Empiema post-neumonectomia: Su tratamiento
Post-pneumonectomy empyema: Its treatment
F. Serrano Muñoz, A. Alix Trueba, J.L. Fernández Bermúdez, A. Cueto
Fundación Jiménez Díaz. Madrid
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Lozano, M. Gobernado, V. Bonora, M. Santos, J.L. Sanchis, N. Diosdado, J. Báguena" "autores" => array:7 [ 0 => array:2 [ "nombre" => "C." "apellidos" => "Lozano" ] 1 => array:2 [ "nombre" => "M." "apellidos" => "Gobernado" ] 2 => array:2 [ "nombre" => "V." "apellidos" => "Bonora" ] 3 => array:2 [ "nombre" => "M." "apellidos" => "Santos" ] 4 => array:2 [ "nombre" => "J.L." "apellidos" => "Sanchis" ] 5 => array:2 [ "nombre" => "N." "apellidos" => "Diosdado" ] 6 => array:2 [ "nombre" => "J." "apellidos" => "Báguena" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615327691?idApp=UINPBA00003Z" "url" => "/03002896/0000001100000004/v1_201509151309/S0300289615327691/v1_201509151309/es/main.assets" ] "es" => array:11 [ "idiomaDefecto" => true "titulo" => "Empiema post-neumonectomia: Su tratamiento" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "137" "paginaFinal" => "141" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "F. Serrano Muñoz, A. Alix Trueba, J.L. Fernández Bermúdez, A. Cueto" "autores" => array:4 [ 0 => array:2 [ "nombre" => "F." "apellidos" => "Serrano Muñoz" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Alix Trueba" ] 2 => array:2 [ "nombre" => "J.L." "apellidos" => "Fernández Bermúdez" ] 3 => array:2 [ "nombre" => "A." "apellidos" => "Cueto" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Fundación Jiménez Díaz. Madrid" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Post-pneumonectomy empyema: Its treatment" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se discute mucho el tratamiento del empiema postneumonectomía, complicación muy seria dentro de la cirugía torácica.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La infección pleural postneumonectomia es poco frecuente y variable el momento de su aparición. Se puede presentar en el postoperatorio inmediato o varios meses o años después de la operación.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Una vez diagnosticado, existe acuerdo unánime en el tratamiento inmediato del empiema postneumonectomía, que consiste en la colocación de un tubo de drenaje, con la finalidad de des-ntoxicar al enfermo. No sucede lo mismo con el tratamiento definitivo, en el que las terapéuticas preconizadas han sido demasiado traumatizantes o poco eficaces.</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">La mayoría de las neumonectomías se practican en sujetos de edad, cancerosos, en los que el porvenir a largo plazo es incierto, con alteraciones cardiopulmonares en la mayoría de ellos, y en los que cualquier intervención de consideración puede originar un alto riesgo operatorio.</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Fue Clagett en 1963 quien creó un método de tratar el empiema postneumonectomía sencillo, poco traumático, que nosotros hemos utilizado en nuestros últimos casos, con buenos resultados, Y que es el motivo de esta publicación.</p></span>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Much has been said about the treatment of post-pneumonectomy empyema, a very serious complica-tion within thoracic surgery.</p><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">The post-pneumonectomy pleural infection is little frequent, and the moment of onset is variable. It can appear immediately after the operation or several months or years later.</p><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Once diagnosed, there is unanimous agreement as to the immediate treatment of post-pneumonectomy empyema that consists in placing a drainage tube in order to disintoxicate the patient. The same is not true of the definitive treatment as the recommended therapy has proved to be too traumatic or not very effective.</p><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">The majority of the pneumonectomies are carried out in older, cancerous persons for whom the long term future is uncertain, with cardiopulmonary alterations in the majority of the cases. Por these patients, any intervention of consideration can cause a high operative risk.</p><p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">In 1963 Clagett developed a simple, little traumatic method for treating post-pneumonectomy that the authors have used in their last cases with good results, and this is the motive for this publication.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:16 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pleural empyema: changing etiologic, bacteriologic and therapeutic aspects" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "A.S. Geha" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:4 [ "tituloSerie" => "Journ. Thorac. Cardiovasc. 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| 2016 November | 17 | 18 | 35 |
| 2016 October | 10 | 18 | 28 |
| 2016 September | 14 | 39 | 53 |
| 2016 August | 22 | 30 | 52 |
| 2016 July | 33 | 44 | 77 |
| 2016 June | 19 | 5 | 24 |
| 2016 May | 12 | 2 | 14 |
| 2016 April | 16 | 0 | 16 |
| 2016 March | 9 | 0 | 9 |
| 2016 February | 6 | 0 | 6 |
| 2016 January | 10 | 5 | 15 |
| 2015 December | 32 | 25 | 57 |
| 2015 November | 21 | 6 | 27 |
| 2015 October | 6 | 1 | 7 |
Show all
