Estadísticas

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      "titulo" => "Tumor de células granulares de la mama (tumor de Abrikossoff)"
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    "titulo" => "Perforaciones esofágicas. Análisis retrospectivo de nuestra experiencia"
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        "titulo" => "Perforated diverticulitis of the appendix&#44; carcinoid tumor and acute appendicitis"
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        "resumen" => "<span class="elsevierStyleBold">Introducci&#243;n&#46;</span> La perforaci&#243;n esof&#225;gica supone una situaci&#243;n de urgencia que requiere un diagn&#243;stico y tratamiento precoces debido al riesgo potencialmente letal que conlleva&#46; <span class="elsevierStyleBold"><span class="elsevierStyleBold">Pacientes y M&#233;todos&#46;</span></span> Estudio retrospectivo de 39 pacientes con el diagn&#243;stico de perforaci&#243;n esof&#225;gica &#40;1985-1996&#41;&#44; 15 mu- jeres y 24 varones &#40;edad media&#44; 53 a&#241;os&#41;&#44; en el que se analizan la localizaci&#243;n&#44; la etiolog&#237;a&#44; el retraso diagn&#243;stico y el tratamiento&#46; <br/> <span class="elsevierStyleBold">Resultados&#46;</span> La etiolog&#237;a predominante fue la iatrogenia &#40;61&#44;5&#37;&#41;&#46; La cl&#237;nica&#44; junto con el esofagograma&#44; alcanzaron el diagn&#243;stico en el 80&#37; de los pacientes&#46; El 85&#37; de los pacientes recibieron tratamiento quir&#250;rgico&#44; aunque se procedi&#243; a la valoraci&#243;n individual de cada paciente&#46; <br/>Se registr&#243; morbilidad en 7 pacientes &#40;17&#37;&#41; y fallecieron 6 pacientes &#40;15&#37;&#41;&#46; <br/> <span class="elsevierStyleBold">Conclusiones&#46;</span> En nuestra serie&#44; los factores que determinaron un peor pron&#243;stico fueron el retraso diagn&#243;stico y la localizaci&#243;n tor&#225;cica&#44; por lo que consideramos fundamental un diagn&#243;stico precoz y una actitud agresiva para obtener los mejores resultados"
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