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Perfil clínico que facilita la sospecha de cáncer de pulmón para un diagnóstico oportuno 临床概况有助于怀疑肺癌的及时诊断
Pub Date : 1900-01-01 DOI: 10.35366/108494
Renata Báez-Saldaña, Alberto Vargas-Rojas, Yair Chavarría-Castro, Uriel Rumbo-Nava, Belinda Contreras-Garza, Paulina Guinto-Ramírez, Óscar Arrieta
, diagnóstico, derrame pleural, diagnóstico temprano del cáncer de pulmón. ABSTRACT. Introduction: lung cancer (LC) is usually diagnosed late. Understanding how patients present at the time of their diagnosis it is useful for early identification of the disease. Objective: to identify the clinical profile of patients with lung cancer, allowing to suspect the diagnosis and to propose an algorithm for early referral. Material and methods: prospective case series of lung cancer. The general characteristics, smoking, exposure to wood smoke, time from symptom onset to diagnosis and the type and frequency of symptoms were studied and their association with pleural effusion was analyzed. Results: the median age was 65 years, 55% were men. History of smoking 50.2%, exposure to wood smoke 43.9%. The median time from symptom onset to diagnosis was 120 days and in 94% it was more than 3 weeks. The most frequent symptoms were cough 88%, cough for 3 weeks or more 94.6%, dyspnea 75.2%, chest pain 50%, weight loss 70%, and hemoptysis 22%. Malignant pleural effusion 44.9%. Dyspnea, chest pain and oxygen saturation < 88% simultaneously were associated with pleural effusion OR (95% CI) 7.54 (3.28-17.34). Conclusions: adult patients who report cough for 3 weeks or more and/or any of the following symptoms: dyspnea, chest pain, weight loss, hemoptysis, or fatigue that are not explained by established diagnosis, should be evaluated by chest x-ray for early referral to a specialized unit.
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引用次数: 0
Técnica de ex vivo en modelo biológico para trasplante pulmonar. Una manera de realizar simulación de alto realismo 肺移植生物模型的离体技术。一种执行高真实感模拟的方法
Pub Date : 1900-01-01 DOI: 10.35366/94631
Rogelio Jasso-Victoria, Emilio Roberto Rueda-Juárez, M. T. Pérez-López, Matilde Baltazares-Lipp, J. R. Olmos-Zúñiga, Javier Martínez-Cortés, María T. Silva-Martínez, Claudia Hernández-Jiménez, Juan Carlos Vázquez-Minero
. Pulmonary transplantation is a treatment that involves mastery of a complex surgical technique, for the specialist in training in chest surgery. One modality of preserving the lung before being transplanted is the ex vivo technique. Material and methods : In order to train the resident in this area, a biological model of pig was used to obtain the heart lung block and its connection to the living system. Results: 20 lung heart block procurements were carried out and connected to the lively system without complications, leaving them connected for two hours to assess, that the technique was correct. This significant learning modality, with a process of situated cognition, helps to improve the learning of residents in training. Conclusions: High-realism biological simulation is a very useful tool for meaningful and situated learning of thoracic surgery residents.
