Acardius acephalus. Descripción de un caso
Acardius acephalus. a case report
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Pardo Crespo, R. Pérez Iglesias, J. Llorca, E. Rodrigo Calabia, L. Álvarez Granda, M. Delgado-Rodríguez" "autores" => array:6 [ 0 => array:2 [ "nombre" => "M.R." "apellidos" => "Pardo Crespo" ] 1 => array:2 [ "nombre" => "R." "apellidos" => "Pérez Iglesias" ] 2 => array:2 [ "nombre" => "J." "apellidos" => "Llorca" ] 3 => array:2 [ "nombre" => "E." "apellidos" => "Rodrigo Calabia" ] 4 => array:2 [ "nombre" => "L." "apellidos" => "Álvarez Granda" ] 5 => array:2 [ "nombre" => "M." "apellidos" => "Delgado-Rodríguez" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1695403300774741?idApp=UINPBA00005H" "url" => "/16954033/0000005300000004/v1_201307051520/S1695403300774741/v1_201307051520/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "<span class="elsevierStyleItalic">Acardius acephalus</span>. Descripción de un caso" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "346" "paginaFinal" => "349" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "J. Torres Borrego, J. Guzmán Cabañas, J.E. Arjona Berral, A. Acosta Collado, A. Romanos Lezcano" "autores" => array:5 [ 0 => array:4 [ "nombre" => "J." "apellidos" => "Torres Borrego" "email" => array:1 [ 0 => "jtorbo@terra.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "J." "apellidos" => "Guzmán Cabañas" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "J.E." "apellidos" => "Arjona Berral" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 3 => array:3 [ "nombre" => "A." "apellidos" => "Acosta Collado" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 4 => array:3 [ "nombre" => "A." "apellidos" => "Romanos Lezcano" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Departamento de Pediatría. Servicio de Ginecología y Obstetricia." "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Anatomía Patológica. Hospital Universitario Reina Sofía. Córdoba." "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Dr. J. Torres Borrego. Avda. Mirasierra, 7, 3.<span class="elsevierStyleSup">o</span>-4.<span class="elsevierStyleSup">a</span>. 14005 Córdoba." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "<span class="elsevierStyleItalic">Acardius acephalus</span>. a case report" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2000-04-30" "fechaAceptado" => "2000-06-30" "PalabrasClave" => array:1 [ "es" => array:2 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec186451" "palabras" => array:5 [ 0 => "Embarazo gemelar" 1 => "Acardio" 2 => "Síndrome de transfusión feto-fetal (STFF)" 3 => "Perfusión arterial retrógrada entre gemelos" 4 => "Leucomalacia periventricular" ] ] 1 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec186452" "palabras" => array:5 [ 0 => "Multiple gestation" 1 => "Acardiac" 2 => "Twin-twin transfusion syndrome (TTTS)" 3 => "Twin reversed-arterial perfusion sequence (TRAP)" 4 => "Periventricular leukomalacia" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Comunicamos un caso de embarazo gemelar (monocorial biamniótico) con malformación de uno de los fetos del tipo <span class="elsevierStyleItalic">acardius acephalus</span>. El otro gemelo presentó complicaciones de tipo infeccioso, hematológico y neu-rológico asociadas.</p><p id="spar0250" class="elsevierStyleSimplePara elsevierViewall">Este cuadro forma parte del amplio espectro clínico del síndrome de transfusión feto-fetal (STFF), exclusivo de em-barazos monozigotos en los que los sistemas vasculares fetales están conectados, dependiendo la gravedad del tipo de anastomosis y del momento de producción de éstas.</p><p id="spar0255" class="elsevierStyleSimplePara elsevierViewall">El corazón del gemelo "donante" bombea su volemia y la del arcadio, sufriendo sobrecarga y posible insuficiencia cardíaca. El gemelo receptor puede presentar alteraciones graves e incluso letales, como la ausencia de corazón y/o cabeza. En algunos casos puede existir una anomalía previa de uno de los gemelos (arteria umbilical única, alteración cromosómica). El diagnóstico precoz es esencial para plantear la actitud terapéutica, que irá dirigida al gemelo normal.</p>" ] "en" => array:1 [ "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">We report a case of twin gestation (monochorionic-diamniotic) in which one of the twins was acardiac and acephalic. His co-twin suffered infectious, hematological and neurological complications.