Volumenes pulmonares y gasometria arterial en el enfisema pulmonar
Pulmonary volumes and arterial gasometry in pulmonary emphysema
J. Martínez González del Río, J. Pérez Guerrero, F. Lahoz Navarro, A. Sastre Castillo, F. Marín Núñez, E. Alvarez Cuesta, A. López Encuentra, M. Lorenzo Cruz
Departamento de Alergologia y Terapéutica Respiratoria. Fundación Jiménez Díaz. Madrid
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Castillo Gómez, C. Rey Romero, J. Rey Pérez, M. Díaz Fernández, J. López Mejías, F. Andreu Kern" "autores" => array:6 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Castillo Gómez" ] 1 => array:2 [ "nombre" => "C." "apellidos" => "Rey Romero" ] 2 => array:2 [ "nombre" => "J." "apellidos" => "Rey Pérez" ] 3 => array:2 [ "nombre" => "M." "apellidos" => "Díaz Fernández" ] 4 => array:2 [ "nombre" => "J." "apellidos" => "López Mejías" ] 5 => array:2 [ "nombre" => "F." "apellidos" => "Andreu Kern" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615327678?idApp=UINPBA00003Z" "url" => "/03002896/0000001100000004/v1_201509151309/S0300289615327678/v1_201509151309/es/main.assets" ] "es" => array:11 [ "idiomaDefecto" => true "titulo" => "Volumenes pulmonares y gasometria arterial en el enfisema pulmonar" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "128" "paginaFinal" => "133" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "J. Martínez González del Río, J. Pérez Guerrero, F. Lahoz Navarro, A. Sastre Castillo, F. Marín Núñez, E. Alvarez Cuesta, A. López Encuentra, M. Lorenzo Cruz" "autores" => array:8 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Martínez González del Río" ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Pérez Guerrero" ] 2 => array:2 [ "nombre" => "F." "apellidos" => "Lahoz Navarro" ] 3 => array:2 [ "nombre" => "A." "apellidos" => "Sastre Castillo" ] 4 => array:2 [ "nombre" => "F." "apellidos" => "Marín Núñez" ] 5 => array:2 [ "nombre" => "E." "apellidos" => "Alvarez Cuesta" ] 6 => array:2 [ "nombre" => "A." "apellidos" => "López Encuentra" ] 7 => array:2 [ "nombre" => "M." "apellidos" => "Lorenzo Cruz" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Departamento de Alergologia y Terapéutica Respiratoria. Fundación Jiménez Díaz. Madrid" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Pulmonary volumes and arterial gasometry in pulmonary emphysema" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen y conclusiones" "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Hemos analizado 36 enfermos de enfisema clínico, de los cuales 14 eran puros (tipo A) y 22 tenían bronquitis asociada (tipo A + B).</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">De las diferentes determinaciones practicadas, resaltamos las siguientes conclusiones.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">1. Acusada obstrucción bronquial con insuflación pulmonar intensa, sin diferencia significativa entre ambos grupos con descenso de la C.V. al 70%.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">2. Muy escasa reversibilidad de la obstrucción bronquial tras la inhalación de broncolíticos, algo más mani los casos, discretamente mayor en el grupo A + B.</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">3. Moderada hipoxernia en todos fiesta en el groupo A + B.</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">4. Objetivamente hipercapnia significativa (PaCO<span class="elsevierStyleInf">2</span>< 50<span class="elsevierStyleHsp" style=""></span>mm de Hg) en el 30% de nuestra casuística, siendo más frecuente en el grupo A + B.</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">5. Con excepción de un caso, todos nuestros enfermos presentaban un <span class="elsevierStyleItalic">p</span>H normal o ligeramente elevado, sin diferencias entre ambos grupos.</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">6. Tras el esfuerzo: 1) PaO<span class="elsevierStyleInf">2</span> ascendió en más de la mitad de los enfermos de ambos grupos; 2) PaCO<span class="elsevierStyleInf">2</span> se incrementó con mayor frecuencia e intensidad en el tipo A + B; 3) En la tercera parte de nuestra casuística se elevan simultáneamente ambos parámetros gasométricos.</p></span>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">The authors have analyzed 3 5 patients with clinical emphysema; 14 with pure emphysema (tipe A) and 22 with associated bronchitis (type A+B).</p><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Of the different determinations carried out, the authors emphasize the following conclusions.</p><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">1. Accused bronchial obstruction with intense pulmonary insufflation, with no significant difference be- tween both groups and with decrease of the Vital Capacity to 70%.