. 肺移植是一种治疗,需要对复杂的外科技术的掌握,对胸部外科专家的培训。在移植前保存肺的一种方式是离体技术。材料和方法:为了对该领域的住院医师进行培训,采用猪的生物模型获得心肺阻滞及其与生命系统的连接。结果:20例肺心传导阻滞置换术完成,并与活体系统连接,无并发症,连接2小时后评估技术是否正确。这种具有情境认知过程的重要学习方式有助于住院医师在培训过程中的学习。结论:高逼真度的生物模拟对胸外科住院医师有意义的情境学习是非常有用的工具。
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引用次数: 0
Instituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas. Proyección y perspectiva. A 85 años 国家呼吸系统疾病研究所Ismael cosio Villegas。投影和透视。85岁
Pub Date : 1900-01-01 DOI: 10.35366/103453
J. L. Sandoval-Gutiérrez
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引用次数: 0
Efectos cardiovasculares del tabaquismo
Pub Date : 1900-01-01 DOI: 10.35366/NT191I
Carolina Reyes-Méndez, Cinthia Fierros-Rodríguez, Ramiro Cárdenas-Ledesma, Andrea Hernández-Pérez, Leonor García-Gómez, R. Perez-Padilla
RESUMEN. El consumo de tabaco tiene consecuencias adversas en la salud cardiovascular y representa un problema de salud pública a nivel mundial que demanda atención integral. Se realizó una revisión sistemática en PubMed de la literatura concerniente al impacto del tabaquismo sobre la salud cardiovascular reportada en metaanálisis publicados en los últimos 10 años. Doce estudios determinaron una asociación significativa entre el tabaquismo y la incidencia de enfermedades cardiovasculares, de los cuales seis demostraron una dismi nución importante de la morbimortalidad tras la implementación de políticas para el control del tabaco. Es necesario fortalecer las acciones de los gobiernos y los profesionales de la salud para disminuir la prevalencia de consumo de tabaco y proteger a la población general de las enfermedades asociadas con este producto, que afectan a todo el cuerpo y que tienden a generar enfermos con múltiples comorbilidades que se tienen que investigar. ABSTRACT. Cigarette smoking has hazardous effects on cardiovascular health and represents a worldwide great concern that demands further attention. We conducted a systematic review using PubMed database of the literature concerning cardiovascular effects of cigarette smoking reported in meta-analyses published in the last 10 years. 12 studies determined a significant association between cigarette smoking and the incidence of cardiovascular diseases, 6 of them demonstrated a substantial decline in the morbimortality after tobacco control policies were implemented. There is a need for the governments and the health care providers to strengthen their actions in order to reduce the prevalence of tobacco smoking and protect the general population from smoking attributable diseases, affecting multiple organs and systems and generating patients with multiple comorbidities.
摘要。烟草消费对心血管健康有不良后果,是一个世界性的公共卫生问题,需要全面关注。我们在PubMed上对过去10年发表的荟萃分析中有关吸烟对心血管健康影响的文献进行了系统综述。12项研究确定了吸烟与心血管疾病发病率之间的显著关联,其中6项研究表明,在实施烟草控制政策后,发病率和死亡率显著下降。需要加强政府行为和保健专业人员,以减少烟草使用流行率和保护人们免受疾病一般此款产品,影响到整个身体和多个患者往往产生人他们必须调查。ABSTRACT。吸烟对心血管健康有危险影响,是一个世界性的大问题,需要进一步关注。我们利用过去10年发表的荟萃分析中关于吸烟对心血管影响的文献的PubMed数据库进行了系统的综述。12项研究确定了吸烟与心血管疾病发病率之间的显著关联,其中6项研究表明,在实施烟草控制政策后,发病率和死亡率大幅下降。政府和卫生保健提供者需要加强其行动,以减少烟草吸烟的流行,保护一般人群免受可归因于吸烟的疾病、影响多种器官和系统以及产生多重合并症患者的影响。
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引用次数: 1
Análisis descriptivo de adultos mayores mexicanos con enfermedad COVID-19 墨西哥老年COVID-19患者的描述性分析
Pub Date : 1900-01-01 DOI: 10.35366/97964
Carla Paola Sánchez-Ríos, J. O. Barreto-Rodríguez, Gustavo Iván Centeno-Sáenz, Hazel Vázquez-Rojas
. Introduction: The elderly may represent a specific group of patients at high risk for developing COVID-19 with rapidly progressive clinical deterioration. In fact, in older individuals, immunosenescence and comorbid disorders are more likely to promote a virus-induced cytokine storm resulting in life-threatening respiratory failure and multi- system compromise. Material and methods: A descriptive study of the geriatric population with COVID-19 disease attended at the National Institute of Respiratory Diseases, Mexico City, Mexico in the period March-May 2020 was carried out. 35 hospitalized adult patients over 60 years were confirmed by RT PCR. for COVID-19 disease in pharyngeal exudate. Descriptive statistics were used and results were expressed using measures of central tendency. Results: A total sample of 35 patients was analyzed. 62.85% were male (n = 22). Systemic arterial hypertension was documented in 51.42% (n = 18), obesity in 48.57% (n = 17) and diabetes mellitus in 34.28% (n = 12). The severity of the COVID-19 disease at the time of hospital admission was: mild in 22.85% (n = 8), moderate in 42.85% (n = 15) and severe or critical in 34.28% (n = 12). 80% (n = 28) consulted after presenting symptoms for more than five days. The tomographic findings were ground glass pattern in 82.85% (n = 29), consolidation in 14.28% (n = 5) and «crazy paving» in only one patient (2.8%). The mortality registered in geriatric patients with COVID-19 was 68.57%. Conclusions: The geriatric population is considered vulnerable for the development of COVID-19 disease and for fatal outcomes. Patients with moderate disease should be closely monitored as they tend to eventually develop critical forms. The fatality of COVID-19 disease in older adult patients is high.
