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        "titulo" => "Resumen y conclusiones"
        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Hemos analizado 36 enfermos de enfisema cl&#237;nico&#44; de los cuales 14 eran puros &#40;tipo A&#41; y 22 ten&#237;an bronquitis asociada &#40;tipo A &#43; B&#41;&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">De las diferentes determinaciones practicadas&#44; resaltamos las siguientes conclusiones&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">1&#46; Acusada obstrucci&#243;n bronquial con insuflaci&#243;n pulmonar intensa&#44; sin diferencia significativa entre ambos grupos con descenso de la C&#46;V&#46; al 70&#37;&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">2&#46; Muy escasa reversibilidad de la obstrucci&#243;n bronquial tras la inhalaci&#243;n de broncol&#237;ticos&#44; algo m&#225;s mani los casos&#44; discretamente mayor en el grupo A &#43; B&#46;</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">3&#46; Moderada hipoxernia en todos fiesta en el groupo A &#43; B&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">4&#46; Objetivamente hipercapnia significativa &#40;PaCO<span class="elsevierStyleInf">2</span>&#60; 50<span class="elsevierStyleHsp" style=""></span>mm de Hg&#41; en el 30&#37; de nuestra casu&#237;stica&#44; siendo m&#225;s frecuente en el grupo A &#43; B&#46;</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">5&#46; Con excepci&#243;n de un caso&#44; todos nuestros enfermos presentaban un <span class="elsevierStyleItalic">p</span>H normal o ligeramente elevado&#44; sin diferencias entre ambos grupos&#46;</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">6&#46; Tras el esfuerzo&#58; 1&#41; PaO<span class="elsevierStyleInf">2</span> ascendi&#243; en m&#225;s de la mitad de los enfermos de ambos grupos&#59; 2&#41; PaCO<span class="elsevierStyleInf">2</span> se increment&#243; con mayor frecuencia e intensidad en el tipo A &#43; B&#59; 3&#41; En la tercera parte de nuestra casu&#237;stica se elevan simult&#225;neamente ambos par&#225;metros gasom&#233;tricos&#46;</p></span>"
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        "titulo" => "Summary"
        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">The authors have analyzed 3 5 patients with clinical emphysema&#59; 14 with pure emphysema &#40;tipe A&#41; and 22 with associated bronchitis &#40;type A&#43;B&#41;&#46;</p><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Of the different determinations carried out&#44; the authors emphasize the following conclusions&#46;</p><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">1&#46; Accused bronchial obstruction with intense pulmonary insufflation&#44; with no significant difference be- tween both groups and with decrease of the Vital Capacity to 70&#37;&#46;</p><p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">2&#46; Very scarce reversibility of the bronchial obstruction after inhalation of broncholithics&#44; somewhat more manifest in the group A &#43; B&#46;</p><p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">3&#46; Moderate hypoxemia in all the cases&#44; discreetly greater in the group A&#43;B&#46;</p><p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">4&#46; The authors found significant hypercapnia &#40;PaCO<span class="elsevierStyleInf">2</span> 50<span class="elsevierStyleHsp" style=""></span>mm g&#41; in 30&#37; of their cases&#44; being more frequent in the group A&#43;B&#46;</p><p id="spar0075" class="elsevierStyleSimplePara elsevierViewall">5&#46; With the exception ofone case&#44; all the patients had a normal or slightiy elevated <span class="elsevierStyleItalic">p</span>H&#44; with no differences between both groups&#46;</p><p id="spar0080" class="elsevierStyleSimplePara elsevierViewall">6&#46; After effort&#58; 1&#41; PaO<span class="elsevierStyleInf">2</span> increased in more than half of the patients of both groups&#59; 2&#41; PaCO<span class="elsevierStyleInf">2</span> increased with greater frequency and intensity in the type A&#43;B&#59; 3&#41; In one third of the cases both gasometric parameters were elevated simultaneouisy&#46;</p></span>"
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Vol. 11. Issue 4.
Pages 128-133 (October - December 1975)
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Vol. 11. Issue 4.
Pages 128-133 (October - December 1975)
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Volumenes pulmonares y gasometria arterial en el enfisema pulmonar
Pulmonary volumes and arterial gasometry in pulmonary emphysema
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J. Martínez González del Río, J. Pérez Guerrero, F. Lahoz Navarro, A. Sastre Castillo, F. Marín Núñez, E. Alvarez Cuesta, A. López Encuentra, M. Lorenzo Cruz
Departamento de Alergologia y Terapéutica Respiratoria. Fundación Jiménez Díaz. Madrid
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Resumen y conclusiones

Hemos analizado 36 enfermos de enfisema clínico, de los cuales 14 eran puros (tipo A) y 22 tenían bronquitis asociada (tipo A + B).

De las diferentes determinaciones practicadas, resaltamos las siguientes conclusiones.

1. Acusada obstrucción bronquial con insuflación pulmonar intensa, sin diferencia significativa entre ambos grupos con descenso de la C.V. al 70%.

2. Muy escasa reversibilidad de la obstrucción bronquial tras la inhalación de broncolíticos, algo más mani los casos, discretamente mayor en el grupo A + B.

3. Moderada hipoxernia en todos fiesta en el groupo A + B.

4. Objetivamente hipercapnia significativa (PaCO2< 50mm de Hg) en el 30% de nuestra casuística, siendo más frecuente en el grupo A + B.

5. Con excepción de un caso, todos nuestros enfermos presentaban un pH normal o ligeramente elevado, sin diferencias entre ambos grupos.

6. Tras el esfuerzo: 1) PaO2 ascendió en más de la mitad de los enfermos de ambos grupos; 2) PaCO2 se incrementó con mayor frecuencia e intensidad en el tipo A + B; 3) En la tercera parte de nuestra casuística se elevan simultáneamente ambos parámetros gasométricos.

Summary

The authors have analyzed 3 5 patients with clinical emphysema; 14 with pure emphysema (tipe A) and 22 with associated bronchitis (type A+B).

Of the different determinations carried out, the authors emphasize the following conclusions.

1. Accused bronchial obstruction with intense pulmonary insufflation, with no significant difference be- tween both groups and with decrease of the Vital Capacity to 70%.

2. Very scarce reversibility of the bronchial obstruction after inhalation of broncholithics, somewhat more manifest in the group A + B.

3. Moderate hypoxemia in all the cases, discreetly greater in the group A+B.

4. The authors found significant hypercapnia (PaCO2 50mm g) in 30% of their cases, being more frequent in the group A+B.

5. With the exception ofone case, all the patients had a normal or slightiy elevated pH, with no differences between both groups.

6. After effort: 1) PaO2 increased in more than half of the patients of both groups; 2) PaCO2 increased with greater frequency and intensity in the type A+B; 3) In one third of the cases both gasometric parameters were elevated simultaneouisy.

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Copyright © 1975. Sociedad Española de Neumología y Cirugía Torácica
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