ABSTRACT
No disponible
Subject(s)
Humans , Female , Pregnancy , HELLP Syndrome/diagnosis , Pregnancy Complications , Diagnosis, DifferentialSubject(s)
Humans , Wounds and Injuries/complications , Wounds and Injuries/diagnosis , Wounds and Injuries/surgery , Wounds, Gunshot/surgery , Tomography, Emission-Computed/methods , Tomography, Emission-Computed , Wounds and Injuries/physiopathology , Wounds and Injuries , Wounds, Gunshot/physiopathology , Wounds, Gunshot , Shoulder/injuries , Shoulder/surgery , ShoulderSubject(s)
Humans , Female , Infant , Respiration, Artificial/instrumentation , Respiration, Artificial/methods , Respiration, Artificial , Obesity, Morbid/complications , Obesity, Morbid/diagnosis , Respiratory Tract Diseases/complications , Respiratory Tract Diseases/diagnosis , Respiration, Artificial/trends , Postoperative Care/methods , Pulmonary Atelectasis/prevention & controlABSTRACT
No disponible
Subject(s)
Humans , Paraquat/toxicity , Poisoning/complications , Poisoning/drug therapy , Paraquat/adverse effects , Paraquat/therapeutic useABSTRACT
Descripción de dos casos de torsión pulmonar enpacientes intervenidos de lobectomía por neoplasia pulmonar.Se muestran dos pacientes que sufrieron complicaciónde torsión de lóbulo pulmonar tras realizarselobectomía pulmonar aparecida en el postoperatorioinmediato. Se realizó el diagnóstico precoz mediante unaradiografía del tórax y la confirmación mediante unTAC, que indicó la toracotomía la cual evitó mayorresección quirúrgica y aparición de otras complicaciones.La torsión pulmonar es una alteración infrecuentepero de potencial gravedad. El diagnóstico precoz es devital importancia para evitar el compromiso tisular yprevenir complicaciones como neumonitis necrotizante,enfermedad tromboembólica o shock séptico. Entre laspruebas diagnósticas que pueden llevar a la alta sospechadiagnóstica destacamos la radiología simple de tóraxy fibrobroncoscopia, apoyadas por la tomografía axial ola arteriografía, aunque el diagnóstico definitivo es laexploración quirúrgica del parénquima afecto. El tratamientodefinitivo abarca desde la simple detorsión y fijacióndel pulmón, hasta resección pulmonar o neumonectomíasi el compromiso tisular es completo(AU)
We report 2 cases of pulmonary torsion discoveredduring the early postoperative recovery of patients whohad undergone lobectomy. Early diagnosis, based onchest radiography and confirmed by computedtomography, meant we were able to avoid major surgicalresection and the development of further complications.Pulmonary torsion is a rare but potentially seriousabnormality. Prompt diagnosis is the key to preventingtissue injury and complications such as necrotizingpneumonitis, thromboembolic disease, or septic shock.Among the diagnostic tests that can be carried out ifthere is good reason to suspect torsion, we emphasizesimple chest radiography and fiberoptic bronchoscopy,supported by computed tomography or arteriography,even though a firm diagnosis requires surgicalexploration of the affected lung. Definitive treatmentsrange from reversing the torsion and securing the lungto resecting the lung if the parenchymal tissue has beenfully compromised(AU)
