array:23 [
  "pii" => "S0300289615310449"
  "issn" => "03002896"
  "doi" => "10.1016/S0300-2896(15)31044-9"
  "estado" => "S300"
  "fechaPublicacion" => "1994-08-01"
  "aid" => "71114"
  "copyright" => "Sociedad Española de Neumología y Cirugía Torácica"
  "copyrightAnyo" => "1994"
  "documento" => "article"
  "crossmark" => 0
  "subdocumento" => "fla"
  "cita" => "Arch Bronconeumol. 1994;30:344-7"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 1473
    "formatos" => array:3 [
      "EPUB" => 70
      "HTML" => 667
      "PDF" => 736
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S0300289615310450"
    "issn" => "03002896"
    "doi" => "10.1016/S0300-2896(15)31045-0"
    "estado" => "S300"
    "fechaPublicacion" => "1994-08-01"
    "aid" => "71115"
    "copyright" => "Sociedad Española de Neumología y Cirugía Torácica"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Arch Bronconeumol. 1994;30:348-53"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 1545
      "formatos" => array:3 [
        "EPUB" => 68
        "HTML" => 711
        "PDF" => 766
      ]
    ]
    "es" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Trasplante bipulmonar secuencial. Técnica y resultados de los tres primeros casos"
      "tienePdf" => "es"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "es"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "348"
          "paginaFinal" => "353"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Sequential double-lung transplantation. Technique and results in the first three cases"
        ]
      ]
      "contieneResumen" => array:2 [
        "es" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "J&#46; Astudillo Pombo, C&#46; Bravo Masgoret, C&#46; Margarit Creixell, M&#46;<span class="elsevierStyleSup">a</span>L&#46; Guillermo Rodr&#237;guez, L&#46; Tenorio L&#243;pez"
          "autores" => array:6 [
            0 => array:2 [
              "nombre" => "J&#46;"
              "apellidos" => "Astudillo Pombo"
            ]
            1 => array:2 [
              "nombre" => "C&#46;"
              "apellidos" => "Bravo Masgoret"
            ]
            2 => array:2 [
              "nombre" => "C&#46;"
              "apellidos" => "Margarit Creixell"
            ]
            3 => array:2 [
              "nombre" => "M&#46;<span class="elsevierStyleSup">a</span>L&#46;"
              "apellidos" => "Guillermo Rodr&#237;guez"
            ]
            4 => array:2 [
              "nombre" => "L&#46;"
              "apellidos" => "Tenorio L&#243;pez"
            ]
            5 => array:1 [
              "colaborador" => "Grupo de Trasplante Pulmonar"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615310450?idApp=UINPBA00003Z"
    "url" => "/03002896/0000003000000007/v1_201509151234/S0300289615310450/v1_201509151234/es/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S0300289615310437"
    "issn" => "03002896"
    "doi" => "10.1016/S0300-2896(15)31043-7"
    "estado" => "S300"
    "fechaPublicacion" => "1994-08-01"
    "aid" => "71113"
    "copyright" => "Sociedad Espa&#241;ola de Neumolog&#237;a y Cirug&#237;a Tor&#225;cica"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Arch Bronconeumol. 1994;30:339-43"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2820
      "formatos" => array:3 [
        "EPUB" => 83
        "HTML" => 894
        "PDF" => 1843
      ]
    ]
    "es" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Valor de la ecograf&#237;a en las trombosis venosas profundas de miembros inferiores"
      "tienePdf" => "es"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "es"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "339"
          "paginaFinal" => "343"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Value of ultrasound imaging in deep vein thrombosis of the lower extremities"
        ]
      ]
      "contieneResumen" => array:2 [
        "es" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "autores" => array:2 [
        0 => array:2 [
          "autoresLista" => "L&#46; Sarr&#237;a Octavio de Toledo, T&#46; Mart&#237;nez-Berganza Asensio, R&#46; Cozcolluela Cabrejas"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "L&#46;"
              "apellidos" => "Sarr&#237;a Octavio de Toledo"
            ]
            1 => array:2 [
              "nombre" => "T&#46;"
              "apellidos" => "Mart&#237;nez-Berganza Asensio"
            ]
            2 => array:2 [
              "nombre" => "R&#46;"
              "apellidos" => "Cozcolluela Cabrejas"
            ]
          ]
        ]
        1 => array:2 [
          "autoresLista" => "A&#46; Samperiz Legarre, T&#46; Rubio Obanos, F&#46; Escolar Castell&#243;n"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Samperiz Legarre"
            ]
            1 => array:2 [
              "nombre" => "T&#46;"
              "apellidos" => "Rubio Obanos"
            ]
            2 => array:2 [
              "nombre" => "F&#46;"
              "apellidos" => "Escolar Castell&#243;n"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615310437?idApp=UINPBA00003Z"
    "url" => "/03002896/0000003000000007/v1_201509151234/S0300289615310437/v1_201509151234/es/main.assets"
  ]
  "es" => array:13 [
    "idiomaDefecto" => true
    "titulo" => "Tratamiento del neumot&#243;rax espont&#225;neo en pacientes mayores de 70 a&#241;os"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "344"
