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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Durante el per&#237;odo de tiempo transcurrido entre 1970 y 1977 de los 30&#46;669 mineros ingresados en el Instituto Nacional de Silicosis&#44; se diagnosticaron 167 neumot&#243;rax espont&#225;neos&#46; La prevalencia registrada de neumot&#243;rax fue de 554&#47;100&#46;000&#59; siendo para los que padec&#237;an neumoconiosis complicada de 3&#46;135&#47;100&#46;000&#44; aproximadamente 24 veces m&#225;s que la obtenida en los mineros sin neumoconiosis o con neumoconiosis simple&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">De los 167 neumot&#243;rax se eligieron 100 para realizar un estudio prospectivo&#44; valorando posibles diferencias significativas en edad&#44; incidencia&#44; etiolog&#237;a&#44; cl&#237;nica&#44; radiolog&#237;a&#44; recidivas&#44; tratamiento y complicaciones&#46; El colectivo&#44; se dividi&#243; en tres grupos&#58; Grupo I &#40;18 pacientes sin neumoconiosis&#41;&#44; Grupo II &#40;7 pacientes con neumoconiosis simple&#41;&#44; Grupo III &#40;75 con neumoconiosis complicada&#41;&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">El factor etiol&#243;gico m&#225;s importante era para el grupo con fibrosis masiva la presencia de bullas &#40;P &#60; 0&#44;05&#41; y en el grupo sin neumoconiosis la hiperclaridad pulmonar con disminuci&#243;n de vasculatura &#40;P &#60; 0&#44;05&#41;&#46;</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Los hallazgos cl&#237;nicos y exploratorios no difer&#237;an con los datos hallados en la poblaci&#243;n general&#46; El 86&#37; de los pacientes eran tratados con drenaje pleural&#44; necesit&#225;ndose 15&#44;65 &#177; 17&#44;62 d&#237;as para su resoluci&#243;n&#46; La mortalidad era de 2&#44;3&#37; y la complicaci&#243;n m&#225;s frecuente fue el enfisema subcut&#225;neo que ocurri&#243; en el 27&#44;7&#37;&#46;</p></span>"
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        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">From the period from 1970 to 1977&#44; of the 30&#44;669 miners admitted to the National Institute for Silicosis&#44; 167 were diagnozed as having spontaneous pneumothorax&#46; The registered prevalence of pneumothorax was of 554&#47;100000&#46; For those patients suffering from complicated pneumocon iosis the resitered prevalence was of 3135&#47;100000&#44; approximately 24 times greater than that obtained for miners with simple pneumoconiosis or with out pneumoconiosis&#46;</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">From the 167 cases of penumothorax the authors chose 100 for carrying out a prospective study&#44; evaluating possible significant differences in age&#44; incidence&#44; etiology&#44; clinical picture&#44; radiology&#44; relapses&#44; treatment and complications&#46; These 100 cases were divided into three groups&#58; Group I &#40;18 patients without pneumoconiosis&#41;&#44; Group II &#40;7 patients with simple pneumoconiosis&#41;&#44; and Group III &#40;75 with complicated pneumoconiosis&#41;&#46;</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The most important etiological factor for the group with massive silicosis was the presence of bullae &#40;P &#60; 0&#46;05&#41;&#59; a n d for the group without pneumoconiosis&#44; was pulmonary hyperclarity with decrease of vasculature &#40;P &#60; 0&#46;05&#41;&#46;</p><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">The clinical and exploratory findings did not differ from the data found in the general population&#46; Eighty-six per cent of the patients were treated with pleural drainage&#44; and required 15&#46;65 &#177; 17&#46;62 days for resolution&#46; Mortality was of 2&#46;3&#37; and the most frequent complication was subcutaneous emphysema which occurred in 24&#46;6&#37;&#46;</p></span>"
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Neumotorax en la mineria del carbon
Pneumothorax in coalminers
J. Antonio Garrido García*, M. Angel Cabezudo Hernández**, E. Fernández Bustillo***
* Médico Residente de Neumología. Servicio de Neumología. Instituto Nacional de Silicosis. Oviedo
** Jefe Clínico del Servicio de Neumología. Servicio de Neumología. Instituto Nacional de Silicosis. Oviedo
*** Jefe del Laboratorio Técnico. Servicio de Neumología. Instituto Nacional de Silicosis. Oviedo
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Article information
ISSN: 03002896
Original language: Spanish
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Archivos de Bronconeumología

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