Hemoptisis masiva en mineros del carbon
Massive hemoptysis in goal miners
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González Bazús, J.A. Muñoz Martínez, J.A. Mosquera Pestaña" "autores" => array:3 [ 0 => array:3 [ "nombre" => "T." "apellidos" => "González Bazús" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] ] 1 => array:3 [ "nombre" => "J.A." "apellidos" => "Muñoz Martínez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "J.A." "apellidos" => "Mosquera Pestaña" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">***</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Médico Residente. Instituto Nacional Je Silicosis. Oviedo" "etiqueta" => "*" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Jefe Clínico de Neumología. Instituto Nacional Je Silicosis. Oviedo" "etiqueta" => "**" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Jefe del Servicio de Neumología. Instituto Nacional Je Silicosis. Oviedo" "etiqueta" => "***" "identificador" => "aff0015" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Massive hemoptysis in goal miners" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1978-02-03" "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Entre los 30225 mineros del carbón encontramos 12 pacientes con hemoptisis masiva (más de 600<span class="elsevierStyleHsp" style=""></span>c.c./24 horas). Todos ellos varones de una edad de 52,81 años ± 12,04. 9 tenían neumoconiosis complicada y 3 no padecían neumoconiosis. El VEMS era de 1.721<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>811<span class="elsevierStyleHsp" style=""></span>c.c. Los gases en sangre arterial en el momento de la hemoptisis etan: Pa O<span class="elsevierStyleInf">2</span> 63.09<span class="elsevierStyleHsp" style=""></span>mm de Hg. ± 8,85. Pa CO<span class="elsevierStyleInf">2</span> 39,72<span class="elsevierStyleHsp" style=""></span>mm. de Hg. ± 7,2 pH 7,41<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>0,058. 5 Pacienleslpresentaron shock.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">La hemorragia pulmonar masiva ocurría en el 0,04% de la totalidad de los mineros estudiados. La etiología más frecuente fue la tuberculosis pulmonar que acontecía en 8 casos. (1,4% de los 564 tuberculosos bacteriológicamente probados). Las restantes causas: 1 micetoma, 1 estenosis mitral, 1 coagulopatia por insuficiencia hepatocelular grave y 1 neumonía necrotizante por bacteroides. La tuberculosis es, por tanto, la causa más frecuente de hemoptisis masiva (35 veces más frecuente en los tuberculosos que en los restantes mineros vistos en nuestro Centro.)</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La decisión terapéutica fue quirúrgica en tres casos, dos de los cuales viven en la actualidad (mortalidad 33%). En los 9 pacientes restantes el tratamiento fue médico, sobreviviendo 2 de ellos (mortalidad 87, 5%).</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">A la vista de estos datos, deducimos que la etiología, tratamiento y mortalidad de la hemoptisis masiva en mineros del carbón son equiparables a los publicados en poblaciones no mineras.</p></span>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Out ol a group of 30,225 coal miners the authors lound 12 patients with massive hemoptysis (more i han 600 cc./24 hours). All of them were male with an age of 52.81 years + 12.04. Nine suffered trom complex pnetiinoconiosis and three did not llave pnenmoconiosis. The VEMS were ol 1,721<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>811 ce. Gases in arterial blood at the time of hemoptysis were: PaO<span class="elsevierStyleInf">2</span> 63.09 mmHg. + 8.85. PaCO<span class="elsevierStyleInf">2</span> 39.72<span class="elsevierStyleHsp" style=""></span>mmHg<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>7.2. pH 7.41<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>0.058. Five patients presented</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">shock.