        "paginaFinal" => "347"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "J&#46; Loscertales, F&#46; Garc&#237;a D&#237;az, R&#46; Jim&#233;nez Merch&#225;n, F&#46;J&#46; Ayarra, C&#46; Arenas Linares, J&#46;C&#46; Gir&#243;n Arjona"
        "autores" => array:6 [
          0 => array:3 [
            "nombre" => "J&#46;"
            "apellidos" => "Loscertales"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:2 [
            "nombre" => "F&#46;"
            "apellidos" => "Garc&#237;a D&#237;az"
          ]
          2 => array:2 [
            "nombre" => "R&#46;"
            "apellidos" => "Jim&#233;nez Merch&#225;n"
          ]
          3 => array:2 [
            "nombre" => "F&#46;J&#46;"
            "apellidos" => "Ayarra"
          ]
          4 => array:2 [
            "nombre" => "C&#46;"
            "apellidos" => "Arenas Linares"
          ]
          5 => array:2 [
            "nombre" => "J&#46;C&#46;"
            "apellidos" => "Gir&#243;n Arjona"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Servicio de Cirug&#237;a General y Tor&#225;cica&#46; C&#225;tedra de Cirug&#237;a&#46; Hospital Universitario de Sevilla&#46; Sevilla"
            "identificador" => "aff0005"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#42;"
            "correspondencia" => "Correspondencia&#58; Hospital Universitario de Sevilla&#46; Avda&#46; Dr&#46; Fedriani&#44; 3&#46; 41071 Sevilla&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "en" => array:1 [
        "titulo" => "Treatment of spontaneous pneumothorax in patients over 70"
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "1993-09-22"
    "fechaAceptado" => "1994-01-05"
    "tieneResumen" => true
    "resumen" => array:2 [
      "es" => array:1 [
        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se presentan 48 pacientes mayores de 70 a&#241;os afectados de neumot&#243;rax espont&#225;neo &#40;NE&#41;&#46; La gravedad del cuadro cl&#237;nico est&#225; condicionada por las lesiones previas pulmonares&#44; sobre todo el enfisema&#44; y el grado de insuficiencia respiratoria anterior al episodio de neumot&#243;rax&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se indican las pautas de tratamiento seguido&#44; que incluyen drenaje pleural aspirativo&#44; realizado en todos los casos&#44; con un fracaso del 69&#37;&#46; La pleurodesis con tetraciclina se practic&#243; en 23 pacientes&#44; con un 35&#37; de fracasos&#46; El talcaje por toracoscopia se llev&#243; a cabo en 5 pacientes&#44; no siendo resolutivo en uno&#46; La cirug&#237;a endosc&#243;pica videoasistida se realiz&#243; en 4 pacientes&#44; con buenos resultados en tres de ellos&#46; La cirug&#237;a reglada mediante toracotom&#237;a lateral se practic&#243; en 20 casos con un solo fracaso justificado por las circunstancias del paciente&#46;</p></span>"
      ]
      "en" => array:1 [
        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Forty-eight patients over the age of 70 with spontaneous pneumothorax &#40;SP&#41; are analyzed&#46; The severity of the clinical picture is conditioned by the presence of earlier lung lesions&#44; particularly related to emphysema&#44; and by the degree of respiratory failure prior to SP&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Treatment guidelines are listed&#46; Pleural drainage&#47;aspiration&#44; applied in all cases&#44; was of no avail in 69&#37;&#46; Tetracycline was injected into the pleural space of 23 patients&#44; with failure recorded in 35&#37;&#46; Talc was applied by thoroscopy in 5 patients&#44; to no avail&#46; Video-assisted endoscopic surgery was carried out in 4 patients&#44; with good results in 3&#46; Surgery with access by lateral thoracotomy was carried out in 20 patients&#44; with a single failure that was explained by the patient&#39;s condition&#46;</p></span>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Bibliograf&#237;a"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:21 [
            0 => array:3 [
              "identificador" => "bib0005"
              "etiqueta" => "1&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Bases morfol&#243;gicas de neumot&#243;rax espont&#225;neo y su reacci&#243;n pleural"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "O&#46; Ferrer-Roca"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Rev Clin Esp"
                        "fecha" => "1984"
                        "volumen" => "175"
                        "paginaInicial" => "223"
                        "paginaFinal" => "227"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6535206"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Life-endangering pneumothorax in the geriatric patient with bullous emphysema"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "J&#46; Loscertales"
                            1 => "F&#46;J&#46; Ayarra"
                            2 => "F&#46; Garc&#237;a-D&#237;az"
                            3 => "C&#46; Arenas-Linares"
                            4 => "A&#46; Rico"
                            5 => "J&#46;L&#46; D&#237;az-Infantes"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:4 [
                        "titulo" => "Thoracic surgery&#58; surgical management of pleural diseases&#46; International trends in general thoracic surgery vol&#46; 6"
                        "paginaInicial" => "144"
                        "paginaFinal" => "146"
                        "serieFecha" => "1990"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "3&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Klinik und therapie des spontaupheumothorax"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "E&#46; Kessler"
