Case Reports
Spontaneous Pneumomediastinum: Descriptive Study of Our Experience With 36 Cases
Read
4419
Timeswas read the article
1852
Total PDF
2567
Total HTML
Share statistics
array:23 [ "pii" => "S1579212906602747" "issn" => "15792129" "doi" => "10.1016/S1579-2129(06)60274-7" "estado" => "S300" "fechaPublicacion" => "2005-09-01" "aid" => "60274" "copyright" => "Sociedad Española de Neumología y Cirugía Torácica (SEPAR)" "copyrightAnyo" => "2005" "documento" => "article" "crossmark" => 0 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2005;41:528-31" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2600 "formatos" => array:3 [ "EPUB" => 95 "HTML" => 1794 "PDF" => 711 ] ] "itemSiguiente" => array:18 [ "pii" => "S1579212906602759" "issn" => "15792129" "doi" => "10.1016/S1579-2129(06)60275-9" "estado" => "S300" "fechaPublicacion" => "2005-09-01" "aid" => "60275" "copyright" => "Sociedad Española de Neumología y Cirugía Torácica (SEPAR)" "documento" => "article" "crossmark" => 0 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2005;41:532-4" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 3155 "formatos" => array:3 [ "EPUB" => 119 "HTML" => 2326 "PDF" => 710 ] ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case Reports</span>" "titulo" => "Respiratory Muscle Aids During an Episode of Aspiration in a Patient With Duchenne Muscular Dystrophy" "tienePdf" => "en" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "532" "paginaFinal" => "534" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "E. Servera, J. Sancho, J. Franco, P. Vergara, A. Catalá, M.J. Zafra" "autores" => array:6 [ 0 => array:3 [ "preGrado" => "Dr." "nombre" => "E." "apellidos" => "Servera" ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Sancho" ] 2 => array:2 [ "nombre" => "J." "apellidos" => "Franco" ] 3 => array:2 [ "nombre" => "P." "apellidos" => "Vergara" ] 4 => array:2 [ "nombre" => "A." "apellidos" => "Catalá" ] 5 => array:2 [ "nombre" => "M.J." "apellidos" => "Zafra" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212906602759?idApp=UINPBA00003Z" "url" => "/15792129/0000004100000009/v1_201305150225/S1579212906602759/v1_201305150225/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S1579212906602735" "issn" => "15792129" "doi" => "10.1016/S1579-2129(06)60273-5" "estado" => "S300" "fechaPublicacion" => "2005-09-01" "aid" => "60273" "copyright" => "Sociedad Española de Neumología y Cirugía Torácica (SEPAR)" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Arch Bronconeumol. 2005;41:524-7" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2729 "formatos" => array:3 [ "EPUB" => 99 "HTML" => 1806 "PDF" => 824 ] ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Techniques and Procedures</span>" "titulo" => "Expansion of Primary Bronchial Epithelial Cell Cultures" "tienePdf" => "en" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "524" "paginaFinal" => "527" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "G. Margarit, J. Belda, P. Casan, J. Sanchis" "autores" => array:4 [ 0 => array:3 [ "preGrado" => "Dra." "nombre" => "G." "apellidos" => "Margarit" ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Belda" ] 2 => array:2 [ "nombre" => "P." "apellidos" => "Casan" ] 3 => array:2 [ "nombre" => "J." "apellidos" => "Sanchis" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212906602735?idApp=UINPBA00003Z" "url" => "/15792129/0000004100000009/v1_201305150225/S1579212906602735/v1_201305150225/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case Reports</span>" "titulo" => "Spontaneous Pneumomediastinum: Descriptive Study of Our Experience With 36 Cases" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "528" "paginaFinal" => "531" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "A. Campillo-Soto, A. Coll-Salinas, V. Soria-Aledo, A. Blanco-Barrio, B. Flores-Pastor, M. Candel-Arenas, J.L. Aguayo-Albasini" "autores" => array:7 [ 0 => array:5 [ "preGrado" => "Dr." "nombre" => "A." "apellidos" => "Campillo-Soto" "email" => array:1 [ 0 => "alvaroalcubo@yahoo.es" ] "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" => "A." "apellidos" => "Coll-Salinas" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 2 => array:3 [ "nombre" => "V." "apellidos" => "Soria-Aledo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 3 => array:3 [ "nombre" => "A." "apellidos" => "Blanco-Barrio" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] 4 => array:3 [ "nombre" => "B." "apellidos" => "Flores-Pastor" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 