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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se presenta una serie de 106 pacientes&#44; con un total de 121 episodios de neumotorax espont&#225;neo&#46; En 16 &#40;15&#37;&#41; exist&#237;an antecedentes de uno o varios episodios anteriores&#46; El 92&#44;4&#37; eran varones y en 83&#37; de los pacientes se evidenci&#243; un h&#225;bito tab&#225;quico&#46; El s&#237;ntoma m&#225;s constante fue el dolor &#40;96&#44;6&#37;&#41; y la localizaci&#243;n m&#225;s frecuente la derecha &#40;53&#44;7&#37;&#41;&#46; En un 71&#37; la etiolog&#237;a fue desconocida y el el 18&#44;8&#37; debida a bullas&#46; El tratamiento realizado fue&#58; conservador en 36&#44; aspiraci&#243;n simple en 4&#44; drenaje tor&#225;cico en 74&#44; practic&#225;ndose 19 toracotom&#237;as en 17 pacientes&#46; El &#237;ndice de recidivas seg&#250;n el tratamiento fue&#58; 11&#44;1&#37; en el tratamiento conservador&#59; 0&#37; en la aspiraci&#243;n simple&#59; 10&#44;8&#37; para el drenaje tor&#225;cico y 0&#37; en las toracotom&#237;as&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">En el texto se analizan las indicaciones para la toracotom&#237;a en caso de neumotorax espont&#225;neo&#44; sus v&#237;as de abordaje&#44; t&#233;cnicas&#44; as&#237; como su morbilidad&#46; La mortalidad de la serie fue nula&#46;</p></span>"
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        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">We report on a series of 106 patients with an overall number of 121 spontaneous pneumothorax episodes&#46; Sixteen patients &#40;15&#37;&#41; had an history of one or more previous episodes&#46; 92&#44;4&#37; of the patients were males and 83&#37; were smokers&#46; The most constant symptom was pain &#40;96&#44;6&#37;&#41; and most of the episodes &#40;53&#44;7&#37;&#41; were right &#8212; sided&#46; The etiology was unknown in 71&#37; of the episodes while 18&#44;8&#37; of them were due to bullae&#46; The therapeutic approach was conservative in 36 episodes&#44; simple aspiration in 4&#44; thoracic drainage in 74&#44; and 19 thoracotomies were done in 17 patients&#46; The recurrence rates according to the treatment used were&#58; 11&#44;1&#37; for conservative treatment&#59; 0&#37; for simple aspiration&#59; 10&#44;8&#37; for thoracic drainage&#59; and 0&#37; for thoracotomy&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The indications for thoracotomy in spontaneous pneumothorax&#44; its approaches and techiques as well as its morbidity are reviewed&#46; There was no mortality in our series&#46;</p></span>"
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Vol. 23. Issue 1.
Pages 4-9 (January - February 1987)
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Vol. 23. Issue 1.
Pages 4-9 (January - February 1987)
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Neumotorax Espontaneo. A proposito de 121 Casos
Spontaneous pneumothorax: report in 121 episodes
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J. Ortiz de Solorzano Aurusa*****, F.A. Garcia Gil**, A. Martinez-Berganza Asensio****, A. Jimenez Bernado***, F. Lamata Hernandez***, A. Garcia Cirac*****, M. Gonzalez Gonzalez*
* Catedrático de Cirugía. Clínica-Cátedra de Patología y Clínica Quirúrgica «B». Hospital Clínico Universitario. Zaragoza
** Profesor titular de Cirugía. Clínica-Cátedra de Patología y Clínica Quirúrgica «B». Hospital Clínico Universitario. Zaragoza
*** Profesor ayudante de Cirugía. Clínica-Cátedra de Patología y Clínica Quirúrgica «B». Hospital Clínico Universitario. Zaragoza
**** Profesor Ayudante de Médica. Clínica-Cátedra de Patología y Clínica Quirúrgica «B». Hospital Clínico Universitario. Zaragoza
***** Residente de Cirugía. Clínica-Cátedra de Patología y Clínica Quirúrgica «B». Hospital Clínico Universitario. Zaragoza
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Se presenta una serie de 106 pacientes, con un total de 121 episodios de neumotorax espontáneo. En 16 (15%) existían antecedentes de uno o varios episodios anteriores. El 92,4% eran varones y en 83% de los pacientes se evidenció un hábito tabáquico. El síntoma más constante fue el dolor (96,6%) y la localización más frecuente la derecha (53,7%). En un 71% la etiología fue desconocida y el el 18,8% debida a bullas. El tratamiento realizado fue: conservador en 36, aspiración simple en 4, drenaje torácico en 74, practicándose 19 toracotomías en 17 pacientes. El índice de recidivas según el tratamiento fue: 11,1% en el tratamiento conservador; 0% en la aspiración simple; 10,8% para el drenaje torácico y 0% en las toracotomías.

En el texto se analizan las indicaciones para la toracotomía en caso de neumotorax espontáneo, sus vías de abordaje, técnicas, así como su morbilidad. La mortalidad de la serie fue nula.

We report on a series of 106 patients with an overall number of 121 spontaneous pneumothorax episodes. Sixteen patients (15%) had an history of one or more previous episodes. 92,4% of the patients were males and 83% were smokers. The most constant symptom was pain (96,6%) and most of the episodes (53,7%) were right — sided. The etiology was unknown in 71% of the episodes while 18,8% of them were due to bullae. The therapeutic approach was conservative in 36 episodes, simple aspiration in 4, thoracic drainage in 74, and 19 thoracotomies were done in 17 patients. The recurrence rates according to the treatment used were: 11,1% for conservative treatment; 0% for simple aspiration; 10,8% for thoracic drainage; and 0% for thoracotomy.

The indications for thoracotomy in spontaneous pneumothorax, its approaches and techiques as well as its morbidity are reviewed. There was no mortality in our series.

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