. 老年人可能是新冠肺炎的高危患者群体,其临床进展迅速。事实上,在老年人中,免疫衰老和合并症更有可能促进病毒诱导的细胞因子风暴,导致危及生命的呼吸衰竭和多系统损害。材料和方法:对2020年3月至5月期间在墨西哥墨西哥城国家呼吸疾病研究所参加的COVID-19疾病老年人群进行了描述性研究。采用RT - PCR方法对35例60岁以上住院成人患者进行确诊。咽渗出物中COVID-19疾病使用描述性统计,并使用集中趋势度量来表示结果。结果:共分析35例患者。男性占62.85% (n = 22)。系统性动脉高血压患者占51.42% (n = 18),肥胖患者占48.57% (n = 17),糖尿病患者占34.28% (n = 12)。入院时新冠肺炎严重程度为:轻度占22.85% (n = 8),中度占42.85% (n = 15),重度或危重症占34.28% (n = 12)。80% (n = 28)在出现症状5天以上后就诊。断层扫描表现为磨玻璃纹29例(82.85%),实变5例(14.28%),“疯狂铺路”1例(2.8%)。老年患者新冠肺炎病死率为68.57%。结论:老年人群被认为是COVID-19疾病发展和致命结局的易感人群。中度疾病患者应密切监测,因为他们最终倾向于发展为危重形式。老年成人患者的COVID-19病死率很高。
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引用次数: 0
Fumadores ocasionales y ligeros, prevalencia, importancia y alternativas de tratamiento 偶尔和轻度吸烟者,患病率,重要性和治疗方案
Pub Date : 1900-01-01 DOI: 10.35366/100988
Andrea Hernández-Pérez, Leonor García-Gómez, Jennifer Osio-Echánove, R. Pérez-Padilla
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引用次数: 0
Telemedicina durante la pandemia por COVID-19
Pub Date : 1900-01-01 DOI: 10.35366/100996
J. Vázquez-García, M. A. Salazar-Lezama, Patricio Santillán-Doherty, Jorge Salas-Hernández, Justino Regalado-Pineda, Sebastián Rodríguez-Llamazares, J. L. Sandoval-Gutiérrez, R. Vega-Barrientos, J. O. Barreto-Rodríguez, Maribel Mateo-Alonso, Erika del Carmen López-Estrada, Ireri Thirión-Romero, Rosaura Esperanza Benítez-Pérez, Armando Castorena-Maldonado, Adrián Pacheco-López, Sergio Monraz-Pérez, J. R. Pérez-Padilla
Telemedicine worldwide and in Mexico has been very useful during the COVID-19 pandemic. Being able to provide health care services where distance is a critical factor, at a time when health services are saturated, and where face-to-face care implies a risk for both the health care provider and the patients, it has been indispensable during the pandemic. The speed with which telemedicine services have been implemented globally has been very different. There are still great challenges to be solved in order to provide this type of care worldwide. It should be noted that telemedicine complements patient care, rather than replacing the usual face-to-face care.
