4 | 13 |
| 2015 December | 19 | 11 | 30 |
| 2015 November | 23 | 9 | 32 |
| 2015 October | 5 | 1 | 6 |
| 2015 September | 1 | 0 | 1 |
Show all
