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Martín Escribano, J. Palomera Frade, C. Barbosa Atúcar, J. Díaz de Atauri" "autores" => array:4 [ 0 => array:2 [ "nombre" => "P." "apellidos" => "Martín Escribano" ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Palomera Frade" ] 2 => array:2 [ "nombre" => "C." "apellidos" => "Barbosa Atúcar" ] 3 => array:2 [ "nombre" => "J." "apellidos" => "Díaz de Atauri" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615324881?idApp=UINPBA00003Z" "url" => "/03002896/0000001600000002/v1_201509151253/S0300289615324881/v1_201509151253/es/main.assets" ] "es" => array:12 [ "idiomaDefecto" => true "titulo" => "Neumotorax en la mineria del carbon" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "51" "paginaFinal" => "53" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "J. Antonio Garrido García, M. Angel Cabezudo Hernández, E. Fernández Bustillo" "autores" => array:3 [ 0 => array:3 [ "nombre" => "J." "apellidos" => "Antonio Garrido García" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] ] 1 => array:3 [ "nombre" => "M." "apellidos" => "Angel Cabezudo Hernández" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "E." "apellidos" => "Fernández Bustillo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">***</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Médico Residente de Neumología. Servicio de Neumología. Instituto Nacional de Silicosis. Oviedo" "etiqueta" => "*" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Jefe Clínico del Servicio de Neumología. Servicio de Neumología. Instituto Nacional de Silicosis. Oviedo" "etiqueta" => "**" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Jefe del Laboratorio Técnico. Servicio de Neumología. Instituto Nacional de Silicosis. Oviedo" "etiqueta" => "***" "identificador" => "aff0015" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Pneumothorax in coalminers" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1979-09-14" "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Durante el período de tiempo transcurrido entre 1970 y 1977 de los 30.669 mineros ingresados en el Instituto Nacional de Silicosis, se diagnosticaron 167 neumotórax espontáneos. La prevalencia registrada de neumotórax fue de 554/100.000; siendo para los que padecían neumoconiosis complicada de 3.135/100.000, aproximadamente 24 veces más que la obtenida en los mineros sin neumoconiosis o con neumoconiosis simple.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">De los 167 neumotórax se eligieron 100 para realizar un estudio prospectivo, valorando posibles diferencias significativas en edad, incidencia, etiología, clínica, radiología, recidivas, tratamiento y complicaciones. El colectivo, se dividió en tres grupos: Grupo I (18 pacientes sin neumoconiosis), Grupo II (7 pacientes con neumoconiosis simple), Grupo III (75 con neumoconiosis complicada).</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">El factor etiológico más importante era para el grupo con fibrosis masiva la presencia de bullas (P < 0,05) y en el grupo sin neumoconiosis la hiperclaridad pulmonar con disminución de vasculatura (P < 0,05).</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Los hallazgos clínicos y exploratorios no diferían con los datos hallados en la población general. El 86% de los pacientes eran tratados con drenaje pleural, necesitándose 15,65 ± 17,62 días para su resolución. La mortalidad era de 2,3% y la complicación más frecuente fue el enfisema subcutáneo que ocurrió en el 27,7%.</p></span>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">From the period from 1970 to 1977, of the 30,669 miners admitted to the National Institute for Silicosis, 167 were diagnozed as having spontaneous pneumothorax. The registered prevalence of pneumothorax was of 554/100000. For those patients suffering from complicated pneumocon iosis the resitered prevalence was of 3135/100000, approximately 24 times greater than that obtained for miners with simple pneumoconiosis or with out pneumoconiosis.</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">From the 167 cases of penumothorax the authors chose 100 for carrying out a prospective study, evaluating possible significant differences in age, incidence, etiology, clinical picture, radiology, relapses, treatment and complications. These 100 cases were divided into three groups: Group I (18 patients without pneumoconiosis), Group II (7 patients with simple pneumoconiosis), and Group III (75 with complicated pneumoconiosis).</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The most important etiological factor for the group with massive silicosis was the presence of bullae (P < 0.05); a n d for the group without pneumoconiosis, was pulmonary hyperclarity with decrease of vasculature (P < 0.05).</p><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">The clinical and exploratory findings did not differ from the data found in the general population. Eighty-six per cent of the patients were treated with pleural drainage, and required 15.65 ± 17.62 days for resolution. Mortality was of 2.3% and the most frequent complication was subcutaneous emphysema which occurred in 24.6%.</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." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:1 [ "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "W.R. Parkes" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:3 [ "fecha" => "1974" "editorial" => "Butterworth and Co. (Publishers) Ltd" "editorialLocalizacion" => "Londres" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2." 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