Nuestra experiencia en el tratamiento de los traumatismos toracicos
Experience in the treatment of injuries of the thorax
E. Ros die, O.I. Morales Valentin, F. Perez Benitez, R. Vara Thorbeck
Cátedra de Patología y Clínica Quirúrgicas II. Facultad de Medicina. Universidad de Granada
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Romero Candeira, E. Delgado Perez, J. Picher Nuñez, D. Ferrer Marin-Blazquez, J. Jaurena Chury, S. Garcia Rull" "autores" => array:6 [ 0 => array:2 [ "nombre" => "S." "apellidos" => "Romero Candeira" ] 1 => array:2 [ "nombre" => "E." "apellidos" => "Delgado Perez" ] 2 => array:2 [ "nombre" => "J." "apellidos" => "Picher Nuñez" ] 3 => array:2 [ "nombre" => "D." "apellidos" => "Ferrer Marin-Blazquez" ] 4 => array:2 [ "nombre" => "J." "apellidos" => "Jaurena Chury" ] 5 => array:2 [ "nombre" => "S." "apellidos" => "Garcia Rull" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615323735?idApp=UINPBA00003Z" "url" => "/03002896/0000001800000002/v1_201509151137/S0300289615323735/v1_201509151137/es/main.assets" ] "es" => array:12 [ "idiomaDefecto" => true "titulo" => "Nuestra experiencia en el tratamiento de los traumatismos toracicos" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "80" "paginaFinal" => "84" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "E. Ros die, O.I. Morales Valentin, F. Perez Benitez, R. Vara Thorbeck" "autores" => array:4 [ 0 => array:2 [ "nombre" => "E." "apellidos" => "Ros die" ] 1 => array:2 [ "nombre" => "O.I." "apellidos" => "Morales Valentin" ] 2 => array:2 [ "nombre" => "F." "apellidos" => "Perez Benitez" ] 3 => array:2 [ "nombre" => "R." "apellidos" => "Vara Thorbeck" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Cátedra de Patología y Clínica Quirúrgicas II. Facultad de Medicina. Universidad de Granada" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Experience in the treatment of injuries of the thorax" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1980-07-28" "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span id="absec0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Sobre un total de 280 traumatismos torácicos puros o asociados a otras lesiones (traumatismo abdominal, craneoencefálico, fracturas de extremidades, etc.); ingresados en nuestro servicio en los últimos 6 años, realizamos un estudio teniendo en cuenta la severidad del trauma y la repercusión que el mismo genera sobre la función respiratoria. Ello nos ha permitido agruparlos en tres apartados relacionados con el pronóstico de los enfermos. Para ello concedemos una gran importancia a la primera asistencia del traumatizado, no olvidando que lo que más ensombrece el pronóstico de estos pacientes es la asociación con traumas de otras regiones; ello nos permite aconsejar como ya preconizara Schulsinger en 1965, que la primera asistencia en estos enfermos deba de ser realizada por un equipo cualificado de cirujanos.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Consideramos de vital importancia en el pronóstico de estos enfermos los estudios gasométricos realizados en el momento del ingreso y los posteriores, así como al tratamiento de las fracturas de los miembros inferiores, preconizando para ello la osteosíntesis asociada al tratamiento profiláctico con fosfolípidos, dextrano y salicilatos de la embolia grasa.</p></span>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<span id="absec0010" class="elsevierStyleSection elsevierViewall"><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">A total of 280 patients with injuries of the thorax (either alone or with associated lesions such as abdominal traumas, craneo-encephalic injuries or fractured limbs) treated over the last 6 years, were studied. The severity of the injuries and the effect on respiratory function were taken into account for predicting the prognosis and dividing the patients into 3 groups. Prognosis is greatly influenced by injuries in toher parts of the body and early treatment of the injuries is considered of prime importance; the authors quote Schulsinger, who in 1965 counseled that first treatment of these patients should be given by a qualified team of surgeons.</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The authors consider gasometric studies on admission and thereafter as vitally important; as is treatment of fractures of the lower limbs by osteosynthesis and phrophylaxis of a fat embolus by phospholipids, ¿extrañe and salycilates.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:19 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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| 2018 January | 8 | 6 | 14 |
| 2017 December | 17 | 11 | 28 |
| 2017 November | 12 | 7 | 19 |
| 2017 October | 10 | 10 | 20 |
| 2017 September | 18 | 8 | 26 |
| 2017 August | 18 | 12 | 30 |
| 2017 July | 10 | 4 | 14 |
| 2017 June | 16 | 11 | 27 |
| 2017 May | 24 | 14 | 38 |
| 2017 April | 8 | 4 | 12 |
| 2017 March | 7 | 8 | 15 |
| 2017 February | 9 | 10 | 19 |
| 2017 January | 8 | 6 | 14 |
| 2016 December | 21 | 8 | 29 |
| 2016 November | 42 | 21 | 63 |
| 2016 October | 45 | 18 | 63 |
| 2016 September | 30 | 9 | 39 |
| 2016 August | 19 | 7 | 26 |
| 2016 July | 26 | 4 | 30 |
| 2016 June | 20 | 8 | 28 |
| 2016 May | 21 | 7 | 28 |
| 2016 April | 12 | 0 | 12 |
| 2016 March | 11 | 0 | 11 |
| 2016 February | 9 | 1 | 10 |
| 2016 January | 25 | 10 | 35 |
| 2015 December | 21 | 10 | 31 |
| 2015 November | 39 | 8 | 47 |
| 2015 October | 4 | 1 | 5 |
| 2015 September | 1 | 0 | 1 |
Show all
