Revista médica de Chile
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Revista médica de Chile · Dec 1992
Case Reports[Acute non-cardiogenic pulmonary edema secondary to upper airway obstruction. Clinical case].
Noncardiogenic pulmonary edema is a well recognized complication of upper airway obstruction. We report the case of a previously healthy 18-year-old male who presented this complication following laryngospasm after anesthesia. ⋯ Pulmonary edema resolved within 24 hours. The clinical picture, etiology, differential diagnosis and prevention are also discussed.
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Revista médica de Chile · Dec 1992
[Utility of high-resonance ultrasonography in the diagnosis of acute appendicitis].
The clinical records and the ultrasound findings of 48 patients studied because of a presumptive diagnosis of acute appendicitis in a one-year period were reviewed. Ultrasound examination was performed using graded compression and high resolution probes when acute appendicitis was suspected and the clinical history or physical examination was unclear. The ultrasound findings were correlated with the clinical course or surgical and pathological findings. ⋯ Predictive value for positive results was 95.7% and 84% for negative results. These figures agree with results previously communicated in the literature. It is concluded that high resolution ultrasonography is useful in the differential diagnosis of atypical acute appendicitis.
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Revista médica de Chile · Dec 1992
Historical Article["Revista Médica de Chile":120 years of continuous publication].
Revista Médica de Chile has been published monthly since its foundation in 1872. With the present issue, volume 120 is completed. It is the oldest medical journal in South America and the second in antiquity published in Spanish, after the Gaceta de México. ⋯ The multiple aspects of Chilean medicine development are present in its pages. Revista Médica de Chile has been able to adapt to changes in medicine, improving its printing and design, adopting international regulations for periodic medical publications and, above all, making a strict selection of submitted papers using expert peer reviewers. The continuity in management and editorial policies has favored its progress and enhanced its educational role.
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Revista médica de Chile · Dec 1992
[Dissection of the ascending aorta (type A): diagnostic aspects, surgical treatment and long-term follow-up].
Aortic replacement is the treatment of choice and improves the natural history of dissections involving the ascending aorta. Forty patients (23 male), aged 49.4 years, have been operated at the hospital Clínico de la Universidad Católica. Twenty six presented with acute dissections. ⋯ Long term follow up was achieved in 26 patients (89.6%). Actuarial 5 year survival without considering operative mortality was 87.9%. It is concluded that patients with acute dissections involving the ascending aorta should be operated as soon as the imaging diagnosis is complete and, since this is a palliative procedure, a close follow up is required for early detection of complications.