在2019冠状病毒病大流行期间,全球和墨西哥的远程医疗非常有用。在距离是一个关键因素的情况下,在卫生服务饱和的情况下,在面对面护理对卫生保健提供者和患者都意味着风险的情况下,能够提供卫生保健服务,在大流行期间是必不可少的。远程医疗服务在全球范围内的实施速度各不相同。要在全世界范围内提供这类护理,仍有巨大的挑战有待解决。应该指出的是,远程医疗是对病人护理的补充,而不是取代通常的面对面护理。
{"title":"Telemedicina durante la pandemia por COVID-19","authors":"J. Vázquez-García, M. A. Salazar-Lezama, Patricio Santillán-Doherty, Jorge Salas-Hernández, Justino Regalado-Pineda, Sebastián Rodríguez-Llamazares, J. L. Sandoval-Gutiérrez, R. Vega-Barrientos, J. O. Barreto-Rodríguez, Maribel Mateo-Alonso, Erika del Carmen López-Estrada, Ireri Thirión-Romero, Rosaura Esperanza Benítez-Pérez, Armando Castorena-Maldonado, Adrián Pacheco-López, Sergio Monraz-Pérez, J. R. Pérez-Padilla","doi":"10.35366/100996","DOIUrl":"https://doi.org/10.35366/100996","url":null,"abstract":"Telemedicine worldwide and in Mexico has been very useful during the COVID-19 pandemic. Being able to provide health care services where distance is a critical factor, at a time when health services are saturated, and where face-to-face care implies a risk for both the health care provider and the patients, it has been indispensable during the pandemic. The speed with which telemedicine services have been implemented globally has been very different. There are still great challenges to be solved in order to provide this type of care worldwide. It should be noted that telemedicine complements patient care, rather than replacing the usual face-to-face care.","PeriodicalId":246416,"journal":{"name":"NCT Neumología y Cirugía de Tórax","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132885389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 7
Hallazgos tomográficos en afectación pulmonar por COVID-19, experiencia inicial en el Instituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas, Ciudad de México 墨西哥城国家呼吸疾病研究所Ismael cosio Villegas的肺层析成像发现
Pub Date : 1900-01-01 DOI: 10.35366/94630
Fortunato Juárez-Hernández, Marina Patricia García-Benítez, Alda Marcela Hurtado-Duarte, Randall Rojas-Varela, Juan Pablo Farías-Contreras, Lya Edith Pensado Piedra, Aloisia Paloma Hernández Moralesa, Roberto Sotelo Robledo, Julio César Gómez Penagos
www.medigraphic.com/neumología www.medigraphic.org.mx RESUMEN. Introducción: La pandemia por SARS-CoV-2 es un importante problema de salud pública a nivel mundial, con altas tasas de morbimortalidad. La tomografía computarizada es fundamental en el proceso diagnóstico dada su alta sensibilidad. Objetivo: Describir los hallazgos tomográficos en la afectación pulmonar por COVID-19. Material y métodos: Estudio transversal analítico. Pacientes atendidos en el Instituto Nacional de Enfermedades Respiratorias, Ciudad de México, con definición operacional vigente de caso sospechoso para COVID-19, que contaran con prueba de RT-PCR específica y tomografía computarizada de tórax en la valoración inicial. Se realizó un análisis descriptivo y analítico mediante la prueba de χ2 y t de Student. Se empleó el programa Epi-Info versión 7. Resultados: Se analizaron 56 pacientes, con una edad promedio de 51 años, 61% fue del sexo masculino. 52% presentaron comorbilidades, siendo la diabetes mellitus la más frecuente. Los síntomas que principalmente se observaron fueron fiebre, tos y cefalea. El patrón tomográfico que predominó fue mixto, con localización subpleural y bilateral. Conclusión: El espectro tomográfico pulmonar de la población estudiada se caracterizó por dos patrones principales: tipo mixto (áreas de consolidación con vidrio deslustrado) y empedrado.
