ablgomez@hotmail.com
Correspondence: Dr. A. Gómez-Caro Andrés. Servicio de Cirugía Torácica. Hospital Universitario 12 de Octubre. Ctra. de Andalucía, km 5,400. 28041 Madrid. España
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García Ruiz, F. Leiva Fernández, F. Martos Crespo" "autores" => array:3 [ 0 => array:3 [ "preGrado" => "Prof." "nombre" => "A.J." "apellidos" => "García Ruiz" ] 1 => array:2 [ "nombre" => "F." "apellidos" => "Leiva Fernández" ] 2 => array:2 [ "nombre" => "F." "apellidos" => "Martos Crespo" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212906602176?idApp=UINPBA00003Z" "url" => "/15792129/0000004100000005/v1_201305150216/S1579212906602176/v1_201305150216/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original Articles</span>" "titulo" => "Medical and Surgical Management of Noniatrogenic Traumatic Tracheobronchial Injuries" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "249" "paginaFinal" => "254" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "A. Gómez-Caro Andrés, P. Ausín Herrero, F.J. Moradiellos Díez, V. Díaz-Hellín, E. Larrú Cabrero, J.A. Pérez Antón, J.L. Martín de Nicolás" "autores" => array:7 [ 0 => array:5 [ "preGrado" => "Dr." "nombre" => "A." "apellidos" => "Gómez-Caro Andrés" "email" => array:2 [ 0 => "abelitov@yahoo.es" 1 => "ablgomez@hotmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor1" ] ] ] 1 => array:3 [ "nombre" => "P." "apellidos" => "Ausín Herrero" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] 2 => array:3 [ "nombre" => "F.J." "apellidos" => "Moradiellos Díez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 3 => array:3 [ "nombre" => "V." "apellidos" => "Díaz-Hellín" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 4 => array:3 [ "nombre" => "E." "apellidos" => "Larrú Cabrero" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 5 => array:3 [ "nombre" => "J.A." "apellidos" => "Pérez Antón" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 6 => array:3 [ "nombre" => "J.L." "apellidos" => "Martín de Nicolás" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Cirugía Torácica, Hospital Universitario 12 de Octubre, Madrid, Spain" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:3 [ "entidad" => "Servicio de Neumología, Hospital Universitario 12 de Octubre, Madrid, Spain" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "*" "correspondencia" => "Correspondence: Dr. A. Gómez-Caro Andrés. Servicio de Cirugía Torácica. Hospital Universitario 12 de Octubre. Ctra. de Andalucía, km 5,400. 28041 Madrid. España" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2004-08-25" "fechaAceptado" => "2004-10-26" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key Words" "identificador" => "xpalclavsec154061" "palabras" => array:6 [ 0 => "Tracheobronchial injuries" 1 => "Trauma" 2 => "Bronchial rupture" 3 => "Subcutaneous emphysema" 4 => "Bronchoscopy" 5 => "Thoracotomy" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec154062" "palabras" => array:6 [ 0 => "Lesiones traqueobronquiales" 1 => "Traumatismo" 2 => "Rotura bronquial" 3 => "Enfisema subcutáneo" 4 => "Broncoscopia" 5 => "Toracotomía" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">TO describe the medical and surgical management of noniatrogenic traumatic tracheobronchial injuries.</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p class="elsevierStyleSimplePara elsevierViewall">From January 1993 to July 2004, 15 cases of traumatic tracheobronchial injury were treated in our department. The diagnosis was established by bronchoscopy and a computed tomography chest scan was performed on all patients. Surgical treatment was selected for patients with unstable vital signs, an open tracheal wound, associated esophageal lesions, progression of subcutaneous or mediastinal emphysema, mediastinitis or suspicious mediastinal secretions on imaging tests, or difficulties with mechanical ventilation due to the traumatic tracheobronchial injury.