5 => array:3 [ "nombre" => "M." "apellidos" => "Candel-Arenas" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 6 => array:3 [ "nombre" => "J.L." "apellidos" => "Aguayo-Albasini" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Cirugía General y del Aparato Digestivo, Hospital General Universitario J.M. Morales Meseguer, Murcia, Spain" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:3 [ "entidad" => "Servicio de Radiodiagnóstico, Hospital General Universitario J.M. Morales Meseguer, Murcia, Spain" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "*" "correspondencia" => "Correspondence: Dr. A. Campillo-Soto. Avda. Marqués de los Vélez, s/n. 30008 Murcia. España" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2004-09-02" "fechaAceptado" => "2005-05-10" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key Words" "identificador" => "xpalclavsec154159" "palabras" => array:4 [ 0 => "Spontaneous pneumomediastinum" 1 => "Respiratory emergencies" 2 => "Dyspnea, young adults" 3 => "Mediastinal emphysema" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec154160" "palabras" => array:3 [ 0 => "Neumomediastino espontáneo" 1 => "Urgencias respiratorias" 2 => "Disnea en jóvenes" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:1 [ "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Spontaneous pneumomediastinum is defined as a primary process characterized by the presence of air or gas in the mediastinum. We report all the cases of spontaneous pneumomediastinum diagnosed in our hospital between January 1996 and December 2004. We developed a protocol for data collection that included the following: medical history, triggers, signs, radiology, treatment, hospital stay, and complications. During this period we diagnosed 36 cases—25 men (69.4%) and 11 women (30.6%)—with a mean age of 36.8 years (range, 11-90 years) and a mean hospital stay of 8.56 days (range, 1-53 days). The most common clinical presentation was chest pain, either isolated (27%) or with associated dyspnea (19.4%). A triggering factor was identified for 14 patients (38.8%). There was no associated morbidity or mortality. In view of our findings, we concluded that spontaneous pneumomediastinum is an uncommon entity with considerable clinical variability and that correct diagnosis requires a high level of suspicion. Radiography provides the best evidence for diagnosis.</p>" ] "es" => array:1 [ "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">El neumomediastino espontáneo se define como la presencia de aire o gas en el mediastino de forma primaria. Presentamos todos los casos de neumomediastino espontáneo hallados en nuestro hospital entre enero de 1996 y diciembre de 2004. Para ello, elaboramos un protocolo de recogida de datos que incluyó: antecedentes personales, desencadenantes, semiología, radiología, tratamiento, estancia y complicaciones. En este período diagnosticamos 36 casos —25 varones (69,4%) y 11 mujeres (27,5%)—, con una edad media de 36,8 años (rango: 11-90) y estancia media de 8,56 días (rango: 1-53). El cuadro clínico más habitual fue el dolor torácico, aislado (27%) o asociado a disnea (19,4%). En 14 pacientes (38,8%) hubo factor desencadenante. No hubo morbimortalidad asociada al proceso. Por todo ello, se concluye que el neumomediastino espontáneo es una entidad infrecuente, con gran variabilidad clínica, cuyo diagnóstico correcto exige un alto índice de sospecha, y la radiografía de tórax es la prueba idónea para ello.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "REFERENCES" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:20 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:1 [ "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "RG Fraser" 1 => "JA Pare" 2 => "RS Fraser" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:4 [ "titulo" => "Diagnóstico de las enfermedades del tórax" "fecha" => "1992" "editorial" => "Ed. Panamerican" "editorialLocalizacion" => "Madrid" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Malignant interstitial emphysema of lungs and mediastinum as an important occult complication in many respiratory diseases and other conditions: an interpretation of the clinical literature in the light of laboratory experiment" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "MT Macklin" 1 => "CC Macklin" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Medicine (Baltimore)" "fecha" => "1944" "volumen" => "23" "paginaInicial" => "281" "paginaFinal" => "358" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib3" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "¿Cambios en la forma de presentación del neumomediastino espontáneo?