                            1 => "N&#46; Day"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Prax Klin Pheumol"
                        "fecha" => "1984"
                        "volumen" => "38"
                        "paginaInicial" => "523"
                        "paginaFinal" => "533"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "4&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Neumot&#243;rax espont&#225;neo"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "J&#46; Loscertales Abril"
                            1 => "F&#46;J&#46; Ayarra Jarne"
                            2 => "F&#46;J&#46; Garc&#237;a D&#237;az"
                            3 => "C&#46; Arenas Linares"
                            4 => "A&#46; Rico &#193;lvarez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "1988"
                        "editorial" => "Ed&#46; Elba"
                        "editorialLocalizacion" => "Madrid"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "5&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Clinical survey of spontaneous pheumothorax in patient aged 40 or over"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "K&#46; Ohno"
                            1 => "M&#46; Ikeda"
                            2 => "H&#46; Maeda"
                            3 => "H&#46; Tada"
                            4 => "S&#46; Hiyoshi"
                            5 => "Y&#46; Kitagawa"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Nippon Kyobu Geka Gakkai Zasshi"
                        "fecha" => "1984"
                        "volumen" => "34"
                        "paginaInicial" => "29"
                        "paginaFinal" => "39"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "6&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The management of spontaneous pneumothorax and bullous emphysema"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "W&#46;C&#46; Devries"
                            1 => "W&#46;G&#46; Wolfe"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Surg Clin North Am"
                        "fecha" => "1980"
                        "volumen" => "60"
                        "paginaInicial" => "851"
                        "paginaFinal" => "866"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7423365"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0140673607608174"
                          "estado" => "S300"
                          "issn" => "01406736"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0035"
              "etiqueta" => "7&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Nonexpandable lung afterdrainage of pneumothorax"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "A&#46;G&#46; Galvis"
                            1 => "A&#46; Bowen"
                            2 => "K&#46;S&#46; Oh"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.2214/ajr.136.6.1087"
                      "Revista" => array:6 [
                        "tituloSerie" => "AJR"
                        "fecha" => "1981"
                        "volumen" => "136"
                        "paginaInicial" => "1&#46;224"
                        "paginaFinal" => "1&#46;226"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6786018"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "8&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pleural abrasion in the treatment of recurrent or persistent spontaneous pneumothorax&#46; Results of 94 consecutive cases"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "G&#46; Marggi"
                            1 => "F&#46; Ardissone"
                            2 => "A&#46; Oliaro"
                            3 => "E&#46; Ruffini"
                            4 => "R&#46; Cianci"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Int Surg"
                        "fecha" => "1992"
                        "volumen" => "77"
                        "paginaInicial" => "99"
                        "paginaFinal" => "101"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1644545"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib0045"
              "etiqueta" => "9&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pneumotorax spontan&#232;e et insuffisance respiratoire"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "L&#46;N&#46; Benusiglio"
                            1 => "C&#46; Fontolliet"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Schweiz Med Wonchenstchr"
                        "fecha" => "1985"
                        "volumen" => "115"
                        "paginaInicial" => "659"
                        "paginaFinal" => "664"
                        "itemHostRev" => array:3 [
                          "pii" => "S0140673604174059"
                          "estado" => "S300"
                          "issn" => "01406736"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib0050"
              "etiqueta" => "10&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Persistance de l&#8217;hypox&#233;mie apr&#233;s r&#233;xpansion compl&#232;te du poumon chez les patients atteints de pneumothorax spontan&#233;e idiopathique"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "G&#46; Favez"
                            1 => "P&#46; Levenberger"
                            2 => "J&#46;P&#46; Rhyner"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Schweiz Med Worchenschr"
                        "fecha" => "1980"
