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Vol. 26. Issue 5.
Pages 195-198 (June - July 1990)
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Vol. 26. Issue 5.
Pages 195-198 (June - July 1990)
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Estimación de la función pulmonar tras la exéresis. Análisis de un método sencillo
Estimation of pulmonary function after surgical resection. Analysis of a simple method
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A. Pereira Vega, F. Capote Gil, J. Castillo Gómez, F. Rodríguez Panadero
Servicios de Neumología, Hospital Virgen del Rocío. Sevilla
M.P. Ureta Toslada*, M. Torres Cansino**
* Servicios de Anestesia. Hospital Virgen del Rocío. Sevilla
** Servicios de Cirugía Torácica. Hospital Virgen del Rocío. Sevilla
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Hemos evaluado la utilidad de un método sencillo para la estimación de la capacidad vital (VC) y el flujo espiratorio forzado en el primer segundo (FEV1) postoperatorios, en 20 pacientes que sufrieron exéresis pulmonares por diversas causas.

Nos hemos basado en el método descrito por Egeblad et al1, que utiliza exclusivamente la espirografía, radiografías posteroanterior y lateral de tórax y fibrobroncoscopia preoperatorias.

Al correlacionar el FEV1 y la VC postoperatorios reales con los estimados, obtuvimos unos coeficientes de correlación (r) de 0,96 y 0,97, respectivamente. La mayor diferencia entre el FEV1 postoperatorio previsto y real fue de 430 ml y sólo en 4 pacientes, esta diferencia fue superior a 300 ml.

The vital capacity (VC) and the forced expiration flow at the first second (FEF1) were evaluated in 20 patients subjected to pulmonary resections for different etiologies using a simple method.

Our procedure was based on the method reported by Egeblad et al. and it included posteroanterior and lateral chest x-ray radiographs, expirography, and bronchoscopy before surgery. The correlation coefficients for VC and FEF1 measured in the postoperative phase and those estimated by our method were 0.97 and 0.96, respectively. The largest difference in FEF1 between the measured and the estimated values was of 430 ml and only in 4 patients this difference was greater than 300 ml.

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Copyright © 1990. Sociedad Española de Neumología y Cirugía Torácica
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