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "MJ Hernández Sánchez" 1 => "G Burillo Putze" 2 => "JE Alonso Lasheras" 3 => "JM Casañas Cullén" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Emergencias" "fecha" => "1998" "volumen" => "10" "paginaInicial" => "9" "paginaFinal" => "13" ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib4" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Spontaneous pneumomediastinum in patients with severe acute respiratory syndrome" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "CM Chu" 1 => "YY Leung" 2 => "JY Hui" 3 => "IF Hung" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Eur Respir J" "fecha" => "2004" "volumen" => "23" "paginaInicial" => "802" "paginaFinal" => "804" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15218989" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib5" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Current assessment and management of spontaneous pneumomediastinum: experience in 24 adult patients" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "GJ Koullias" 1 => "DP Korkolis" 2 => "XJ Wang" 3 => "GL Hammond" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.ejcts.2004.01.042" "Revista" => array:6 [ "tituloSerie" => "Eur J Cardiothorac Surg" "fecha" => "2004" "volumen" => "25" "paginaInicial" => "852" "paginaFinal" => "855" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15082293" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib6" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Spontaneous pneumomediastinum" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "LC Luke" 1 => "P Ahee" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Emerg Med" "fecha" => "1992" "volumen" => "9" "paginaInicial" => "250" "paginaFinal" => "253" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1388507" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib7" "etiqueta" => "7" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pneumomediastinum: the Valsalva crunch" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "AK Shyamsunder" 1 => "SM Gyaw" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Md Med" "fecha" => "1999" "volumen" => "48" "paginaInicial" => "229" "paginaFinal" => "302" ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib8" "etiqueta" => "8" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Spontaneous pneumomediastinum and ecstasy abuse" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "JAL Pittman" 1 => "JC Poundsford" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Accid Emerg Med" "fecha" => "1997" "volumen" => "14" "paginaInicial" => "335" "paginaFinal" => "336" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9315941" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib9" "etiqueta" => "9" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Neumomediastino espontáneo. Análisis de 16 casos" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "IJ Santiago Aguinaga" 1 => "M Martínez-Bayarri Ubillos" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Emergencias" "fecha" => "2000" "volumen" => "12" "paginaInicial" => "321" "paginaFinal" => "325" ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib10" "etiqueta" => "10" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Spontaneous pneumomediastinum: clinical and natural history" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "EA Panacek" 1 => "AJ Singer" 2 => "BW Sherman" 3 => "A Prescott" 4 => "WF Rutherford" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Emerg Med" "fecha" => "1992" "volumen" => "21" "paginaInicial" => "1222" "paginaFinal" => "1227" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1416301" "web" => "Medline" ] ] ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib11" "etiqueta" => "11" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Current assessment and management of spontaneous pneumomediastinum: experience in 24 adult patients" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "GJ Koullias" 1 => "DP Korkolis" 2 => "XJ Wang" 3 => "GL Hammond" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.ejcts.2004.01.042" "Revista" => array:6 [ "tituloSerie" => "Eur J Cardiothorac Surg" "fecha" => "2004" "volumen" => "25" "paginaInicial" => "852" "paginaFinal" => "855" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15082293" "web" => "Medline" ] ] ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib12" "etiqueta" => "12" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Radiographic features in 1016 adults admitted to hospital with acute asthma" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "C Pickup" 1 => "P Nee" 2 => "P Randall" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "J Acc Emerg Med" "fecha" => "1994" "volumen" => "11" "paginaInicial" => "234" "paginaFinal" => "237" ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib13" "etiqueta" => "13" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Spontaneous pneumomediastinum" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "A Yellin" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Chest" "fecha" => "1992" "volumen" => "101" "paginaInicial" => "93" "paginaFinal" => "95" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1309500" "web" => "Medline" ] ] "itemHostRev" => array:3 [ "pii" => "S0190962210006973" "estado" => "S300" "issn" => "01909622" ] ] ] ] ] ] ] 13 => array:3 [ "identificador" => "bib14" "etiqueta" => "14" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Spontaneous pneumomediastinum: a report of 25 cases" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "Y Abolnik" 1 => "IS Lossos" 2 => "R Brewer" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Chest" "fecha" => "1991" "volumen" => "100" "paginaInicial" => "93" "paginaFinal" => "95" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1824034" "web" => "Medline" ] ] "itemHostRev" => array:3 [ "pii" => "S016882780300535X" "estado" => "S300" "issn" => "01688278" ] ] ] ] ] ] ] 14 => array:3 [ "identificador" => "bib15" "etiqueta" => "15" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Estancias medias alargadas y grupos relacionados con el diagnóstico como indicadores de eficiencia en la gestión clínica" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "M Saguer" 1 => "A Gómez" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Rev Calidad Asistencial" "fecha" => "2003" "volumen" => "18" "paginaInicial" => "575" "paginaFinal" => "579" ] ] ] ] ] ] 15 => array:3 [ "identificador" => "bib16" "etiqueta" => "16" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Assessment of spontaneous pneumomediastinum: experience with 12 patients" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "JB Jougon" 1 => "M Ballester" 2 => "F Delcambre" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Thorac Surg" "fecha" => "2003" "volumen" => "75" "paginaInicial" => "1711" "paginaFinal" => "1714" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12822604" "web" => "Medline" ] ] ] ] ] ] ] ] 16 => array:3 [ "identificador" => "bib17" "etiqueta" => "17" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Spontaneous pneumomediastinum: is a chest-x-ray sufficient?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "S Gardikis" 1 => "A Tsalkidis" 2 => "C Limas" 3 => "S Antypas" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Minerva Pediatr" "fecha" => "2003" "volumen" => "55" "paginaInicial" => "293" "paginaFinal" => "296" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12900716" "web" => "Medline" ] ] ] ] ] ] ] ] 17 => array:3 [ "identificador" => "bib18" "etiqueta" => "18" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The radiologic findings in pneumomediastinum. Value of conventional radiography and comparison with computerized tomography" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "MF Martin" 1 => "A Hlaawatsch" 2 => "CP Heussel" 3 => "F Schwaden" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Radiology" "fecha" => "1997" "volumen" => "39" "paginaInicial" => "709" "paginaFinal" => "714" ] ] ] ] ] ] 18 => array:3 [ "identificador" => "bib19" "etiqueta" => "19" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "An association between length of stay and co-morbidity in chronic airflow limitation" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "AJ Crockett" 1 => "JM Cranston" 2 => "JR Moss" 3 => "JH Alpers" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Int J Qual Health Care" "fecha" => "2000" "volumen" => "12" "paginaInicial" => "41" "paginaFinal" => "46" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10733082" "web" => "Medline" ] ] ] ] ] ] ] ] 19 => array:3 [ "identificador" => "bib20" "etiqueta" => "20" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Impact of comorbidities on the duration of COPD patients' hospital episodes" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "T Kinnunen" 1 => "O Saynajakangas" 