                        "volumen" => "110"
                        "paginaInicial" => "1&#46;010"
                        "paginaFinal" => "1&#46;012"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib0055"
              "etiqueta" => "11&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Tratamiento quir&#250;rgico en el enfisema hulloso del adulto&#58; sus indicaciones"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "G&#46; Tamos"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Med Clin"
                        "fecha" => "1984"
                        "volumen" => "83"
                        "paginaInicial" => "812"
                        "paginaFinal" => "816"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib0060"
              "etiqueta" => "12&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Thoracoscopic stapled resection for spontaneous pneumothorax"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:7 [
                            0 => "E&#46;R&#46; Hazelrigg"
                            1 => "R&#46;J&#46; Landreneau"
                            2 => "M&#46; Mack"
                            3 => "T&#46; Acuff"
                            4 => "P&#46;E&#46; Seifert"
                            5 => "T&#46;E&#46; Aver"
                            6 => "M&#46;K&#46; Magee"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Thorac Cardiovasc Surg"
                        "fecha" => "1993"
                        "volumen" => "105"
                        "paginaInicial" => "389"
                        "paginaFinal" => "393"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8445917"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib0065"
              "etiqueta" => "13&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The surgical treatment of spontaneous pneumothorax by video-thoracoscopy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "R&#46; Inderbitzi"
                            1 => "M&#46; Furre"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Thorac Cardiovasc Surgeon"
                        "fecha" => "1992"
                        "volumen" => "40"
                        "paginaInicial" => "330"
                        "paginaFinal" => "333"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib0070"
              "etiqueta" => "14&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Videothoracoscopic ligation of bulla and pleurectomy for spontaneous pneumothorax"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "L&#46;K&#46; Nathanson"
                            1 => "S&#46;M&#46; Shimi"
                            2 => "R&#46;A&#46;B&#46; Wood"
                            3 => "A&#46; Cuscbhieri"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Thorac Surg"
                        "fecha" => "1991"
                        "volumen" => "52"
                        "paginaInicial" => "316"
                        "paginaFinal" => "319"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1863161"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib0075"
              "etiqueta" => "15&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Treatment of primary spontaneous pneumothorax sith intrapleural tetracycline installation or thoracotomy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "M&#46; Krasnik"
                            1 => "H&#46; Stimpel"
                            2 => "E&#46; Halkier"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Scand J Thorac Cardiovasc Surg"
                        "fecha" => "1983"
                        "volumen" => "27"
                        "paginaInicial" => "49"
                        "paginaFinal" => "51"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8493497"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib0080"
              "etiqueta" => "16&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Long-term results after tetracycline pleurodesis in spontaneous pneumothorax"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "P&#46;S&#46; Olsen"
                            1 => "H&#46;O&#46; Andersen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Thorac Surg"
                        "fecha" => "1992"
                        "volumen" => "53"
                        "paginaInicial" => "1&#46;015"
                        "paginaFinal" => "1&#46;017"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1596159"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib0085"
              "etiqueta" => "17&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Le talcage pleural dans le pneumothorax spontan&#232;e"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "R&#46;G&#46; Vanderschueren"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Poumon Coeur"
                        "fecha" => "1981"
                        "volumen" => "37"
                        "paginaInicial" => "273"
                        "paginaFinal" => "276"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7312759"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib0090"
              "etiqueta" => "18&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Neumot&#243;rax espont&#225;neo"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "M&#46; Catalan"
                            1 => "M&#46; Mateu"
                            2 => "E&#46; Canalis"
                            3 => "E&#46; Letang"
                            4 => "M&#46;A&#46; Callejas"
