Estudio comparativo de la evolucion radiologica y del recambio de gases en la neumonia bacteriana
Comparative study of the radiological evolution and gas interchange during bacterial pneumonia
P. Morales Marin, R. Navarro Ivañez, V. Marco Martinez, D. Nauffal Manzur, F. Planas Comerma, B. Agüera Perez, E. Benlloch Garcia
Servicio de Neumología. Departamento de Medicina Interna. Ciudad Sanitaria La Fe. Valencia
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Riberap, F. Morell, E. Monso, J. Morera, X. Bofill" "autores" => array:5 [ 0 => array:2 [ "nombre" => "E." "apellidos" => "Riberap" ] 1 => array:2 [ "nombre" => "F." "apellidos" => "Morell" ] 2 => array:2 [ "nombre" => "E." "apellidos" => "Monso" ] 3 => array:2 [ "nombre" => "J." "apellidos" => "Morera" ] 4 => array:2 [ "nombre" => "X." "apellidos" => "Bofill" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615322201?idApp=UINPBA00003Z" "url" => "/03002896/0000002000000006/v1_201509151135/S0300289615322201/v1_201509151135/es/main.assets" ] "es" => array:13 [ "idiomaDefecto" => true "titulo" => "Estudio comparativo de la evolucion radiologica y del recambio de gases en la neumonia bacteriana" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "248" "paginaFinal" => "252" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "P. Morales Marin, R. Navarro Ivañez, V. Marco Martinez, D. Nauffal Manzur, F. Planas Comerma, B. Agüera Perez, E. Benlloch Garcia" "autores" => array:7 [ 0 => array:2 [ "nombre" => "P." "apellidos" => "Morales Marin" ] 1 => array:2 [ "nombre" => "R." "apellidos" => "Navarro Ivañez" ] 2 => array:2 [ "nombre" => "V." "apellidos" => "Marco Martinez" ] 3 => array:2 [ "nombre" => "D." "apellidos" => "Nauffal Manzur" ] 4 => array:2 [ "nombre" => "F." "apellidos" => "Planas Comerma" ] 5 => array:2 [ "nombre" => "B." "apellidos" => "Agüera Perez" ] 6 => array:2 [ "nombre" => "E." "apellidos" => "Benlloch Garcia" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Neumología. Departamento de Medicina Interna. Ciudad Sanitaria La Fe. Valencia" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Comparative study of the radiological evolution and gas interchange during bacterial pneumonia" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1984-01-12" "fechaAceptado" => "1984-07-24" "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">En 25 pacientes con neumonía bacteriana no complicada, se ha estudiado la correlación entre la extensión radiológica inicial determinada por planimetría y la alteración del recambio gaseoso. La extensión radiológica de la neumonía (x¯<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>sd) fue 19,5<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>12,6%: la PaCO<span class="elsevierStyleInf">2</span> 74,0<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>9,8 torr y la PA(A-a)O<span class="elsevierStyleInf">2</span> 36,1<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>9,9 torr. No encontramos una correlación significativa entre la afectación radiológica inicial y el deterioro del recambio gaseoso; sin embargo, tomando como línea de separación de los casos analizados la mediana de la distribución de la extensión radiológica (17%), vemos que el gradiente alvéolo-arterial era significativamente mayor (p < 0,05) en aquellos sujetos con afectación radiológica ≥ 17%. En controles seriados de ambos parámetros llevados a cabo a los dos días, una semana, dos semanas, un mes y posteriormente cada mes hasta su normalización, la resolución radiológica precedió a la normalización gasométrica significativamente (p < 0,01). No se observó por otro lado relación entre el grado de extensión radiológica de la neumonía y el tiempo de resolución (r = 0,25).</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">La existencia de zonas dispersas de inflamación y microatelectasias no visibles radiológicamente, justificarían estos hallazgos contribuyendo a la persistencia de alteraciones del intercambio gaseoso en el pulmón, en ausencia de condensación radiológica.</p></span>" ] "en" => array:1 [ "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">The correlation between (he initial radiological extension and gas interchange alterations was studied in 25 patients with non-complicated bacterial pneumonia. Radiological extension was determined through planimetry.