Concordancia entre los hallazgos obtenidos mediante la arteriografía pulmonar, la radiología de tórax, la tomografía computarizada y la broncoscopia en enfermos con hemoptisis graves
Concordance between bronchial arteriography, chest radiology, computer tomography and bronchoscopy in patients with serious haemoptysis
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A national survey" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "M.E. Herrera gutiérrez, D. Daga ruiz, G. Seller pérez, A. García alcántara, C. De la rubia de gracia, L. Ruiz del fresno" "autores" => array:6 [ 0 => array:2 [ "nombre" => "M.E." "apellidos" => "Herrera gutiérrez" ] 1 => array:2 [ "nombre" => "D." "apellidos" => "Daga ruiz" ] 2 => array:2 [ "nombre" => "G." "apellidos" => "Seller pérez" ] 3 => array:2 [ "nombre" => "A." "apellidos" => "García alcántara" ] 4 => array:2 [ "nombre" => "C." "apellidos" => "De la rubia de gracia" ] 5 => array:2 [ "nombre" => "L." "apellidos" => "Ruiz del fresno" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569100796203?idApp=WMIE" "url" => "/02105691/0000002400000008/v1_201304241203/S0210569100796203/v1_201304241203/es/main.assets" ] "es" => array:13 [ "idiomaDefecto" => true "titulo" => "Concordancia entre los hallazgos obtenidos mediante la arteriografía pulmonar, la radiología de tórax, la tomografía computarizada y la broncoscopia en enfermos con hemoptisis graves" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "335" "paginaFinal" => "340" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "A.C. Nebra puertas, C. Puebla macarrón, M.T. Rosell abós, B. Virgós señor, J. Fernández gómez, J. Medrano peña, M.A. De gregorio ariza" "autores" => array:7 [ 0 => array:3 [ "nombre" => "A.C." "apellidos" => "Nebra puertas" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "C." "apellidos" => "Puebla macarrón" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "M.T." "apellidos" => "Rosell abós" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">***</span>" "identificador" => "aff0015" ] ] ] 3 => array:3 [ "nombre" => "B." "apellidos" => "Virgós señor" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] ] 4 => array:3 [ "nombre" => "J." "apellidos" => "Fernández gómez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] ] ] 5 => array:3 [ "nombre" => "J." "apellidos" => "Medrano peña" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] ] ] 6 => array:3 [ "nombre" => "M.A." "apellidos" => "De gregorio ariza" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Servicios de Medicina Intensiva" "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Radiología" "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Neumología. Hospial Clínico Universitario Lozano Blesa. Zaragoza" "etiqueta" => "<span class="elsevierStyleSup">***</span>" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Correspondencia: Dr. A.C. Nebra Puertas. Av. De Valencia nº 51-53, Esc. 1ª, piso 8º-B. 50009 Zaragoza" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Concordance between bronchial arteriography, chest radiology, computer tomography and bronchoscopy in patients with serious haemoptysis" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaAceptado" => "2000-05-08" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras Clave" "identificador" => "xpalclavsec82370" "palabras" => array:5 [ 0 => "hemoptisis" 1 => "técnicas diagnósticas" 2 => "radiografía de tórax" 3 => "fibrobroncoscopia" 4 => "tomografía computarizada arteriografía bronquial" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec82369" "palabras" => array:6 [ 0 => "Haemoptysis" 1 => "diagnostic techniques" 2 => "torax roentengenogram" 3 => "computer tomography" 4 => "fibrobronchoscopy" 5 => "bronchial arteriography" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Fundamento</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La hemoptisis significativa es un problema clínico frecuente y grave. El objetivo del presente trabajo era comparar los hallazgos obtenidos mediante las diferentes técnicas diagnósticas empleadas en estos casos.</p> <span class="elsevierStyleSectionTitle">Pacientes y métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Fueron incluidos 40 pacientes ingresados en el Hospital Clínico de Zaragoza por hemoptisis significativas, y a los que se realizó una arteriografía bronquial (AB) selectiva. Se utilizaron como técnicas diagnósticas la fibrobroncoscopia (FB), la radiografía simple de tórax (RT) y la tomografía computarizada (TC), tomándose y comparándose los hallazgos más significativos para cada una de las técnicas y empleándose la AB como referencia; se utiliza el coeficiente Kappa como método de validación interobservadores para cada una de las pruebas radiológicas y se calcula el cociente de probabilidades como indicador de calidad diagnóstica de las distintas pruebas.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La RT es una buena técnica diagnóstica con determinadas imágenes. La TC guarda una buena fiabilidad diagnóstica con determinados patrones radiológicos; por el contrario la FB obtuvo en nuestra serie peores resultados de los esperados.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La RT es la primera técnica diagnóstica a realizar por su sencillez, bajo coste y por la información que aporta con determinados patrones. Respecto a la TC, guarda una elevada correlación de manera global. La FB presenta, pese a unos resultados pobres en nuestra serie a la hora de localizar el punto sangrante, la ventaja de poder realizar toma de muestras y maniobras terapeúticas en determinadas situaciones.</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Background</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Haemoptysis is a serious and frequent clinical problem. The goal of our study was to make a comparision between the different diagnostic techniques.</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We included 40 patients admitted to our Hospital for significant haemoptysis; all of them were explored with bronchial arteriography (BA), thorax roentengenogram (TR), computer tomography (CT) and fibrobronchoscopy (FB), taking the more significant pictures for each technique and using BA as the reference gold standard. Kappa coeficient and likelihood ratio are calculated.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">TR is a good technique with determinated patterns. TC had good diagnostic reliability with some patterns; on the other hand, FB had poorer than expected results.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">TR is the first technique to be done, it is easy and cheap and gives important information with determinated patterns. TR has a high correlation with TC. FB has, in our patients, poor results regarding localization of the bleeding point; on the other hand, it allows us to take a biopsy or microbiology samples.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:23 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Massive haemoptysis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "J.A. 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| año/Mes | Html | Total | |
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| 2023 Marzo | 44 | 51 | 95 |
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| 2023 Enero | 31 | 27 | 58 |
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