Estadísticas

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      "titulo" => "La cirugía española en el contexto internacional. Análisis bibliométrico a través del Science Citation Index (1990-1994)"
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          "titulo" => "SPANISH SURGERY ON THE INTERNATIONAL LEVEL. A BIBLIOMETRIC ANALYSIS BASED ON THE SCIENCE CITATION INDEX (1990-1994)"
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          "autoresLista" => "G Rodríguez Fabián, S Barrigón Vázquez, LM Lorente Ruigómez, MC Durán Poveda, L Lorente Ruigómez, MA Aller Reyero, J Arias Pérez"
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      "titulo" => "Tumores primarios malignos del intestino delgado"
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          "titulo" => "PRIMARY MALIGNANT TUMORS OF THE SMALL BOWEL"
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          "autoresLista" => "I Prieto Nieto, JP Pérez Robledo, JA Rodríguez Montes, J Álvarez, D Hardisson, J Larrauri Martínez, L García Sancho Martín"
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    "titulo" => "Rotura espontánea de bazo. Presentación de siete casos"
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        "autoresLista" => "JM Ramia, T Cubo, D Padilla, J Martín, R Pardo, A López, J Hernández-Calvo"
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        "titulo" => "SPONTANEOUS SPLENIC RUPTURE.A REPORT OF SEVEN CASES"
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        "resumen" => "<span class="elsevierStyleBold">Introducci&#243;n&#46;</span> La rotura espont&#225;nea de bazo es una entidad infrecuente&#44; de dif&#237;cil diagn&#243;stico&#44; producida por una gran variedad de enfermedades&#46; Presentamos nuestra experiencia debatiendo los mecanismos de producci&#243;n&#44; m&#233;todos diagn&#243;sticos y actitudes terap&#233;uticas&#46; <br/> <span class="elsevierStyleBold">Pacientes y m&#233;todos&#46;</span> Desde 1989 a 1996 hemos intervenido a 7 pacientes afectados de rotura espont&#225;nea de bazo en nuestro servicio&#46; <br/> <span class="elsevierStyleBold">Resultados&#46;</span> La edad media de los pacientes de nuestra serie fue de 48 a&#241;os &#40;rango&#44; 22-67 a&#241;os&#41;&#44; todos ellos varones&#46; Las causas que provocaron la rotura espont&#225;nea de bazo fueron amiloidosis &#40;un caso&#41;&#44; mononucleosis infecciosa &#40;2 casos&#41;&#44; hemofilia &#40;un caso&#41; y pancreatitis cr&#243;nica &#40;un caso&#41;&#46; En dos de los casos no se encontr&#243; ninguna enfermedad asociada que justificara el cuadro&#46; Se realiz&#243; esplenectom&#237;a total en todos ellos&#46; <br/> <span class="elsevierStyleBold">Conclusiones&#46;</span> El diagn&#243;stico de rotura espont&#225;nea de bazo es dif&#237;cil debido a la ausencia de un antecedente traum&#225;tico&#44; por lo que se necesita un alto &#237;ndice de sospecha&#46; La esplenectom&#237;a total sigue consider&#225;ndose hoy d&#237;a el tratamiento de elecci&#243;n&#44; ya que las t&#233;cnicas conservadoras no han obtenido buenos resultados y&#44; adem&#225;s&#44; permite la obtenci&#243;n de material histol&#243;gico para filiar el proceso que facilit&#243; la rotura espont&#225;nea de bazo&#46;"
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        "resumen" => "<span class="elsevierStyleBold">Introduction&#46;</span> Spontaneous splenic rupture is an uncommon occurrence&#44; produced by wide variety of diseases&#44; that is difficult to diagnose&#46; We present our experience&#44; discussing the mechanisms that cause it&#44; diagnostic methods and therapeutic approaches&#46; <br/> <span class="elsevierStyleBold">Patients and methods&#46;</span> From 1989 to 1996&#44; 7 patients with spontaneous splenic rupture were treated in our department&#46; <br/> <span class="elsevierStyleBold">Results&#46;</span> The causes were amyloidosis &#40;n &#61; 1&#41;&#44; infectious mononucleosis &#40;n &#61; 2&#41;&#44; hemophilia &#40;n &#61; 1&#41; and chronic pancreatitis &#40;n &#61; 1&#41;&#46; In 2 cases&#44; there was no evidence of disease association&#46; Splenectomy was carried out in every case&#46; <br/> <span class="elsevierStyleBold">Conclusions&#46;</span> The diagnosis of spontaneous splenic rupture is difficult due to the absence of previous injury and&#44; thus&#44; requires a high degree of suspicion&#46; Splenectomy is presently considered the treatment of choice since the results with partial splenectomy or other conservative approaches are poor&#46; Moreover&#44; this procedure provides histological specimens to aid in determining the underlying disease"
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