Alteraciones gasometricas en el neumotorax
Gasometric alterations in pneumothorax
R.J. Ginestal Gómez, F. Diez Prieto, A. Valverde Conde, A. Hernando Lorenzo, C. Gaude Cazaña, F. Lozano Montón
Ciudad Sanitaria de la S.S. «l.° de Octubre» Departamento de Medicina Intensiva (Prof. G. Schoendorff Marín) Facultad de Medicina. Universidad Complutense. Madrid
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Montemayor Rubio, J. Castillo Gómez, M. Diaz Fernández, E. Rodríguez Becerra, P. Ramis Bisellach, J. López Mejías" "autores" => array:6 [ 0 => array:2 [ "nombre" => "F." "apellidos" => "Montemayor Rubio" ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Castillo Gómez" ] 2 => array:2 [ "nombre" => "M." "apellidos" => "Diaz Fernández" ] 3 => array:2 [ "nombre" => "E." "apellidos" => "Rodríguez Becerra" ] 4 => array:2 [ "nombre" => "P." "apellidos" => "Ramis Bisellach" ] 5 => array:2 [ "nombre" => "J." "apellidos" => "López Mejías" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615326995?idApp=UINPBA00003Z" "url" => "/03002896/0000001300000001/v1_201509151304/S0300289615326995/v1_201509151304/es/main.assets" ] "es" => array:11 [ "idiomaDefecto" => true "titulo" => "Alteraciones gasometricas en el neumotorax" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "27" "paginaFinal" => "30" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "R.J. Ginestal Gómez, F. Diez Prieto, A. Valverde Conde, A. Hernando Lorenzo, C. Gaude Cazaña, F. Lozano Montón" "autores" => array:6 [ 0 => array:2 [ "nombre" => "R.J." "apellidos" => "Ginestal Gómez" ] 1 => array:2 [ "nombre" => "F." "apellidos" => "Diez Prieto" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "Valverde Conde" ] 3 => array:2 [ "nombre" => "A." "apellidos" => "Hernando Lorenzo" ] 4 => array:2 [ "nombre" => "C." "apellidos" => "Gaude Cazaña" ] 5 => array:2 [ "nombre" => "F." "apellidos" => "Lozano Montón" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Ciudad Sanitaria de la S.S. «l.° de Octubre» Departamento de Medicina Intensiva (Prof. G. Schoendorff Marín) Facultad de Medicina. Universidad Complutense. Madrid" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Gasometric alterations in pneumothorax" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Los autores estudian estadísticamente, mediante el empleo de la t dependiente, las modificaciones conseguidas en el pH, presión parcial de anhídrido carbónico, Exceso de Bases, presión parcial de oxígeno arterial y gradiente alvéolo-arterial de oxígeno, tras la reexpansión terapéutica del pulmón, en una serie de enfermos afectos de neumotorax, respecto a los valores gasométricos previos. No se encontraron variaciones en los parámetros ácido-base ni en la presión arterial de anhídrido carbónico, pero mejoró la oxigenación arterial en los neumotorax de etiología traumática y yatrogénica, alcanzando significación estadística en ambos grupos. El gradiente alvéolo-arterial de oxígeno disminuyó de un modo estadísticamente significativo en todos los grupos, salvo en el portador de bronconeumopatía grave subyacente.</p></span>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">The authors study statiscally, using the dependent, the modifícations obtained in the pH, partial pressure of carbonic anhydride, excess of bases, partial pressure of arterial oxygen and alveolo-arterial gradient of oxygen, after the therapeutic reexpansion of the lung, in a series of patients suffering from pneumothorax, with respect to the previous gasometric valúes. Neither variations in the acidbase parameters ñor in the arterial pressure of carbonic anhydride were found, but the arterial oxygenation in the pneumothorax of traumatic and iatrogenic etiologies improved, both groups reaching statistical significance. The alveolo-arterial gradient of oxygen decreased in all groups, except for the carrier of an underlying grave bronchopneumopathy, in a statiscally significant way.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:10 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Respiratory function in disease" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "J.C. Meakins" 1 => "H.W. Davies" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:3 [ "fecha" => "1925" "editorial" => "Oliver & Boyd" "editorialLocalizacion" => "Edinburg" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The efiect of unilateral spontaneous pneumothorax on the circulation in man" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "H.J. Stewart" 1 => "R.L. Bailey Jr." ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1172/JCI101135" "Revista" => array:5 [ "tituloSerie" => "J. Clin Invest." "fecha" => "1940" "volumen" => "19" "paginaInicial" => "321" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16694749" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Cardiac output following artificial pneumothorax in man" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "D.W. Richards" 1 => "C.B. Jr. riley" 2 => "M. Hiscock" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:4 [ "tituloSerie" => "Arch. intern. Med." "fecha" => "1932" "volumen" => "49" "paginaInicial" => "994" ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Respiratory gas exchange in patients with spontaneous pneumothorax" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "R.M. Norris" 1 => "J.G. Jones" 2 => "J.M. Bishop" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Thorax." "fecha" => "1968" "volumen" => "23" "paginaInicial" => "427" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5664705" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pulmonary function in patients who have recovered from spontaneous pneumothorax" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "M.H. Williams Jr." 1 => "C. Kane" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Dis. Chest" "fecha" => "1965" "volumen" => "47" "paginaInicial" => "153" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14261186" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0030" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The reduction of respiratory function by parenchymal and pleural lesions. A bronchospirometric study of patients with unilateral involvement" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "V. Autio" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Acta Tuberc Scand." "fecha" => "1959" "volumen" => "37" "paginaInicial" => "112" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/13795209" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0035" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Ginestal Gomez, R.J., Lozano Monton, F., Gaude Caza, C, Rodri-Guez Garcia, J. Diez Prieto, F. Valverde Conde, A. y Hernando Lorenzo, A. Revisión de 60 casos de neumotorax tratados en una Unidad de Cuidados Intensivos respiratorios. Arch. Bronconeumol. Pendiente de publicación." ] ] ] 7 => array:3 [ "identificador" => "bib0040" "etiqueta" => "8." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Una sistemática de aproximación fisiopatológica al síndrome de insuficiencia respiratoria postraumática" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "R.J. Ginestal gomez" 1 => "F. Lozano monton" 2 => "F. Diaz prieto" 3 => "R. Lesmes gomez" 4 => "A. Hernando lorenzo" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:2 [ "tituloSerie" => "Rev. Quirur. Esp. Julio-Agosto" "fecha" => "1976" ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib0045" "etiqueta" => "9." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pulmonary function before and after segmental resection and after «ideal» pneumotborax treatment" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "H.A. Fleming" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Brit. Med. J." "fecha" => "1957" "volumen" => "1" "paginaInicial" => "485" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/427415" "web" => "Medline" ] ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib0050" "etiqueta" => "10." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Efiect of induced pneumothorax on the pulmonary shunt and the ventilation in a patient with atelectasis of the lung" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "E. Berglund" 1 => "B. Simonsson" 2 => "G. Birath" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Am. J. Med." "fecha" => "1961" "volumen" => "31" "paginaInicial" => "959" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/13867724" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/03002896/0000001300000001/v1_201509151304/S0300289615327009/v1_201509151304/es/main.assets" "Apartado" => array:4 [ "identificador" => "9277" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Originales" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000001300000001/v1_201509151304/S0300289615327009/v1_201509151304/es/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615327009?idApp=UINPBA00003Z" ]
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