</p><p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">2. Very scarce reversibility of the bronchial obstruction after inhalation of broncholithics, somewhat more manifest in the group A + B.</p><p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">3. Moderate hypoxemia in all the cases, discreetly greater in the group A+B.</p><p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">4. The authors found significant hypercapnia (PaCO<span class="elsevierStyleInf">2</span> 50<span class="elsevierStyleHsp" style=""></span>mm g) in 30% of their cases, being more frequent in the group A+B.</p><p id="spar0075" class="elsevierStyleSimplePara elsevierViewall">5. With the exception ofone case, all the patients had a normal or slightiy elevated <span class="elsevierStyleItalic">p</span>H, with no differences between both groups.</p><p id="spar0080" class="elsevierStyleSimplePara elsevierViewall">6. After effort: 1) PaO<span class="elsevierStyleInf">2</span> increased in more than half of the patients of both groups; 2) PaCO<span class="elsevierStyleInf">2</span> increased with greater frequency and intensity in the type A+B; 3) In one third of the cases both gasometric parameters were elevated simultaneouisy.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:42 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 4 | 3 | 7 |
| 2024 October | 34 | 18 | 52 |
| 2024 September | 30 | 26 | 56 |
| 2024 August | 52 | 31 | 83 |
| 2024 July | 26 | 36 | 62 |
| 2024 June | 42 | 17 | 59 |
| 2024 May | 56 | 31 | 87 |
| 2024 April | 40 | 36 | 76 |
| 2024 March | 36 | 35 | 71 |
| 2024 February | 23 | 58 | 81 |
| 2024 January | 0 | 12 | 12 |
| 2023 December | 0 | 5 | 5 |
| 2023 November | 0 | 22 | 22 |
| 2023 October | 0 | 12 | 12 |
| 2023 September | 0 | 6 | 6 |
| 2023 August | 0 | 4 | 4 |
| 2023 July | 0 | 12 | 12 |
| 2023 June | 0 | 3 | 3 |
| 2023 May | 0 | 2 | 2 |
| 2023 April | 0 | 1 | 1 |
| 2023 March | 3 | 5 | 8 |
| 2023 February | 20 | 26 | 46 |
| 2023 January | 28 | 29 | 57 |
| 2022 December | 20 | 22 | 42 |
| 2022 November | 26 | 23 | 49 |
| 2022 October | 35 | 68 | 103 |
| 2022 September | 17 | 59 | 76 |
| 2022 August | 30 | 49 | 79 |
| 2022 July | 17 | 35 | 52 |
| 2022 June | 22 | 46 | 68 |
| 2022 May | 24 | 45 | 69 |
| 2022 April | 28 | 35 | 63 |
| 2022 March | 39 | 51 | 90 |
| 2022 February | 26 | 38 | 64 |
| 2022 January | 28 | 43 | 71 |
| 2021 December | 18 | 56 | 74 |
| 2021 November | 15 | 49 | 64 |
| 2021 October | 20 | 83 | 103 |
| 2021 September | 19 | 71 | 90 |
| 2021 August | 6 | 44 | 50 |
| 2021 July | 10 | 51 | 61 |
| 2021 June | 14 | 85 | 99 |
| 2021 May | 15 | 65 | 80 |
| 2021 April | 20 | 136 | 156 |
| 2021 March | 24 | 112 | 136 |
| 2021 February | 21 | 27 | 48 |
| 2021 January | 16 | 49 | 65 |
| 2020 December | 22 | 44 | 66 |
| 2020 November | 9 | 72 | 81 |
| 2020 October | 18 | 70 | 88 |
| 2020 September | 8 | 58 | 66 |
| 2020 August | 15 | 51 | 66 |
| 2020 July | 19 | 37 | 56 |
| 2020 June | 9 | 36 | 45 |
| 2020 May | 9 | 73 | 82 |
| 2020 April | 16 | 53 | 69 |
| 2020 March | 9 | 65 | 74 |
| 2020 February | 13 | 60 | 73 |
| 2020 January | 32 | 54 | 86 |
| 2019 December | 26 | 56 | 82 |
| 2019 November | 14 | 50 | 64 |
| 2019 October | 13 | 74 | 87 |
| 2019 September | 4 | 61 | 65 |
| 2019 August | 24 | 48 | 72 |
| 2019 July | 14 | 62 | 76 |
| 2019 June | 29 | 61 | 90 |
| 2019 May | 29 | 59 | 88 |
| 2019 April | 34 | 57 | 91 |
| 2019 March | 13 | 36 | 49 |
| 2019 February | 9 | 18 | 27 |
| 2019 January | 5 | 17 | 22 |
| 2018 December | 7 | 17 | 24 |
| 2018 November | 19 | 40 | 59 |
| 2018 October | 23 | 32 | 55 |
| 2018 September | 11 | 11 | 22 |
| 2018 May | 7 | 2 | 9 |
| 2018 April | 4 | 4 | 8 |
| 2018 March | 12 | 9 | 21 |
| 2018 February | 7 | 14 | 21 |
| 2018 January | 3 | 6 | 9 |
| 2017 December | 6 | 16 | 22 |
| 2017 November | 10 | 27 | 37 |
| 2017 October | 5 | 13 | 18 |
| 2017 September | 5 | 21 | 26 |
| 2017 August | 9 | 18 | 27 |
| 2017 July | 3 | 22 | 25 |
| 2017 June | 18 | 23 | 41 |
| 2017 May | 15 | 31 | 46 |
| 2017 April | 7 | 23 | 30 |
| 2017 March | 9 | 43 | 52 |
| 2017 February | 7 | 18 | 25 |
| 2017 January | 4 | 9 | 13 |
| 2016 December | 13 | 13 | 26 |
| 2016 November | 20 | 24 | 44 |
| 2016 October | 19 | 17 | 36 |
| 2016 September | 28 | 21 | 49 |
| 2016 August | 21 | 5 | 26 |
| 2016 July | 28 | 6 | 34 |
| 2016 June | 25 | 11 | 36 |
| 2016 May | 32 | 8 | 40 |
| 2016 April | 26 | 0 | 26 |
| 2016 March | 14 | 0 | 14 |
| 2016 February | 15 | 0 | 15 |
| 2016 January | 31 | 5 | 36 |
| 2015 December | 16 | 13 | 29 |
| 2015 November | 24 | 6 | 30 |
| 2015 October | 5 | 1 | 6 |
Show all