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">The mean (SD) age of the patients was 35.5 (18.9) years and 12 (80%) were male. Of the 15 cases, 13 (86.7%) had penetrating trauma and 2 (13.3%) blunt trauma. The most common location of the injury was in the bronchi (9 cases; 60%), followed by the cervical trachea (4 cases; 26.6%), followed by both the thoracic trachea and bronchi (2 cases; 13.4%). The most common initial symptom was subcutaneous emphysema, which presented in 11 (73.3%) patients. Chest (12 cases; 86.7%) and orthopedic injuries (9 cases; 60%) were the most common associated injuries. Surgery was the treatment of choice in 11 (73.3%) cases and conservative medical treatment in 4 (26.7%). An irreversible brain injury caused the death of 1 patient receiving conservative treatment.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Tracheobronchial injuries may be treated conservatively if they meet strict selection criteria. Size and location should not be used as selection criteria for surgical treatment.</p>" ] "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Describir el manejo médico-quirúrgico de las lesiones traqueobronquiales traumáticas no iatrogénicas.</p> <span class="elsevierStyleSectionTitle">Patientes y métodos</span><p class="elsevierStyleSimplePara elsevierViewall">De enero de 1993 a julio de 2004 se registraron en nuestro servicio 15 casos de lesiones traqueobronquiales traumáticas. En todos los pacientes el diagnóstico se estableció por broncoscopia y a todos se le realizó una tomografía computarizada de tórax. Se eligió tratamiento quirúrgico cuando había inestabilidad vital del paciente, herida traqueal abierta, lesiones esofágicas asociadas, progresión de enfisema subcutáneo o mediastínico, mediastinitis o colecciones mediastínicas sospechosas en pruebas de imagen o dificultades en la ventilación mecánica por la lesión tra-queobronquial traumática.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">La edad media (± desviación estándar) de los pacientes fue de 35,5 ± 18,9 años y 12 (80%) eran varones. Se registraron 13 traumatismos cerrados (86,7%) y 2 abiertos (13,3%). La localización más frecuente de la lesión fue bronquial (9 casos; 60%), seguida de tráquea cervical (4 casos; 26,6%) y tráquea toracicobronquial (2 casos; 13,4%). El síntoma inicial más frecuente fue el enfisema subcutáneo, que presentaron 11 pacientes (73,3%). Las lesiones asociadas más frecuentes fueron torácicas, con 12 casos (86,7%), seguidas de ortopédicas, con 9 (60%). El tratamiento de elección fue quirúrgico en 11 casos (73,3%) y médico con-servador en 4 (26,7%). Falleció una paciente tratada de forma conservadora por lesión cerebral irreversible.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Las lesiones traqueobronquiales pueden tratarse de forma conservadora si cumplen criterios estric-tos de selección. El tamaño o la localización no debe ser un criterio para la elección del tratamiento quirúrgico.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "REFERENCES" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:23 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Iatrogenic ruptures of the tracheobronchial tree" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "H Kaloud" 1 => "FM Smolle-Juettner" 2 => "G Prause" 3 => "WF List" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Chest" "fecha" => "1997" "volumen" => "112" "paginaInicial" => "774" "paginaFinal" => "778" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9315814" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ 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Year/Month | Html | Total | |
