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Search Results: 1 - 10 of 30516 matches for " Pedro Pablo Pino Alfonso "
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Asma bronquial resistente a los esteroides
Pedro Pablo Pino Alfonso
Revista Cubana de Medicina , 1996,
Abstract:
Eficacia diagnóstica de la biopsia endobronquial y correspondencia entre diagnóstico macroscópico y microscópico en 1 000 broncoscopias
Pedro Pablo Pino Alfonso,Carlos Gassiot Nu?o,Lázaro Hernández Lima,Yadira Hernández Pino
Revista Cubana de Medicina , 2001,
Abstract: Se comprobó la eficacia diagnóstica de la biopsia endobro nquial en las lesiones tumorales, visibles endoscópicamente, en 1 000 broncoscopias realizadas en un período de 2 a os en nuestro centro, para ello se revisó la base de datos del Departamento de Broncoscopia. Los resultados fueron: de 402 lesiones tumorales encontradas, el diagnóstico macroscópico se confirmó histológicamente en 393 (97,8 %). Se constató que la biopsia fue diagnóstica en 390 pacientes (97 %). Hubo diagnóstico macroscópico falso positivo en 5 pacientes (1 %) y falso negativo, en 4 (0,9 %). Del total de tumores, 387 (96,2 %) eran malignos y 11 (2,73 %), benignos o de bajo grado de malignidad; en 10 (90,9 %) de los cuales coincidió la impresión del endoscopista con la estirpe histológica. Se describieron otras características de los tumores The diagnostic efficacy of endobronchial biopsy in the endoscopically visible tumors was proved in 1 000 bronchoscopies performed in a period of 2 years in our center. The database of the Bronchoscopy Department was reviewed to this end. The results were as follows: of the 402 tumors found, the macroscopic diagnosis was histologically confirmed in 393 (97.8 %). It was observed that the biopsy was diagnosed in 390 patients (97 %). There was false positive macroscopic diagnosis in 5 patients (1 %) and false negative in 4 (0.9 %). Of the total of tumors, 387 (96.2 %) were malignant and 11 (2.73 %) were benign or of low malignancy degree. In 10 of the latter (90.9 %) the impression of the endoscopist coincided with the histological stirps. Other characteristics of the tumors were described
Estudio endoscópico de 500 pacientes con hemoptisis
Pedro Pablo Pino Alfonso,Carlos Gassiot Nu?o,Lázaro Hernández Lima,Yadira Hernández Pino
Revista Cubana de Medicina , 2002,
Abstract: Se revisó la base de datos del Departamento de Broncoscopia del Servicio de Neumología del Hospital "Hermanos Ameijeiras" y se escogió las 500 broncoscopias que se realizaron al mismo número de pacientes con hemoptisis en el período comprendido entre enero de 1996 y enero del 2001. Los resultados fueron los siguientes: 330 (66 %) pacientes eran masculinos y 170 (34 %), femeninos. El promedio de edad fue de 60 a os con un rango de 18 a 85 a os, 440 (88 %) tenían el hábito de fumar. El diagnóstico final fue: neoplasia de pulmón 290 (58 %), bronquitis crónica 95 (19 %), bronquiectasias 70 (14 %), en 25 (5 %) la causa de hemoptisis no se pudo determinar y hay 20 (4 %) con otros diagnósticos. Se relacionó la magnitud de la hemoptisis con el diagnóstico en 453 (90,6 %) tuvieron sangrado entre ligero y moderado y sólo en 47 (9,4 %) fue severo, independientemente de la causa. Al realizar la broncoscopia se detectó sangre en vías aéreas en 280 (56 %) de los casos; sin restos de sangre, 220 (44 %). La prueba sirvió para saber de dónde venía el sangrado en 300 (60 %). En total se llegó a la etiología de la hemoptisis con la broncoscopia y sus procederes en 336 (67,2 %). Se puso de manifiesto una vez más que el estudio endoscópico de las vías aéreas en pacientes con hemoptisis es de vital importancia. The database of the Bronchoscopy Department of the Pneumology Service of "Hermanos Ameijeiras" Hospital was reviewed and the 500 bronchoscopies that were performed to the same number of patients with hemoptysis from January, 1996, to January, 2001, were chosen. The results were as follows: 330 (66 %) patients were males and 170 (34 %) were females. Average age was 60 years old with a range from 18 to 85, and 440 (88 %) used to smoke. The final diagnosis was lung neoplasia, 290 (58 %); chronic bronchitis, 95 (19 %); and bronchiectasia, 70 (14 %). The cause of hemoptysis could not be determined in 25 (5 %) and there 20 (4 %) with other diagnoses. The magnitude of hemoptysis was related to diagnosis in 453 (90.6 %). % had mild to moderate bleeding and it was severe in only 47 (9.4 %), independently of the cause. On performing bronchoscopy, blood was detected in the airways of 280 patients (56 %), whereas no blood rests were found in 220 (44 %). The test proved to be useful to know the origin of the bleeding in 300 (60 %). In all, the etiology of hemoptysis was obtained with bronchoscopy and its procedures in 336 cases (67.2 %). Once more, it was shown that the endoscopic study of the airways in patients with hemoptysis is of vital importance.
