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Search Results: 1 - 10 of 219934 matches for " Pedro P. Pino Alfonso "
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Primera serie de biopsia transbronquial en Cuba
Pedro Pablo Pino Alfonso,Carlos Gassiot Nu?o,Isidoro Páez Prats,Alicia Cid Guedes
Revista Cubana de Medicina , 2000,
Abstract: Se analizó la exactitud diagnóstica y la tasa de complicaciones de la biopsia transbronquial en 30 pacientes consecutivos, en los cuales 12 con una enfermedad no maligna y 9, una enfermedad neoplásica. A 9 pacientes con radiografía torácica anormal no se le estableció diagnóstico con esta técnica. Se obtuvo una muestra adecuada en 25 pacientes (83,3 %) con una exactitud diagnóstica del 70 % en enfermedad intersticial, maligna e infecciosa pulmonar. Se determinaron los factores de riesgo en 11 pacientes (36,6 %). Se presentaron 6 complicaciones; 3 sangramientos moderados que se resolvieron con tratamiento conservador, 1 neumotórax (3,3 %), y 3 pacientes con fiebre. No se reportaron muertes. Se corroboró que la biopsia transbronquial en manos experimentales es segura y bien tolerada.
Histiocitosis de células de Langerhans: Diagnóstico por biopsia transbronquial
Pedro Pablo Pino Alfonso,Carlos Gassiot Nu?o,Isidoro A Páez Prats,Isidro Machado Puerto
Revista Cubana de Medicina , 2000,
Abstract: Se presentó el caso de una paciente de 30 a os de edad, fumadora, raza blanca, con manifestaciones respiratorias de tos seca, molestias precordiales, disnea de esfuerzo y rayos X de tórax con imágenes retículo nodulillares en ambos campos pulmonares. Se le realizó biopsia transbronquial y se le diagnosticó una histiocitosis de células de Langerhans pulmonar We presented the case of a female white patient of 30 years of age and smoker, who had respiratory manifestations as non-productive cough, precordial pain, labored dyspnea. Her thorax X ray showed reticulo-nodullary images in both pulmonary fields. She was applied a transbronchial biopsy and diagnosed with pulmonary Langerhans-cell histiocytosis
Asma bronquial resistente a los esteroides
Pedro Pablo Pino Alfonso
Revista Cubana de Medicina , 1996,
Abstract:
Derrame pleural: marcadores bioquímicos en el enfoque diagnóstico
Páez Prats,Isidoro A.; Pino Alfonso,Pedro P.; Rodríguez Vázquez,Juan C.; Gassiot Nu?o,Carlos;
Revista Cubana de Medicina , 1998,
Abstract: the main characteristics of the normal pleural fluid, as well as the different mechanisms leading to the formation of a pleural effusion were described. a diagnostic strategy was presented starting from the separation of transudates and exudates. their diagnostic criteria were also defined. those biochemical markers that are most commonly used in the medical practice were reviewed, and the utility of each of them for the diagnosis of different diseases causing pleural effusion was specified. the limitations of these markers and the importance of their rational use according to the clinical data of every case were explained.
Derrame pleural: marcadores bioquímicos en el enfoque diagnóstico
Isidoro A. Páez Prats,Pedro P. Pino Alfonso,Juan C. Rodríguez Vázquez,Carlos Gassiot Nu?o
Revista Cubana de Medicina , 1998,
Abstract: Se describieron las principales características del líquido pleural normal y los diferentes mecanismos que conducen a la formación de un derrame pleural. Se presentó una estrategia diagnóstica a partir de la diferenciación de trasudados y exudados. Se definieron sus criterios diagnósticos. Se revisaron los marcadores bioquímicos de uso más frecuente en la práctica médica y se especificó la utilidad de cada uno para el diagnóstico de las diferentes entidades que causan derrame pleural. Se aclararon las limitaciones de estos marcadores y la importancia de su uso racional a partir de los datos clínicos de cada caso. The main characteristics of the normal pleural fluid, as well as the different mechanisms leading to the formation of a pleural effusion were described. A diagnostic strategy was presented starting from the separation of transudates and exudates. Their diagnostic criteria were also defined. Those biochemical markers that are most commonly used in the medical practice were reviewed, and the utility of each of them for the diagnosis of different diseases causing pleural effusion was specified. The limitations of these markers and the importance of their rational use according to the clinical data of every case were explained.