                            5 => "J&#46; Sanches-Lloret"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "An&#225;lisis de 150 casos consecutivos&#46; Rev Esp Cirg CTV"
                        "fecha" => "1980"
                        "volumen" => "1"
                        "paginaInicial" => "35"
                        "paginaFinal" => "39"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib0095"
              "etiqueta" => "19&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The management of spontaneous pneumothorax"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "O&#46;T&#46; Clagett"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Thorac Cardiovasc Surg"
                        "fecha" => "1968"
                        "volumen" => "55"
                        "paginaInicial" => "761"
                        "paginaFinal" => "762"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5651596"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib0100"
              "etiqueta" => "20&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Traitement Chirurgical du Pneumothorax Spontane"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "G&#46; Lemoine"
                            1 => "P&#46; Baldeyron"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Encycl Med Chir &#40;Par&#237;s&#41;"
                        "fecha" => "1983"
                        "volumen" => "1"
                        "paginaInicial" => "1"
                        "paginaFinal" => "5"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib0105"
              "etiqueta" => "21&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A limited axillary thoracotomy as primary treatment for recurrent spontaneous pneumothorax"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "D&#46; Murray"
                            1 => "R&#46;G&#46; Matheny"
                            2 => "E&#46;P&#46; Howanitz"
                            3 => "P&#46;D&#46; Mycrowitz"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Chest"
                        "fecha" => "1993"
                        "volumen" => "103"
                        "paginaInicial" => "137"
                        "paginaFinal" => "142"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8417868"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "es"
  "url" => "/03002896/0000003000000007/v1_201509151234/S0300289615310449/v1_201509151234/es/main.assets"
  "Apartado" => array:4 [
    "identificador" => "9277"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Originales"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/03002896/0000003000000007/v1_201509151234/S0300289615310449/v1_201509151234/es/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615310449?idApp=UINPBA00003Z"
]
Share
Journal Information
Vol. 30. Issue 7.
Pages 344-347 (August - September 1994)
Share
Share
Download PDF
More article options
Vol. 30. Issue 7.
Pages 344-347 (August - September 1994)
Full text access
Tratamiento del neumotórax espontáneo en pacientes mayores de 70 años
Treatment of spontaneous pneumothorax in patients over 70
Visits
4713
J. Loscertales*, F. García Díaz, R. Jiménez Merchán, F.J. Ayarra, C. Arenas Linares, J.C. Girón Arjona
Servicio de Cirugía General y Torácica. Cátedra de Cirugía. Hospital Universitario de Sevilla. Sevilla
This item has received
Article information

Se presentan 48 pacientes mayores de 70 años afectados de neumotórax espontáneo (NE). La gravedad del cuadro clínico está condicionada por las lesiones previas pulmonares, sobre todo el enfisema, y el grado de insuficiencia respiratoria anterior al episodio de neumotórax.

Se indican las pautas de tratamiento seguido, que incluyen drenaje pleural aspirativo, realizado en todos los casos, con un fracaso del 69%. La pleurodesis con tetraciclina se practicó en 23 pacientes, con un 35% de fracasos. El talcaje por toracoscopia se llevó a cabo en 5 pacientes, no siendo resolutivo en uno. La cirugía endoscópica videoasistida se realizó en 4 pacientes, con buenos resultados en tres de ellos. La cirugía reglada mediante toracotomía lateral se practicó en 20 casos con un solo fracaso justificado por las circunstancias del paciente.

Forty-eight patients over the age of 70 with spontaneous pneumothorax (SP) are analyzed. The severity of the clinical picture is conditioned by the presence of earlier lung lesions, particularly related to emphysema, and by the degree of respiratory failure prior to SP.

Treatment guidelines are listed. Pleural drainage/aspiration, applied in all cases, was of no avail in 69%. Tetracycline was injected into the pleural space of 23 patients, with failure recorded in 35%. Talc was applied by thoroscopy in 5 patients, to no avail. Video-assisted endoscopic surgery was carried out in 4 patients, with good results in 3. Surgery with access by lateral thoracotomy was carried out in 20 patients, with a single failure that was explained by the patient's condition.

Full text is only aviable in PDF
Bibliografía
[1.]
O. Ferrer-Roca.
Bases morfológicas de neumotórax espontáneo y su reacción pleural.
Rev Clin Esp, 175 (1984), pp. 223-227
[2.]
J. Loscertales, F.J. Ayarra, F. García-Díaz, C. Arenas-Linares, A. Rico, J.L. Díaz-Infantes.
Life-endangering pneumothorax in the geriatric patient with bullous emphysema.
Thoracic surgery: surgical management of pleural diseases. International trends in general thoracic surgery vol. 6, pp. 144-146
[3.]
E. Kessler, N. Day.
Klinik und therapie des spontaupheumothorax.