2 => "T Tuuponen" 3 => "T Keistinen" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Respir Med" "fecha" => "2003" "volumen" => "97" "paginaInicial" => "143" "paginaFinal" => "146" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12587964" "web" => "Medline" ] ] "itemHostRev" => array:3 [ "pii" => "S0168822711005225" "estado" => "S300" "issn" => "01688227" ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15792129/0000004100000009/v1_201305150225/S1579212906602747/v1_201305150225/en/main.assets" "Apartado" => null "PDF" => "https://static.elsevier.es/multimedia/15792129/0000004100000009/v1_201305150225/S1579212906602747/v1_201305150225/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212906602747?idApp=UINPBA00003Z" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 0 | 1 | 1 |
| 2024 October | 27 | 14 | 41 |
| 2024 September | 29 | 17 | 46 |
| 2024 August | 37 | 39 | 76 |
| 2024 July | 24 | 28 | 52 |
| 2024 June | 29 | 39 | 68 |
| 2024 May | 34 | 32 | 66 |
| 2024 April | 21 | 25 | 46 |
| 2024 March | 25 | 13 | 38 |
| 2024 February | 21 | 23 | 44 |
| 2023 March | 4 | 4 | 8 |
| 2023 February | 14 | 23 | 37 |
| 2023 January | 17 | 29 | 46 |
| 2022 December | 20 | 28 | 48 |
| 2022 November | 19 | 20 | 39 |
| 2022 October | 20 | 30 | 50 |
| 2022 September | 16 | 27 | 43 |
| 2022 August | 18 | 44 | 62 |
| 2022 July | 22 | 41 | 63 |
| 2022 June | 16 | 34 | 50 |
| 2022 May | 19 | 39 | 58 |
| 2022 April | 17 | 30 | 47 |
| 2022 March | 15 | 43 | 58 |
| 2022 February | 16 | 24 | 40 |
| 2022 January | 15 | 33 | 48 |
| 2021 December | 13 | 34 | 47 |
| 2021 November | 17 | 50 | 67 |
| 2021 October | 23 | 48 | 71 |
| 2021 September | 20 | 41 | 61 |
| 2021 August | 10 | 23 | 33 |
| 2021 July | 12 | 23 | 35 |
| 2021 June | 13 | 36 | 49 |
| 2021 May | 8 | 28 | 36 |
| 2021 April | 23 | 33 | 56 |
| 2021 March | 25 | 16 | 41 |
| 2021 February | 12 | 19 | 31 |
| 2021 January | 9 | 11 | 20 |
| 2020 December | 15 | 9 | 24 |
| 2020 November | 5 | 10 | 15 |
| 2020 October | 5 | 5 | 10 |
| 2020 September | 7 | 4 | 11 |
| 2020 August | 10 | 11 | 21 |
| 2020 July | 11 | 14 | 25 |
| 2020 June | 6 | 3 | 9 |
| 2020 May | 11 | 16 | 27 |
| 2020 April | 13 | 12 | 25 |
| 2020 March | 8 | 12 | 20 |
| 2020 February | 11 | 14 | 25 |
| 2020 January | 10 | 14 | 24 |
| 2019 December | 12 | 13 | 25 |
| 2019 November | 7 | 15 | 22 |
| 2019 October | 5 | 5 | 10 |
| 2019 September | 2 | 6 | 8 |
| 2019 August | 14 | 9 | 23 |
| 2019 July | 9 | 16 | 25 |
| 2019 June | 8 | 13 | 21 |
| 2019 May | 11 | 11 | 22 |
| 2019 April | 12 | 14 | 26 |
| 2019 March | 8 | 20 | 28 |
| 2019 February | 9 | 11 | 20 |
| 2019 January | 15 | 15 | 30 |
| 2018 December | 7 | 13 | 20 |
| 2018 November | 16 | 10 | 26 |
| 2018 October | 19 | 8 | 27 |
| 2018 September | 13 | 16 | 29 |
| 2018 May | 3 | 0 | 3 |
| 2018 April | 6 | 10 | 16 |
| 2018 March | 1 | 4 | 5 |
| 2018 February | 7 | 5 | 12 |
| 2018 January | 6 | 13 | 19 |
| 2017 December | 6 | 9 | 15 |
| 2017 November | 5 | 4 | 9 |
| 2017 October | 7 | 14 | 21 |
| 2017 September | 3 | 4 | 7 |
| 2017 August | 7 | 17 | 24 |
| 2017 July | 2 | 3 | 5 |
| 2017 June | 8 | 22 | 30 |
| 2017 May | 6 | 15 | 21 |
| 2017 April | 1 | 3 | 4 |
| 2017 March | 2 | 10 | 12 |
| 2017 February | 0 | 5 | 5 |
| 2017 January | 2 | 4 | 6 |
| 2016 December | 8 | 18 | 26 |
| 2016 November | 4 | 7 | 11 |
| 2016 October | 14 | 8 | 22 |
| 2016 September | 10 | 6 | 16 |
| 2016 August | 5 | 2 | 7 |
| 2016 July | 10 | 6 | 16 |
| 2016 March | 1 | 0 | 1 |
| 2016 February | 1 | 0 | 1 |
| 2015 December | 2 | 0 | 2 |
| 2015 October | 46 | 1 | 47 |
| 2015 September | 60 | 10 | 70 |
| 2015 August | 49 | 10 | 59 |
| 2015 July | 35 | 11 | 46 |
| 2015 June | 37 | 7 | 44 |
| 2015 May | 51 | 3 | 54 |
| 2015 April | 50 | 12 | 62 |
| 2015 March | 33 | 10 | 43 |
| 2015 February | 29 | 6 | 35 |
| 2015 January | 39 | 5 | 44 |
| 2014 December | 47 | 10 | 57 |
| 2014 November | 51 | 9 | 60 |
| 2014 October | 64 | 16 | 80 |
| 2014 September | 49 | 11 | 60 |
| 2014 August | 47 | 12 | 59 |
| 2014 July | 38 | 9 | 47 |
| 2014 June | 67 | 14 | 81 |
| 2014 May | 70 | 11 | 81 |
| 2014 April | 52 | 8 | 60 |
| 2014 March | 64 | 9 | 73 |
| 2014 February | 34 | 11 | 45 |
| 2014 January | 44 | 8 | 52 |
| 2013 December | 51 | 13 | 64 |
| 2013 November | 48 | 10 | 58 |
| 2013 October | 43 | 11 | 54 |
| 2013 September | 44 | 12 | 56 |
| 2013 August | 51 | 19 | 70 |
| 2013 July | 54 | 10 | 64 |
| 2013 June | 50 | 8 | 58 |
| 2013 May | 39 | 8 | 47 |
| 2013 April | 32 | 5 | 37 |
| 2013 March | 13 | 3 | 16 |
Show all
