Traqueobroncomegalia: metodo de diagnostico y aportacion’ de cinco casos
Tracheobronchomegalgia: diagnostical, method and presentation of five cases
J. Villamor, A. Martínez-Alzamora, A. Sueiro, J. Ortíz-Vázquez, J.A. Serrano
Ciudad Sanitaria La Paz y Universidad Autónoma de Madrid. Departamento de Medicina Interna. Servicio de Neumología
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"apellidos" => "Rey Durán" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615327782?idApp=UINPBA00003Z" "url" => "/03002896/0000001100000003/v1_201509151300/S0300289615327782/v1_201509151300/es/main.assets" ] "es" => array:11 [ "idiomaDefecto" => true "titulo" => "Traqueobroncomegalia: metodo de diagnostico y aportacion’ de cinco casos" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "97" "paginaFinal" => "103" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "J. Villamor, A. Martínez-Alzamora, A. Sueiro, J. Ortíz-Vázquez, J.A. Serrano" "autores" => array:5 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Villamor" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Martínez-Alzamora" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "Sueiro" ] 3 => array:2 [ "nombre" => "J." "apellidos" => "Ortíz-Vázquez" ] 4 => array:2 [ "nombre" => "J.A." "apellidos" => "Serrano" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Ciudad Sanitaria La Paz y Universidad Autónoma de Madrid. Departamento de Medicina Interna. Servicio de Neumología" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Tracheobronchomegalgia: diagnostical, method and presentation of five cases" ] ] "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">Se aportan a la literatura cinco nuevos casos de traqueobroncomegalia, analizándose las características clínico-radiológicas y funcionales, en relación con los hallazgos referidos por otros autores. De acuerdo con la literatura todos son varones; son excepcionales los casos publicados en hembras.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se plantea un método de diagnóstico radiológico, con análisis estadístico de los valores normales hallados en clichés radiológicos practicados a 1,6 metros de distancia, y lo que consideramos más importante, con la posibilidad de ser aplicado a cualquier cliché radiológico, siempre que pueda correlacionarse el diámetro traqueal con otros diámetros torácicos o con el cuerpo de la cuarta vértebra dorsal en la radiografía lateral. Tratamos con ello, de poder unificar criterios a la hora de comparar los diámetros traqueales de unos trabajos a otros.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se llama la atención sobre la frecuencia en estos enfermos de un colapso traqueal espiratorio, lo que justifica en gran manera parte de la sintomatología que presentaban, especialmente la tos irritativa y la dificultad para expectorar y en su grado máximo las crisis de stop espiratorio al esfuerzo.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Por último, se establece una clara distinción entre dilatación traqueal secundaria a broncopatías crónicas y la traqueobroncomagalia como trastorno congénito.</p></span>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The authors offer five new cases of tracheobronchomegalgia, analyzing the clinical, radiological and functional characteristics, in relation to the findings of other authors. In agreement with the bibliography found, all the patients were male; published cases with female patients are exceptional.</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The authors propose a method of radiological diagnosis, with statistical analysis of the normal valúes found in radiological plates made at a distance of 1.6 meters. The authors feelit to be even more important, due to the possibility of applying this method to any radiological píate, as long as the tracheal diameter can be correlated to other thoracic diameters or to the body of the fourth dorsal vertebra in the lateral radiography. With this, the authors attempt to unify criteria for comparing tracheal diameters from some works to others.</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The authors note the frequency of an expiratory tracheal collapse in these patients, which justifies in great part the symptomatology presented, especially the irritative cough and the difficulty to expectórate, and in its maxium degree the crisis of expiratory stop upon effort.</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Finally, the authors establish a clear distinction between tracheal dilatation secondary to chronic bronchopathies and ’tracheobronchomegalgia as a congenital disturbance.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:8 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Dilatation dé la trachée. Constatation radiographiques et bronchoscopiques" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "P. Mounier-Kuhn" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:4 [ "tituloSerie" => "Lyon. Med." "fecha" => "1932" "volumen" => "150" "paginaInicial" => "106" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Tracheobronchiomegaly" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "T.S. Hunle" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:4 [ "tituloSerie" => "Dis. Chest." "fecha" => "1968" "volumen" => "54" "paginaInicial" => "80" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3." 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