</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Massive pulmonary hemorrhage occurred in 0.04% of the totality of the miners studied. The most freqnent etiology was pulmonary tuberculosis which happened in 8 cases. (1.4% of the 564 sujects with tuberculosis bacteriologically proved). The remaining causes were: 1 myeetoma, 1 mitral stenosis, 1 coagulopathv by grave hepatocellular insufficency and l necrotizing pneumemia by bacteroids. Tuberculosis is, therefore, the most frequent cause of massive hemoptysis (35 times more frequent for tubercular subjects than for tlte rest of the miners visited in the authors’ Center). The therapeutical decision vvas surgical in three cases, two of these patients eurrently 11 ve (mortality 33%). For the remaining 9 patients, the treatment was medical, tvvo of them survive (mortality 87,5%).</p><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Taking these data into account, the authors deduce that the etiology, treatment and mortality of massive hemoptysis in coal miners are comparable lo those published for nonmining populations.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:18 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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| 2022 September | 27 | 28 | 55 |
| 2022 August | 29 | 48 | 77 |
| 2022 July | 23 | 36 | 59 |
| 2022 June | 24 | 38 | 62 |
| 2022 May | 26 | 22 | 48 |
| 2022 April | 24 | 27 | 51 |
| 2022 March | 31 | 38 | 69 |
| 2022 February | 27 | 24 | 51 |
| 2022 January | 40 | 30 | 70 |
| 2021 December | 12 | 30 | 42 |
| 2021 November | 20 | 36 | 56 |
| 2021 October | 19 | 26 | 45 |
| 2021 September | 12 | 29 | 41 |
| 2021 August | 7 | 27 | 34 |
| 2021 July | 10 | 20 | 30 |
| 2021 June | 19 | 27 | 46 |
| 2021 May | 19 | 21 | 40 |
| 2021 April | 62 | 48 | 110 |
| 2021 March | 44 | 10 | 54 |
| 2021 February | 28 | 12 | 40 |
| 2021 January | 20 | 8 | 28 |
| 2020 December | 18 | 13 | 31 |
| 2020 November | 7 | 11 | 18 |
| 2020 October | 25 | 10 | 35 |
| 2020 September | 15 | 12 | 27 |
| 2020 August | 24 | 8 | 32 |
| 2020 July | 24 | 12 | 36 |
| 2020 June | 22 | 9 | 31 |
| 2020 May | 15 | 16 | 31 |
| 2020 April | 12 | 4 | 16 |
| 2020 March | 13 | 18 | 31 |
| 2020 February | 8 | 12 | 20 |
| 2020 January | 16 | 15 | 31 |
| 2019 December | 20 | 23 | 43 |
| 2019 November | 7 | 10 | 17 |
| 2019 October | 12 | 7 | 19 |
| 2019 September | 11 | 20 | 31 |
| 2019 August | 2 | 9 | 11 |
| 2019 July | 5 | 19 | 24 |
| 2019 June | 8 | 30 | 38 |
| 2019 May | 11 | 14 | 25 |
| 2019 April | 43 | 26 | 69 |
| 2019 March | 8 | 13 | 21 |
| 2019 February | 4 | 2 | 6 |
| 2019 January | 1 | 4 | 5 |
| 2018 December | 5 | 15 | 20 |
| 2018 November | 11 | 10 | 21 |
| 2018 October | 11 | 13 | 24 |
| 2018 September | 5 | 7 | 12 |
| 2018 May | 10 | 0 | 10 |
| 2018 April | 6 | 3 | 9 |
| 2018 March | 10 | 4 | 14 |
| 2018 February | 6 | 6 | 12 |
| 2018 January | 5 | 5 | 10 |
| 2017 December | 4 | 11 | 15 |
| 2017 November | 6 | 8 | 14 |
| 2017 October | 5 | 7 | 12 |
| 2017 September | 8 | 5 | 13 |
| 2017 August | 13 | 17 | 30 |
| 2017 July | 6 | 5 | 11 |
| 2017 June | 13 | 14 | 27 |
| 2017 May | 17 | 12 | 29 |
| 2017 April | 4 | 3 | 7 |
| 2017 March | 9 | 5 | 14 |
| 2017 February | 6 | 8 | 14 |
| 2017 January | 3 | 3 | 6 |
| 2016 December | 13 | 7 | 20 |
| 2016 November | 16 | 10 | 26 |
| 2016 October | 15 | 14 | 29 |
| 2016 September | 11 | 10 | 21 |
| 2016 August | 15 | 7 | 22 |
| 2016 July | 18 | 2 | 20 |
| 2016 June | 23 | 10 | 33 |
| 2016 May | 14 | 2 | 16 |
| 2016 April | 6 | 0 | 6 |
| 2016 March | 13 | 0 | 13 |
| 2016 February | 10 | 2 | 12 |
| 2016 January | 16 | 9 | 25 |
| 2015 December | 21 | 17 | 38 |
| 2015 November | 25 | 7 | 32 |
| 2015 October | 3 | 1 | 4 |
| 2015 September | 1 | 0 | 1 |
Show all