Prax Klin Pheumol, 38 (1984), pp. 523-533
[4.]
J. Loscertales Abril, F.J. Ayarra Jarne, F.J. García Díaz, C. Arenas Linares, A. Rico Álvarez.
Neumotórax espontáneo.
Ed. Elba, (1988),
[5.]
K. Ohno, M. Ikeda, H. Maeda, H. Tada, S. Hiyoshi, Y. Kitagawa, et al.
Clinical survey of spontaneous pheumothorax in patient aged 40 or over.
Nippon Kyobu Geka Gakkai Zasshi, 34 (1984), pp. 29-39
[6.]
W.C. Devries, W.G. Wolfe.
The management of spontaneous pneumothorax and bullous emphysema.
Surg Clin North Am, 60 (1980), pp. 851-866
[7.]
A.G. Galvis, A. Bowen, K.S. Oh.
Nonexpandable lung afterdrainage of pneumothorax.
AJR, 136 (1981), pp. 1.224-1.226
[8.]
G. Marggi, F. Ardissone, A. Oliaro, E. Ruffini, R. Cianci.
Pleural abrasion in the treatment of recurrent or persistent spontaneous pneumothorax. Results of 94 consecutive cases.
Int Surg, 77 (1992), pp. 99-101
[9.]
L.N. Benusiglio, C. Fontolliet.
Pneumotorax spontanèe et insuffisance respiratoire.
Schweiz Med Wonchenstchr, 115 (1985), pp. 659-664
[10.]
G. Favez, P. Levenberger, J.P. Rhyner.
Persistance de l’hypoxémie aprés réxpansion complète du poumon chez les patients atteints de pneumothorax spontanée idiopathique.
Schweiz Med Worchenschr, 110 (1980), pp. 1.010-1.012
[11.]
G. Tamos.
Tratamiento quirúrgico en el enfisema hulloso del adulto: sus indicaciones.
Med Clin, 83 (1984), pp. 812-816
[12.]
E.R. Hazelrigg, R.J. Landreneau, M. Mack, T. Acuff, P.E. Seifert, T.E. Aver, M.K. Magee.
Thoracoscopic stapled resection for spontaneous pneumothorax.
J Thorac Cardiovasc Surg, 105 (1993), pp. 389-393
[13.]
R. Inderbitzi, M. Furre.
The surgical treatment of spontaneous pneumothorax by video-thoracoscopy.
Thorac Cardiovasc Surgeon, 40 (1992), pp. 330-333
[14.]
L.K. Nathanson, S.M. Shimi, R.A.B. Wood, A. Cuscbhieri.
Videothoracoscopic ligation of bulla and pleurectomy for spontaneous pneumothorax.
Ann Thorac Surg, 52 (1991), pp. 316-319
[15.]
M. Krasnik, H. Stimpel, E. Halkier.
Treatment of primary spontaneous pneumothorax sith intrapleural tetracycline installation or thoracotomy.
Scand J Thorac Cardiovasc Surg, 27 (1983), pp. 49-51
[16.]
P.S. Olsen, H.O. Andersen.
Long-term results after tetracycline pleurodesis in spontaneous pneumothorax.
Ann Thorac Surg, 53 (1992), pp. 1.015-1.017
[17.]
R.G. Vanderschueren.
Le talcage pleural dans le pneumothorax spontanèe.
Poumon Coeur, 37 (1981), pp. 273-276
[18.]
M. Catalan, M. Mateu, E. Canalis, E. Letang, M.A. Callejas, J. Sanches-Lloret.
Neumotórax espontáneo.
Análisis de 150 casos consecutivos. Rev Esp Cirg CTV, 1 (1980), pp. 35-39
[19.]
O.T. Clagett.
The management of spontaneous pneumothorax.
J Thorac Cardiovasc Surg, 55 (1968), pp. 761-762
[20.]
G. Lemoine, P. Baldeyron.
Traitement Chirurgical du Pneumothorax Spontane.
Encycl Med Chir (París), 1 (1983), pp. 1-5
[21.]
D. Murray, R.G. Matheny, E.P. Howanitz, P.D. Mycrowitz.
A limited axillary thoracotomy as primary treatment for recurrent spontaneous pneumothorax.
Chest, 103 (1993), pp. 137-142
Copyright © 1994. Sociedad Española de Neumología y Cirugía Torácica
Archivos de Bronconeumología
Article options
Tools

Are you a health professional able to prescribe or dispense drugs?