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
Hamartoma endobronquial: Presentación de1 caso
Pedro Pablo Pino Alfonso,Carlos Gassiot Nu?o,Luis Toledo Sosa,Isidro Machado Puerto
Revista Cubana de Medicina , 2001,
Abstract: Se presentó el caso de un paciente de 51 a os de edad, exfumador, de la raza blanca, que consulta por episodios de tos pertinaz y radiopacidad en base pulmonar derecha en el rayos X de tórax, que se interpreta como proceso neumónico en varias ocasiones. Se le realizó estudio endoscópico y se detectó una tumoración endobronquial de posible causa benigna. Se intervino quirúrgicamente y la lesión resultó ser un hamartoma endobronquial. Dicho proceder resultó ser curativo The case of a 51-year-old white patient, exsmoker, who is attended at the physician's office due to bouts of persistent cough and to radio-opacity on the right pulmonary base detected in the chest X rays that is interpreted as a pneumonic process on various ocassions, is presented. An endoscopic study was conducted and an endobronchial tumor of possible bening cause was found. He underwent surgery and the lesion proved to be an endobroncial hamartoma. This procedure was curative
Tumor mucoepidermoide bronquial: Presentación de 1 caso
Pino Alfonso,Pedro Pablo; Gassiot Nu?o,Carlos; Rodríguez Vázquez,Juan C.; Corona Mancebo,Sixto;
Revista Cubana de Medicina , 1997,
Abstract: a case of a 21-year old, white female patient who during the last two years presented with repeated pneumonia picture in the right lung and sibilant rale, in addition to an x-ray chest at admission with atelectasis of the medial lobe, is reported. a tumor occluding the entrance of such lobe was detected by bronchoscopy. the patient underwent a right pneumectomy. a polypoid lesion of 2.5 cm which was found to be a low grade bronchial mucoepidermoid carcinoma was evidenced.
Tratamiento de la enfermedad pulmonar obstructiva crónica: Conceptos actuales
Pino Alfonso,Pedro Pablo; Rodríguez Vázquez,Juan Carlos; Gassiot Nu?o,Carlos; Rodríguez Fernández,Rolando;
Revista Cubana de Medicina , 1997,
Abstract: the current concepts in the treatment of chronic obstructive pulmonary disease, including chronic bronchitis and pulmonary emphysema are revised. emphasis is made on the fact of giving up smoking as the most important step concerning treatment. recommendations are included for the use of preventive therapy, as well as the best way for instituting bronchodilator therapy by steps with the use of ipratropium bromide in regular dose and beta 2 agonists according to the demand, as well as the use of steroids in advanced stages. also a commentary is made on the poor benefits offered by xantines and finally the improvement of symptoms with the use of oxigen as a therapeutic modality and the important role of education and rehabilitation programs are pointed out.
Duración del efecto broncodilatador de la furosemida inhalada por pacientes asmáticos
Rodríguez Vázquez,Juan Carlos; Pino Alfonso,Pedro Pablo; Gassiot Nu?o,Carlos; Cid Guedes,Alicia;
Revista Cubana de Medicina , 2002,
Abstract: a study was designed to evaluate if the bronchodilator effect of inhaled furosemide persisted in asthtmatic patients with some level of bronchial obstruction 4 hours after the administration of this drug and a comparison was made with salbutamol. forty patients were studied, 20 of them received aerosol salbutamol (0,5%-1 cc) and the remaining 20 were administered inhabled furosemide (100 mg). all of them were applied a first respiratory functional test before administering aerosol, 15 minutes after and 4 hours after the drug being administered. both groups showed a significant broncodilator effect, determined by changes in the forced vital capacity and the forced expiratory volume in one second. when comparing both groups of patients, there was no significant difference. it was concluded that the broncodilator effect of inhaled furosemide persisted 4 hours after administration.
Blastoma pulmonar: Presentación de 1 caso
Pino Alfonso,Pedro Pablo; Gassiot Nu?o,Carlos; Rodríguez Vázquez,Juan C.; Cuesta Mejías,Teresa; Barreto Alcoba,Yumila;
Revista Cubana de Medicina , 1996,
Abstract: the case of a 18-year old, white, male patient presenting with respiratory manifestations of cough, expectoration, thoracic pain, and a chest radiography showing a mass of the left upper lobe, is reported. after performing a minimal pleurotomy and a biopsy, a pulmonary blastoma was diagnosed. the patient underwent a pneumonectomy and subsequently he received polychemotherapy.
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