Pseudoaneurisma de la aorta con fístula aortobronquial como causa de hemoptisis
Pino Alfonso,Pedro Pablo; Gassiot Nu?o,Carlos; Páez Prats,Isidoro; Rodríguez Vázquez,Juan C.; Hernández Pino,Yadira;
Revista Cubana de Medicina , 1999,
Abstract: the case of a 36-year-old black female patient that was admitted for having episodes of hemoptisis of moderate intensity and of approximately one year of evolution that appeared after a stab wound was presented. she was diagnosed a pseudoaneurysm of the aorta with aortobronchial fistula by cat and aortography. the aorta was repaired by surgical treatment. lower left lobectomy was also performed. she was completely asymptomatic on discharge
Influencia de la demora en el diagnóstico y el tratamiento en la supervivencia de pacientes con cáncer pulmonar
Herrera Villalobo,Carlos; Rodríguez Vázquez,Juan Carlos; Gassiot Nu?o,Carlos; Pino Alfonso,Pedro P.; Cid Guedes,Alicia;
Revista Cubana de Medicina , 2007,
Abstract: the bronchogenic carcinoma is the most frequent cause of death from cancer, with a surprising increase in its incidence. in cuba, it is the second cause of death at all ages due to its poor survival, which depends on comorbidity, age, sex, histological type, tumor stage and on the diagnosis and treatment delay. in this paper, it was investigated the influence of the diagnosis and treatment delay, as well as some clinical and sociodemographic factors of 149 patients with diagnosis of bronchogenic cancer in this hospital from january 2003 to april 2006. a description of the information was made in tables and figures. kaplan meier's method and cox's regression method (divariate and multivariate) were used to analyze survival. in the staging analysis, it was observed a predominance of patients in stage iv (46 cases-30.9 %), followed by stages iiib (36 cases-24.4 %) and ib (26-17.4 %). however, in stages ia and iia, very low figures were found: 3 cases (2 %) and 1 case (0.7 %), respectively. the mean time of delay in the diagnosis was 3.97 months, whereas in the treatment it was 13.89 days. the probability for a patient to live 3 ? years with lung neoplasia, independently of the histological type and of the clinical stage, was 7.47 %.
Furosemida y asma bronquial
Juan Carlos Rodríguez Vázquez,Pedro P. Pino Alfonso,Carlos Gassiot Nu?o,Rolando Rodríguez Fernández
Revista Cubana de Medicina , 1996,
Abstract: En los últimos a os, la furosemida inhalada se ha venido utilizando en el tratamiento del asma bronquial. Con el objetivo de contribuir a la búsqueda de nuevos argumentos para su empleo hicimos una revisión de este tema y de los mecanismos a los que se les ha atribuido el efecto beneficioso en esta afección. Una de las teorías más estudiadas es la que se refiere al efecto que tiene la furosemida en el transporte de los iones cloro, sodio y potasio, que disminuyen la hiperosmolaridad de las secreciones bronquiales, y la hiperreactividad bronquial. Otras teorías le han se alado una acción antiinflamatoria al nivel de las vías aéreas. También se le ha atribuido efecto broncodilatador usada en dosis mayores. Más recientemente se ha evidenciado su efecto supresor de la tos. Ha demostrado ser eficaz en ni os con displasias broncopulmonar, es decir, mejora la función pulmonar sin efecto diurético significativo. During the last years, inhaled furosemide has being used in the treatment of bronchial asthma. With the rim on contributing to the search of new arguments for its use, we made a review of this theme and of the mechanisms to wich a beneficial effect have been attributed in this entity. One of the most studied theories is the one which refers to the effect that furosemide has in the transportation of chloro, potasium and sodium ions which decreases the hyperosmolarity of bronchial secretions and the bronchial hyperactivity. Other theories have pointed aut an anti-inflamatory action at the level of the airways. Also, a bronchodilatador effect has been attributed to furosemide used in greater doses. More recently a suppresor effect of cough has also been evidenced. This drug has proven to be efficient in children presenting with bronchopulmonary dysplasias, i.e. this drug enhances the pulmonary function without a significant diuretic effect.
Pseudoaneurisma de la aorta con fístula aortobronquial como causa de hemoptisis
Pedro Pablo Pino Alfonso,Carlos Gassiot Nu?o,Isidoro Páez Prats,Juan C. Rodríguez Vázquez
Revista Cubana de Medicina , 1999,
Abstract: Se presentó el caso de una paciente de 36 a os, de la raza negra, del sexo femenino que se ingresó por presentar cuadros de hemoptisis de moderada intensidad, de aproximadamente 1 a o de evolución, que aparecieron después de una herida por arma blanca y a la cuál se le diagnosticó un pseudoaneurisma de la aorta con fístula aortobronquial por tomografía axial computadorizada y aortografía. Se le practicó tratamiento quirúrgico, mediante el cual se reparó la aorta y se hizo lobectomía inferior izquierda. Se dio el alta completamente asintomática. The case of a 36-year-old black female patient that was admitted for having episodes of hemoptisis of moderate intensity and of approximately one year of evolution that appeared after a stab wound was presented. She was diagnosed a pseudoaneurysm of the aorta with aortobronchial fistula by CAT and aortography. The aorta was repaired by surgical treatment. Lower left lobectomy was also performed. She was completely asymptomatic on discharge
Diagnóstico broncoscópico de traqueopatía osteocondroplástica: Presentación de 1 caso
Pedro Pablo Pino Alfonso,Carlos Gassiot Nu?o,Isidoro Alberto Páez Prats,Juan Carlos Rodríguez Vázquez
Revista Cubana de Medicina , 1999,
Abstract: Se presentó un caso de traqueopatía osteocondroplástica que, desde el punto de vista clínico, se manifestó con cuadros de disnea asmatiforme. Se llegó al diagnóstico mediante la imagen macroscópica observada en la broncoscopia y se confirmó por la necropsia. A case of tracheopathia osteochondroplastica was presented, which manifested as an asthma-like dyspnea from the clinical point of view. A diagnosis was made based on macroscopic image observed by bronchoscopy and confirmed by autopsy.
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