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2024 November | 5 | 2 | 7 |
2024 October | 29 | 20 | 49 |
2024 September | 24 | 15 | 39 |
2024 August | 42 | 31 | 73 |
2024 July | 25 | 18 | 43 |
2024 June | 33 | 20 | 53 |
2024 May | 33 | 29 | 62 |
2024 April | 17 | 35 | 52 |
2024 March | 21 | 14 | 35 |
2024 February | 23 | 22 | 45 |
2023 March | 2 | 4 | 6 |
2023 February | 33 | 15 | 48 |
2023 January | 17 | 31 | 48 |
2022 December | 21 | 29 | 50 |
2022 November | 21 | 20 | 41 |
2022 October | 25 | 25 | 50 |
2022 September | 16 | 27 | 43 |
2022 August | 24 | 28 | 52 |
2022 July | 17 | 40 | 57 |
2022 June | 17 | 32 | 49 |
2022 May | 22 | 32 | 54 |
2022 April | 11 | 33 | 44 |
2022 March | 13 | 39 | 52 |
2022 February | 21 | 42 | 63 |
2022 January | 12 | 21 | 33 |
2021 December | 17 | 49 | 66 |
2021 November | 15 | 43 | 58 |
2021 October | 22 | 40 | 62 |
2021 September | 13 | 44 | 57 |
2021 August | 12 | 40 | 52 |
2021 July | 15 | 30 | 45 |
2021 June | 15 | 36 | 51 |
2021 May | 11 | 23 | 34 |
2021 April | 19 | 56 | 75 |
2021 March | 29 | 17 | 46 |
2021 February | 10 | 20 | 30 |
2021 January | 10 | 15 | 25 |
2020 December | 13 | 20 | 33 |
2020 November | 9 | 14 | 23 |
2020 October | 6 | 10 | 16 |
2020 September | 7 | 4 | 11 |
2020 August | 10 | 15 | 25 |
2020 July | 15 | 17 | 32 |
2020 June | 15 | 6 | 21 |
2020 May | 21 | 20 | 41 |
2020 April | 15 | 14 | 29 |
2020 March | 17 | 17 | 34 |
2020 February | 25 | 20 | 45 |
2020 January | 61 | 25 | 86 |
2019 December | 22 | 28 | 50 |
2019 November | 15 | 17 | 32 |
2019 October | 19 | 11 | 30 |
2019 September | 10 | 8 | 18 |
2019 August | 11 | 14 | 25 |
2019 July | 8 | 23 | 31 |
2019 June | 45 | 10 | 55 |
2019 May | 48 | 27 | 75 |
2019 April | 40 | 47 | 87 |
2019 March | 17 | 25 | 42 |
2019 February | 5 | 12 | 17 |
2019 January | 9 | 7 | 16 |
2018 December | 7 | 11 | 18 |
2018 November | 15 | 6 | 21 |
2018 October | 17 | 13 | 30 |
2018 September | 8 | 12 | 20 |
2018 May | 2 | 1 | 3 |
2018 April | 5 | 8 | 13 |
2018 March | 2 | 11 | 13 |
2018 February | 6 | 11 | 17 |
2018 January | 6 | 13 | 19 |
2017 December | 11 | 7 | 18 |
2017 November | 9 | 12 | 21 |
2017 October | 6 | 28 | 34 |
2017 September | 5 | 9 | 14 |
2017 August | 7 | 26 | 33 |
2017 July | 2 | 12 | 14 |
2017 June | 8 | 21 | 29 |
2017 May | 11 | 20 | 31 |
2017 April | 1 | 13 | 14 |
2017 March | 3 | 26 | 29 |
2017 February | 2 | 10 | 12 |
2017 January | 2 | 3 | 5 |
2016 December | 8 | 11 | 19 |
2016 November | 9 | 11 | 20 |
2016 October | 10 | 17 | 27 |
2016 September | 15 | 13 | 28 |
2016 August | 16 | 4 | 20 |
2016 July | 7 | 0 | 7 |
2016 March | 2 | 0 | 2 |
2015 December | 2 | 0 | 2 |
2015 October | 91 | 1 | 92 |
2015 September | 69 | 13 | 82 |
2015 August | 57 | 6 | 63 |
2015 July | 123 | 14 | 137 |
2015 June | 53 | 8 | 61 |
2015 May | 65 | 10 | 75 |
2015 April | 54 | 9 | 63 |
2015 March | 70 | 9 | 79 |
2015 February | 64 | 5 | 69 |
2015 January | 62 | 6 | 68 |
2014 December | 72 | 14 | 86 |
2014 November | 76 | 6 | 82 |
2014 October | 82 | 15 | 97 |
2014 September | 73 | 14 | 87 |
2014 August | 67 | 12 | 79 |
2014 July | 63 | 11 | 74 |
2014 June | 68 | 12 | 80 |
2014 May | 68 | 10 | 78 |
2014 April | 55 | 5 | 60 |
2014 March | 89 | 10 | 99 |
2014 February | 69 | 10 | 79 |
2014 January | 73 | 14 | 87 |
2013 December | 52 | 9 | 61 |
2013 November | 57 | 9 | 66 |
2013 October | 58 | 16 | 74 |
2013 September | 48 | 14 | 62 |
2013 August | 72 | 12 | 84 |
2013 July | 58 | 20 | 78 |
2013 June | 45 | 20 | 65 |
2013 May | 51 | 14 | 65 |
2013 April | 23 | 8 | 31 |
2013 March | 7 | 3 | 10 |