www.medigraphic.com/neumology www.medigraphic.org.mx概述。摘要本研究的目的是探讨一种新型的非传染性疾病,这种疾病是由SARS-CoV-2大流行引起的,其发病率和死亡率很高。计算机断层扫描由于其高灵敏度,在诊断过程中是必不可少的。目的:描述COVID-19肺损伤的断层扫描结果。材料与方法:分析横断面研究。在墨西哥城国家呼吸疾病研究所接受治疗的患者,目前对COVID-19疑似病例有操作定义,在初始评估中有特定的RT-PCR检测和胸部计算机断层扫描。采用学生χ2和t检验进行描述性和分析性分析。使用Epi-Info软件版本7。摘要目的:探讨慢性阻塞性肺病(copd)和慢性阻塞性肺病(copd)之间的关系。52%的患者有合并症,其中糖尿病最为常见。主要症状为发烧、咳嗽和头痛。在一项研究中,我们评估了两种类型的胸膜下和双侧ct。结论:研究人群的肺层析谱有两种主要模式:混合类型(玻璃沉降区)和鹅卵石。
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引用次数: 6
Identificación rápida de micobacterias no tuberculosas en Cuba por las técnicas «GenoType Mycobacterium CM/AS» 用“基因型分枝杆菌CM/AS”技术快速鉴定古巴非结核分枝杆菌
Pub Date : 1900-01-01 DOI: 10.35366/nt193e
M. Sardiñas-Aragón, L. M. Mederos-Cuervo, Grechen García-León, María Rosarys-Martínez, Dihadenys Lemus-Rodríguez, Raúl Díaz-Rodríguez
RESUMEN. Introducción: En los últimos años las infecciones ocasionadas por micobacterias no tuberculosas han tenido un incremento notable en varias regiones del mundo, asociado fundamentalmente a infecciones respiratorias en individuos inmunocomprometidos. La identificación de micobacterias no tuberculosas es engorrosa y puede demorar varias semanas. Objetivo: Aplicar las técnicas moleculares GenoType Mycobacterium CM/AS para la identificación de micobacterias no tuberculosas en Cuba y comparar con los resultados de la prueba convencional. Material y métodos: Se utilizaron 73 aislados de micobacterias no tuberculosas procedentes de muestras pulmonares recibidas de unidades de salud ubicadas en varias provincias de Cuba en el período abril 2017‐diciembre 2018. Para la identificación de especies se utilizaron técnicas conven‐ cionales y las técnicas moleculares GenoType CM/AS. Resultados: Las especies identificadas más predominantes fueron las pertenecientes al complejo Mycobacterium avium-intracellulare (46.6%) y Mycobacterium fortuitum (31.5%). Se hallaron cuatro aislados de M. simiae, especie poco frecuente en Cuba. Al comparar los resultados de ambas técnicas se obtuvo una concordancia de 91.3%. Conclusión: Las técnicas Geno‐ Type Mycobacterium CM/AS demostraron ser herramientas útiles en la identificación rápida de micobacterias en el Laboratorio de Referencia, brindando resultados precisos en menor tiempo, logrando acortar sig‐ nificativamente el tiempo diagnóstico. Las especies más frecuentes en Cuba siguen siendo el complejo Mycobacterium avium-intracellulare y Mycobacterium fortuitum.
摘要。本研究的目的是评估一种新的抗结核分枝杆菌感染方法,该方法已被证明是一种有效的治疗方法。非结核分枝杆菌的鉴定是繁琐的,可能需要数周时间。摘要目的:应用分枝杆菌CM/AS基因型分子技术鉴定古巴非结核分枝杆菌,并与常规检测结果进行比较。材料和方法:我们使用了2017年4月至2018年12月期间从古巴几个省的卫生单位收到的肺部样本中提取的73株非结核分枝杆菌。采用传统技术和分子技术进行物种鉴定,基因型CM/AS。结果:鉴定出的物种最多的是鸟-细胞内分枝杆菌复合体(46.6%)和偶然分枝杆菌(31.5%)。在古巴发现了四种罕见的simiae分离株。比较两种技术的结果,一致性为91.3%。结论:CM/AS基因型分枝杆菌技术已被证明是参考实验室快速鉴定分枝杆菌的有用工具,在更短的时间内提供准确的结果,大大缩短了诊断时间。在古巴最常见的物种仍然是鸟-细胞内分枝杆菌复合体和偶然分枝杆菌。
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引用次数: 0
En busca del ventilador perdido.Tecnología y salud 寻找丢失的风扇。技术与健康
Pub Date : 1900-01-01 DOI: 10.35366/100999
J. L. Sandoval-Gutiérrez
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引用次数: 0
期刊
NCT Neumología y Cirugía de Tórax
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