Utilización de urocinasa intrapleural en niños
Use Of Intrapleural Urokinase In Children
L. Tapia Ceballos*, B. Picazo Angelín, A. Bonillo Perales, J. Romero Sánchez, R. Díaz Cabrera, J. Romero González
Área de Pediatría. Hospital Costa del Sol. Marbella
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"apellidos" => "Picazo Angelín" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "Bonillo Perales" ] 3 => array:2 [ "nombre" => "J." "apellidos" => "Romero Sánchez" ] 4 => array:2 [ "nombre" => "R." "apellidos" => "Díaz Cabrera" ] 5 => array:2 [ "nombre" => "J." "apellidos" => "Romero González" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Área de Pediatría. Hospital Costa del Sol. Marbella" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Área de Pediatría. Hospital Costa del Sol.Ctra. Nacional 340, Km 187. 29600 Marbella" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Use Of Intrapleural Urokinase In Children" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1999-01-31" "fechaAceptado" => "1999-05-31" "PalabrasClave" => array:1 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec186252" "palabras" => array:3 [ 0 => "Derrame pleural" 1 => "Urocinasa" 2 => "Niños" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Presentar la utilización de urocinasa (UC) intrapleural como tratamiento alternativo a la decorticación quirúrgica en los derrames pleurales complicados durante la infancia. Aportar nuevos casos a la escasa casuística pediátrica existente y sentar bases para el futuro desarrollo de un protocolo estandarizado para su utilización.</p> <span class="elsevierStyleSectionTitle">Método</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Presentación de tres casos de niños menores de tres años en los que se ha utilizado dicha técnica.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Evolución favorable en los tres casos, con ausencia de efectos secundarios.</p> <span class="elsevierStyleSectionTitle">Conclusión</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">El tratamiento del derrame pleural en ocasiones requiere la inserción de un tubo torácico e incluso en algunos casos la realización de una toracotomía y decorticación cuando se desarrollan empiemas tabicados. Este procedimiento invasivo puede ser evitado en algunos casos mediante la instilación de fibrinolíticos como la urocinasa en la cavidad pleural, siendo éste un procedimiento eficaz y seguro.</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To present the use of intrapleural urokinase as an alternative to surgical management of complicated pleural effusions in children. To add new cases to the literature and set bases for the development of a standarized protocol.</p> <span class="elsevierStyleSectionTitle">Method</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Presentation of three cases in children under three years of age treated with intrapleural urokinase.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Resolution of the effusions with lack of adverse effects.</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Treatment of pleural effusions when loculations develop. This invasive approach might be avoided in some cases by instillation of a fibrinolytic agent such as urokinase into the pleural space, this being an efficient and safe procedure.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:23 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Parapneumonic effusions and empyema" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "R.W. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 7 | 15 | 22 |
| 2024 Octubre | 48 | 46 | 94 |
| 2024 Septiembre | 46 | 48 | 94 |
| 2024 Agosto | 53 | 88 | 141 |
| 2024 Julio | 50 | 36 | 86 |
| 2024 Junio | 46 | 35 | 81 |
| 2024 Mayo | 48 | 36 | 84 |
| 2024 Abril | 49 | 29 | 78 |
| 2024 Marzo | 48 | 47 | 95 |
| 2024 Febrero | 70 | 41 | 111 |
| 2024 Enero | 51 | 32 | 83 |
| 2023 Diciembre | 45 | 16 | 61 |
| 2023 Noviembre | 43 | 21 | 64 |
