Archivos de bronconeumología
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Arch. Bronconeumol. · Dec 2004
[Archivos de Bronconeumología: among the 3 Spanish medical journals with the highest national impact factors].
Citation analysis elucidates patterns of information consumption within professional communities. The aim of this study was to analyze the citations of 87 Spanish medical journals by calculating their impact factors and immediacy indices for 2001, and to estimate the importance of Archivos de Bronconeumología within the framework of Spanish medicine. ⋯ The impact factor obtained by Archivos de Bronconeumología confirms its importance in Spanish medicine and validates its inclusion as a source journal in Science Citation Index and Journal Citation Report.
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Arch. Bronconeumol. · Dec 2004
[Utility of bronchoalveolar lavage in immunocompromised children: diagnostic yield and complications].
Immunocompromised children are at high risk for developing pneumonia due to opportunistic pathogens. The role of bronchoalveolar lavage (BAL) in the evaluation of such patients is still controversial. ⋯ Evaluation by fiberoptic bronchoscopy together with BAL proved to be a safe procedure with an adequate diagnostic yield that made it possible to determine the etiology of the pulmonary infiltrates seen in chest x-rays. Both positive and negative results of BAL were useful for treating the patients.
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Arch. Bronconeumol. · Sep 2004
Case Reports[Pneumocephalus and cerebrospinal fluid fistula following removal of a superior sulcus tumor (pancoast tumor)].
Pneumocephalus resulting from a subarachnoid-pleural fistula following resection of a pulmonary neoplasm is a very rare postoperative complication: we have found only 17 cases in the literature. We report the case of a 65-year-old man diagnosed with a superior sulcus tumor who underwent a left upper lobectomy and costal resection following neoadjuvant radiation therapy. ⋯ Recurrence was suspected when chronic aseptic meningitis developed. Another thoracotomy was required to resolve the complication.
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Arch. Bronconeumol. · Aug 2004
[Compensatory sweating after upper thoracic sympathectomy. Prospective study of 123 cases].
The most unpleasant consequence of upper thoracic sympathectomy is compensatory sweating (CS). De-pending on the series, the incidence of CS ranges from 24% to 85%. The aim of this study was to determine the relation between CS and the following factors: distribution of hyperhidrosis, procedure performed (unilateral, synchronic bilateral, or sequential bilateral), and number of sympathetic ganglia eliminated. In addition, the degree of patient satisfaction was recorded as objectively as possible. ⋯ Although CS is a side effect of upper thoracic sympathectomy, not all patients are affected by it. Significant CS occurs mainly in the back, chest, and abdomen. Neither the type of intervention nor the number of ganglia eliminated has an effect on CS. This side effect notwithstanding, overall satisfaction with the treatment is very satisfactory given that the palmar hyperhidrosis is eliminated.
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Arch. Bronconeumol. · Jul 2004
In-hospital and 2-year survival of patients treated with mechanical ventilation for acute exacerbation of COPD.
To analyze in-hospital and 2-year survival of patients who require mechanical ventilation with intubation after acute respiratory failure due to exacerbation of chronic obstructive pulmonary disease (COPD). The secondary objective was to identify the prognostic factors for in-hospital mortality and mortality at 2 years. ⋯ The in-hospital survival rate for patients with an acute exacerbation of COPD who require mechanical ventilation is good and the 2-year survival rate is acceptable. Age, electrocardiographic signs of cor pulmonale, and development of multiorgan dysfunction syndrome were associated with greater risk of in-hospital mortality.