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Radiological extension was (x¯<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>SD) 19.5<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>12.6%; PaCO<span class="elsevierStyleInf">2</span> was 74.0<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>9.8 torr and P(A-a)O<span class="elsevierStyleInf">2</span> 36.1<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>9.9 torr. We did not find any significant correlation between the initial radiological affectation and the deterioration in gas interchange; however, if the mean distribution of the radiological extension (17%) is taken as the dividing line, the alveolo-arterial gradient was significantly higher in patients with radiological affectation (p < 0.05) (≥ 17%). In seried Controls of both parameters taken over a two day period, one week, two weeks and one month, followed by a one-monthly control until normal levells were reached, radiological normalization took place before the gas interchange returned to normal (p < 0.01).</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">No relationship was observed between the radiological extension of the pneumonia and the tome before interval before a return to normal (r = 0.25).</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The presence of dispersed areas of inflammation and microatelectasia which could not be radiologically detected, justifies these findings and would contribute to the persistence of the alterations in gas interchange in the absence of radiological condensation.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:23 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 4 | 5 | 9 |
| 2024 October | 36 | 20 | 56 |
| 2024 September | 28 | 20 | 48 |
| 2024 August | 40 | 31 | 71 |
| 2024 July | 29 | 28 | 57 |
| 2024 June | 49 | 22 | 71 |
| 2024 May | 37 | 21 | 58 |
| 2024 April | 27 | 25 | 52 |
| 2024 March | 36 | 24 | 60 |
| 2024 February | 28 | 27 | 55 |
| 2023 December | 0 | 2 | 2 |
| 2023 November | 0 | 3 | 3 |
| 2023 October | 0 | 3 | 3 |
| 2023 September | 0 | 2 | 2 |
| 2023 August | 0 | 5 | 5 |
| 2023 July | 0 | 15 | 15 |
| 2023 June | 0 | 2 | 2 |
| 2023 March | 3 | 4 | 7 |
| 2023 February | 20 | 13 | 33 |
| 2023 January | 20 | 24 | 44 |
| 2022 December | 25 | 22 | 47 |
| 2022 November | 26 | 14 | 40 |
| 2022 October | 27 | 22 | 49 |
| 2022 September | 25 | 18 | 43 |
| 2022 August | 33 | 45 | 78 |
| 2022 July | 25 | 29 | 54 |
| 2022 June | 17 | 28 | 45 |
| 2022 May | 25 | 24 | 49 |
| 2022 April | 27 | 23 | 50 |
| 2022 March | 47 | 26 | 73 |
| 2022 February | 43 | 15 | 58 |
| 2022 January | 24 | 22 | 46 |
| 2021 December | 16 | 24 | 40 |
| 2021 November | 15 | 28 | 43 |
| 2021 October | 16 | 18 | 34 |
| 2021 September | 11 | 33 | 44 |
| 2021 August | 6 | 13 | 19 |
| 2021 July | 11 | 24 | 35 |
| 2021 June | 10 | 23 | 33 |
| 2021 May | 14 | 17 | 31 |
| 2021 April | 34 | 23 | 57 |
| 2021 March | 36 | 17 | 53 |
| 2021 February | 32 | 12 | 44 |
| 2021 January | 17 | 15 | 32 |
| 2020 December | 15 | 10 | 25 |
| 2020 November | 14 | 12 | 26 |
| 2020 October | 12 | 4 | 16 |
| 2020 September | 18 | 5 | 23 |
| 2020 August | 14 | 11 | 25 |
| 2020 July | 22 | 14 | 36 |
| 2020 June | 9 | 10 | 19 |
| 2020 May | 18 | 8 | 26 |
| 2020 April | 15 | 13 | 28 |
| 2020 March | 18 | 9 | 27 |
| 2020 February | 16 | 11 | 27 |
| 2020 January | 20 | 10 | 30 |
| 2019 December | 19 | 29 | 48 |
| 2019 November | 9 | 5 | 14 |
| 2019 October | 11 | 8 | 19 |
| 2019 September | 8 | 18 | 26 |
| 2019 August | 13 | 7 | 20 |
| 2019 July | 9 | 27 | 36 |
| 2019 June | 13 | 18 | 31 |
| 2019 May | 13 | 23 | 36 |
| 2019 April | 31 | 29 | 60 |
| 2019 March | 12 | 20 | 32 |
| 2019 February | 6 | 8 | 14 |
| 2019 January | 5 | 9 | 14 |
| 2018 December | 15 | 15 | 30 |
| 2018 November | 8 | 15 | 23 |
| 2018 October | 13 | 12 | 25 |
| 2018 September | 12 | 3 | 15 |
| 2018 May | 8 | 1 | 9 |
| 2018 April | 7 | 2 | 9 |
| 2018 March | 4 | 6 | 10 |
| 2018 February | 7 | 11 | 18 |
| 2018 January | 5 | 7 | 12 |
| 2017 December | 8 | 13 | 21 |
| 2017 November | 7 | 7 | 14 |
| 2017 October | 6 | 8 | 14 |
| 2017 September | 5 | 4 | 9 |
| 2017 August | 7 | 12 | 19 |
| 2017 July | 4 | 15 | 19 |
| 2017 June | 8 | 14 | 22 |
| 2017 May | 10 | 8 | 18 |
| 2017 April | 8 | 6 | 14 |
| 2017 March | 3 | 3 | 6 |
| 2017 February | 8 | 7 | 15 |
| 2017 January | 4 | 6 | 10 |
| 2016 December | 14 | 4 | 18 |
| 2016 November | 31 | 19 | 50 |
| 2016 October | 17 | 20 | 37 |
| 2016 September | 23 | 13 | 36 |
| 2016 August | 18 | 4 | 22 |
| 2016 July | 22 | 4 | 26 |
| 2016 June | 22 | 6 | 28 |
| 2016 May | 23 | 6 | 29 |
| 2016 April | 11 | 0 | 11 |
| 2016 March | 11 | 0 | 11 |
| 2016 February | 14 | 0 | 14 |
| 2016 January | 8 | 4 | 12 |
| 2015 December | 23 | 15 | 38 |
| 2015 November | 29 | 9 | 38 |
| 2015 October | 6 | 1 | 7 |
| 2015 September | 2 | 0 | 2 |
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