| 2023 Octubre | 55 | 44 | 99 |
| 2023 Septiembre | 30 | 19 | 49 |
| 2023 Agosto | 33 | 17 | 50 |
| 2023 Julio | 53 | 38 | 91 |
| 2023 Junio | 61 | 28 | 89 |
| 2023 Mayo | 66 | 27 | 93 |
| 2023 Abril | 38 | 13 | 51 |
| 2023 Marzo | 33 | 30 | 63 |
| 2023 Febrero | 26 | 20 | 46 |
| 2023 Enero | 27 | 40 | 67 |
| 2022 Diciembre | 25 | 21 | 46 |
| 2022 Noviembre | 49 | 47 | 96 |
| 2022 Octubre | 29 | 35 | 64 |
| 2022 Septiembre | 21 | 25 | 46 |
| 2022 Agosto | 31 | 50 | 81 |
| 2022 Julio | 29 | 38 | 67 |
| 2022 Junio | 24 | 29 | 53 |
| 2022 Mayo | 25 | 25 | 50 |
| 2022 Abril | 27 | 36 | 63 |
| 2022 Marzo | 31 | 52 | 83 |
| 2022 Febrero | 24 | 26 | 50 |
| 2022 Enero | 22 | 32 | 54 |
| 2021 Diciembre | 19 | 43 | 62 |
| 2021 Noviembre | 36 | 33 | 69 |
| 2021 Octubre | 83 | 37 | 120 |
| 2021 Septiembre | 27 | 36 | 63 |
| 2021 Agosto | 21 | 20 | 41 |
| 2021 Julio | 35 | 21 | 56 |
| 2021 Junio | 42 | 39 | 81 |
| 2021 Mayo | 30 | 27 | 57 |
| 2021 Abril | 24 | 33 | 57 |
| 2021 Marzo | 79 | 19 | 98 |
| 2021 Febrero | 77 | 16 | 93 |
| 2021 Enero | 38 | 23 | 61 |
| 2020 Diciembre | 47 | 15 | 62 |
| 2020 Noviembre | 30 | 11 | 41 |
| 2020 Octubre | 33 | 10 | 43 |
| 2020 Septiembre | 34 | 9 | 43 |
| 2020 Agosto | 29 | 6 | 35 |
| 2020 Julio | 30 | 22 | 52 |
| 2020 Junio | 44 | 13 | 57 |
| 2020 Mayo | 35 | 12 | 47 |
| 2020 Abril | 34 | 14 | 48 |
| 2020 Marzo | 25 | 19 | 44 |
| 2020 Febrero | 36 | 11 | 47 |
| 2020 Enero | 28 | 23 | 51 |
| 2019 Diciembre | 52 | 25 | 77 |
| 2019 Noviembre | 32 | 6 | 38 |
| 2019 Octubre | 30 | 8 | 38 |
| 2019 Septiembre | 28 | 14 | 42 |
| 2019 Agosto | 36 | 15 | 51 |
| 2019 Julio | 26 | 41 | 67 |
| 2019 Junio | 45 | 30 | 75 |
| 2019 Mayo | 136 | 52 | 188 |
| 2019 Abril | 78 | 19 | 97 |
| 2019 Marzo | 19 | 22 | 41 |
| 2019 Febrero | 22 | 12 | 34 |
| 2019 Enero | 22 | 11 | 33 |
| 2018 Diciembre | 20 | 8 | 28 |
| 2018 Noviembre | 41 | 11 | 52 |
| 2018 Octubre | 41 | 18 | 59 |
| 2018 Septiembre | 27 | 5 | 32 |
| 2018 Agosto | 1 | 0 | 1 |
| 2018 Julio | 1 | 0 | 1 |
| 2018 Junio | 1 | 0 | 1 |
| 2018 Mayo | 8 | 0 | 8 |
| 2018 Abril | 14 | 0 | 14 |
| 2018 Marzo | 19 | 0 | 19 |
| 2018 Febrero | 8 | 0 | 8 |
| 2018 Enero | 10 | 0 | 10 |
| 2017 Diciembre | 14 | 0 | 14 |
| 2017 Noviembre | 17 | 0 | 17 |
| 2017 Octubre | 13 | 0 | 13 |
| 2017 Septiembre | 19 | 0 | 19 |
| 2017 Agosto | 10 | 0 | 10 |
| 2017 Julio | 11 | 0 | 11 |
| 2017 Junio | 23 | 34 | 57 |
| 2017 Mayo | 17 | 7 | 24 |
| 2017 Abril | 18 | 4 | 22 |
| 2017 Marzo | 14 | 17 | 31 |
| 2017 Febrero | 13 | 2 | 15 |
| 2017 Enero | 9 | 4 | 13 |
| 2016 Diciembre | 24 | 10 | 34 |
| 2016 Noviembre | 58 | 15 | 73 |
| 2016 Octubre | 43 | 10 | 53 |
| 2016 Septiembre | 50 | 5 | 55 |
| 2016 Agosto | 24 | 3 | 27 |
| 2016 Julio | 11 | 5 | 16 |
| 2015 Diciembre | 2 | 0 | 2 |
| 2015 Octubre | 3 | 0 | 3 |
| 2015 Agosto | 2 | 0 | 2 |
| 2015 Julio | 9 | 0 | 9 |
| 2015 Junio | 5 | 0 | 5 |
| 2015 Mayo | 14 | 0 | 14 |
| 2015 Abril | 5 | 0 | 5 |
| 2015 Marzo | 7 | 0 | 7 |
| 2015 Febrero | 5 | 0 | 5 |
| 2015 Enero | 3 | 0 | 3 |
| 2014 Diciembre | 8 | 0 | 8 |
| 2014 Noviembre | 3 | 0 | 3 |
| 2014 Octubre | 7 | 0 | 7 |
| 2014 Septiembre | 5 | 0 | 5 |
| 2014 Agosto | 6 | 0 | 6 |
| 2014 Julio | 4 | 0 | 4 |
| 2014 Junio | 6 | 0 | 6 |
| 2014 Mayo | 13 | 0 | 13 |
| 2014 Abril | 7 | 0 | 7 |
| 2014 Marzo | 5 | 0 | 5 |
| 2014 Febrero | 7 | 0 | 7 |
| 2014 Enero | 12 | 0 | 12 |
| 2013 Diciembre | 16 | 0 | 16 |
| 2013 Noviembre | 9 | 0 | 9 |
| 2013 Octubre | 12 | 0 | 12 |
| 2013 Septiembre | 17 | 0 | 17 |
| 2013 Agosto | 7 | 0 | 7 |
| 2013 Julio | 4 | 0 | 4 |
| 2013 Junio | 3 | 0 | 3 |
| 2013 Mayo | 1 | 0 | 1 |
| 2013 Abril | 1 | 0 | 1 |
| 2013 Marzo | 4 | 0 | 4 |
| 2013 Febrero | 14 | 0 | 14 |
| 2013 Enero | 3 | 0 | 3 |
| 2012 Diciembre | 1 | 0 | 1 |
| 2012 Noviembre | 2 | 0 | 2 |
| 2012 Octubre | 1 | 0 | 1 |
| 2012 Septiembre | 3 | 0 | 3 |
| 2012 Agosto | 3 | 0 | 3 |
| 2000 Marzo | 2144 | 0 | 2144 |
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