</p><p id="spar0260" class="elsevierStyleSimplePara elsevierViewall">This condition belongs to the broad spectrum of twin-to-twin transfusion syndrome (TTTS) and is observed in monozygous pregnancies in which the vascular systems of the fetuses are connected. The severity of this syndrome depends on the type of anastomoses and the timing of their establishment.</p><p id="spar0265" class="elsevierStyleSimplePara elsevierViewall">Circulation is accomplished by the heart of the more perfect twin ("pump twin") who is at risk for heart failure. The recipient twin may display severe and sometimes lethal anomalies, such as acardia or acephalus. In some cases a prior situation such as a single umbilical artery or chromosomal anomaly in the acardiac twin may be found. Early diagnosis is essential to formulate a plan of management focused on the normal twin.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:17 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Perinatal outcome of forty-nine pregnancies complicated by acardiac twinning" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "T.R. Moore" 1 => "S. Gale" 2 => "K. Benirschke" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am J Obstet Gynecol" "fecha" => "1990" "volumen" => "163" "paginaInicial" => "907" "paginaFinal" => "912" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2206078" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Twin-Twin transfusion syndrome: sonographic findings" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "D.L. Brown" 1 => "C.B. Benson" 2 => "S.G. Driscoll" 3 => "P.M. Doubilet" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1148/radiology.170.1.2642349" "Revista" => array:6 [ "tituloSerie" => "Radiology" "fecha" => "1989" "volumen" => "170" "paginaInicial" => "61" "paginaFinal" => "63" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2642349" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Síndrome de transfusión feto-fetal" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "J. Montalvo" 1 => "M. Ramírez" 2 => "P. Soler" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Relan" "fecha" => "1999" "volumen" => "1" "paginaInicial" => "347" "paginaFinal" => "352" ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Les jumeaux acardiaques" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "C. Pinet" 1 => "J.C. Colau" 2 => "A.L. Delezoide" 3 => "F. Menez" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "J Gynecol Obstet Biol Reprod" "fecha" => "1994" "volumen" => "23" "paginaInicial" => "85" "paginaFinal" => "92" ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Prenatal sonographic diagnosis, doppler velocimetric umbilical cord studies, and subsequent management of an acardiac twin pregnancy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "D.M. Sherer" 1 => "B. Armstrong" 2 => "Y.G. Shah" 3 => "L.A. Metlay" 4 => "J.R. Woods" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Obstet Gynecol" "fecha" => "1989" "volumen" => "74" "paginaInicial" => "472" "paginaFinal" => "475" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2668824" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0030" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Antenatal diagnosis of acephalus acardia: A proposed management scheme" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "L.D. Platt" 1 => "G.R. De Vore" 2 => "A. Bieniarz" 3 => "P. Benner" 4 => "R. Rao" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am J Obstet Gynecol" "fecha" => "1983" "volumen" => "146" "paginaInicial" => "857" "paginaFinal" => "859" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6346885" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0035" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Acardius (Acardius acephalus)" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "M. Jonler" 1 => "K.L. Rasmussen" 2 => "A. Holmskov" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Acta Obstet Gynecol Scand" "fecha" => "1996" "volumen" => "75" "paginaInicial" => "412" "paginaFinal" => "414" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8638468" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0040" "etiqueta" => "8." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Selective delivery of an acardiac, acephalic twin" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "G.F. Robie" 1 => "G.G. Payne" 2 => "M.A. Morgan" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1056/NEJM198902233200808" "Revista" => array:6 [ "tituloSerie" => "N Engl J Med" "fecha" => "1989" "volumen" => "320" "paginaInicial" => "512" "paginaFinal" => "513" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2915653" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib0045" "etiqueta" => "9." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The intrauterine treatment of fetal cardiac failure in a twin pregnancy with an acardiac, acephalic monster" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "P.C. Simpson" 1 => "B.J. Trudinger" 2 => "A. Walker" 3 => "P.J. Baird" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Am J Obstet Gynecol" "fecha" => "1983" "volumen" => "147" "paginaInicial" => "842" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6650614" "web" => "Medline" ] ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib0050" "etiqueta" => "10." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Mortality conference: twin-to-twin transfusion" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "M. Pietrantoni" 1 => "DL. Stewart" 2 => "N. Ssemakula" 3 => "C. Maxfield" 4 => "L. WillsFrank" 5 => "R.W. Bendon" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Pediatr" "fecha" => "1998" "volumen" => "132" "paginaInicial" => "1071" "paginaFinal" => "1076" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9627611" "web" => "Medline" ] ] ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib0055" "etiqueta" => "11." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Treatment of acardiacacephalustwin gestations by hysterotomy and selective delivery" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "M.H. Fries" 1 => "J.D. Goldberg" 2 => "M.S. Golbus" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Obstet Gynecol" "fecha" => "1992" "volumen" => "79" "paginaInicial" => "601" "paginaFinal" => "604" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1553185" "web" => "Medline" ] ] ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib0060" "etiqueta" => "12." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The role of feticide in the management of severe twin transfusion syndrome" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "B.K. Wittmann" 1 => "D.F. Farquharson" 2 => "W.D.S. Thomas" 3 => "V.J. Baldwin" 4 => "L.D. Wadsworth" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am J Obstet Gynecol" "fecha" => "1986" "volumen" => "155" "paginaInicial" => "1023" "paginaFinal" => "1026" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3535514" "web" => "Medline" ] ] ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib0065" "etiqueta" => "13." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Brief report: umbilical-cord ligation of an acardiac twin by fetoscopy at 19 week of gestation" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:7 [ 0 => "R.A. Quintero" 1 => "H. Reich" 2 => "K.S. Puder" 3 => "M. Bardicef" 4 => "M.I. Evans" 5 => "D.B. Cotton" 6 => "R. Romero" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1056/NEJM199402173300705" "Revista" => array:6 [ "tituloSerie" => "N Engl J Med" "fecha" => "1994" "volumen" => "330" "paginaInicial" => "469" "paginaFinal" => "471" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8289853" "web" => "Medline" ] ] ] ] ] ] ] ] 13 => array:3 [ "identificador" => "bib0070" "etiqueta" => "14." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Occlusion of umbilical artery in acardiac, acephalic twin" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "R.P. Porreco" 1 => "S.M. Barton" 2 => "A.D. Haverkamp" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Lancet" "fecha" => "1991" "volumen" => "337" "paginaInicial" => "326" "paginaFinal" => "327" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1671233" "web" => "Medline" ] ] ] ] ] ] ] ] 14 => array:3 [ "identificador" => "bib0075" "etiqueta" => "15." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Fetoscopic neodymium: YAG laser occlusion of placental vessels in severe twin-twin transfusion syndrome" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "J.E. De Lia" 1 => "D.P. Cruikshank" 2 => "W.R. Keye" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Obstet Gynecol" "fecha" => "1990" "volumen" => "75" "paginaInicial" => "1046" "paginaFinal" => "1053" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2342732" "web" => "Medline" ] ] ] ] ] ] ] ] 15 => array:3 [ "identificador" => "bib0080" "etiqueta" => "16." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Prolongation of a preterm pregnancy complicated by death of a single twin in utero and disseminated intravascular coagulation. Effects of treatment with heparin" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:5 [ 0 => "R. Romero" 1 => "T.P. Duffy" 2 => "R.L. Berkowitz" 3 => "E. Chang" 4 => "J.C. Hobbins" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1056/NEJM198403223101207" "Revista" => array:6 [ "tituloSerie" => "N Engl J Med" "fecha" => "1984" "volumen" => "310" "paginaInicial" => "772" "paginaFinal" => "774" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6700657" "web" => "Medline" ] ] ] ] ] ] ] ] 16 => array:3 [ "identificador" => "bib0085" "etiqueta" => "17." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Antenatal origin of neurologic damage in new-born infants. II. Multiple gestations" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "R. Bejar" 1 => "G. Vigliocco" 2 => "H. Gramajo" 3 => "C. Solana" 4 => "K. Benirschke" 5 => "C. Berry" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am J Obstet Gynecol" "fecha" => "1990" "volumen" => "162" "paginaInicial" => "1230" "paginaFinal" => "1236" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2187353" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/16954033/0000005300000004/v1_201307051520/S1695403300774753/v1_201307051520/es/main.assets" "Apartado" => array:4 [ "identificador" => "14234" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Medicina fetal y neonatología" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/16954033/0000005300000004/v1_201307051520/S1695403300774753/v1_201307051520/es/main.pdf?idApp=UINPBA00005H&text.app=https://analesdepediatria.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1695403300774753?idApp=UINPBA00005H" ]
| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 8 | 14 | 22 |
| 2024 Octubre | 55 | 45 | 100 |
| 2024 Septiembre | 55 | 62 | 117 |
| 2024 Agosto | 69 | 79 | 148 |
| 2024 Julio | 71 | 49 | 120 |
| 2024 Junio | 74 | 48 | 122 |
| 2024 Mayo | 74 | 50 | 124 |
| 2024 Abril | 56 | 32 | 88 |
| 2024 Marzo | 53 | 39 | 92 |
| 2024 Febrero | 63 | 40 | 103 |
| 2024 Enero | 63 | 37 | 100 |
| 2023 Diciembre | 80 | 34 | 114 |
| 2023 Noviembre | 55 | 38 | 93 |
| 2023 Octubre | 82 | 46 | 128 |
| 2023 Septiembre | 57 | 32 | 89 |
| 2023 Agosto | 49 | 23 | 72 |
| 2023 Julio | 69 | 61 | 130 |
| 2023 Junio | 49 | 35 | 84 |
| 2023 Mayo | 80 | 25 | 105 |
| 2023 Abril | 54 | 15 | 69 |
| 2023 Marzo | 44 | 29 | 73 |
| 2023 Febrero | 32 | 27 | 59 |
| 2023 Enero | 24 | 32 | 56 |
| 2022 Diciembre | 36 | 22 | 58 |
| 2022 Noviembre | 77 | 31 | 108 |
| 2022 Octubre | 85 | 44 | 129 |
| 2022 Septiembre | 80 | 30 | 110 |
| 2022 Agosto | 49 | 51 | 100 |
| 2022 Julio | 44 | 45 | 89 |
| 2022 Junio | 28 | 39 | 67 |
| 2022 Mayo | 43 | 42 | 85 |
| 2022 Abril | 39 | 56 | 95 |
| 2022 Marzo | 55 | 55 | 110 |
| 2022 Febrero | 37 | 38 | 75 |
| 2022 Enero | 48 | 58 | 106 |
| 2021 Diciembre | 42 | 41 | 83 |
| 2021 Noviembre | 43 | 46 | 89 |
| 2021 Octubre | 62 | 64 | 126 |
| 2021 Septiembre | 28 | 44 | 72 |
| 2021 Agosto | 22 | 31 | 53 |
| 2021 Julio | 33 | 40 | 73 |
| 2021 Junio | 47 | 42 | 89 |
| 2021 Mayo | 42 | 34 | 76 |
| 2021 Abril | 73 | 53 | 126 |
| 2021 Marzo | 98 | 44 | 142 |
| 2021 Febrero | 99 | 43 | 142 |
| 2021 Enero | 88 | 28 | 116 |
| 2020 Diciembre | 82 | 20 | 102 |
| 2020 Noviembre | 51 | 14 | 65 |
| 2020 Octubre | 52 | 8 | 60 |
| 2020 Septiembre | 35 | 11 | 46 |
| 2020 Agosto | 36 | 22 | 58 |
| 2020 Julio | 38 | 31 | 69 |
| 2020 Junio | 18 | 19 | 37 |
| 2020 Mayo | 39 | 16 | 55 |
| 2020 Abril | 29 | 11 | 40 |
| 2020 Marzo | 28 | 9 | 37 |
| 2020 Febrero | 26 | 17 | 43 |
| 2020 Enero | 40 | 19 | 59 |
| 2019 Diciembre | 49 | 22 | 71 |
| 2019 Noviembre | 27 | 9 | 36 |
| 2019 Octubre | 25 | 19 | 44 |
| 2019 Septiembre | 33 | 18 | 51 |
| 2019 Agosto | 32 | 17 | 49 |
| 2019 Julio | 23 | 20 | 43 |
| 2019 Junio | 41 | 25 | 66 |
| 2019 Mayo | 34 | 35 | 69 |
| 2019 Abril | 75 | 27 | 102 |
| 2019 Marzo | 17 | 16 | 33 |
| 2019 Febrero | 26 | 15 | 41 |
| 2019 Enero | 20 | 8 | 28 |
| 2018 Diciembre | 33 | 14 | 47 |
| 2018 Noviembre | 29 | 19 | 48 |
| 2018 Octubre | 53 | 13 | 66 |
| 2018 Septiembre | 17 | 8 | 25 |
| 2018 Julio | 2 | 0 | 2 |
| 2018 Junio | 1 | 0 | 1 |
| 2018 Mayo | 6 | 0 | 6 |
| 2018 Abril | 9 | 0 | 9 |
| 2018 Marzo | 11 | 0 | 11 |
| 2018 Febrero | 6 | 0 | 6 |
| 2018 Enero | 8 | 0 | 8 |
| 2017 Diciembre | 9 | 0 | 9 |
| 2017 Noviembre | 14 | 0 | 14 |
| 2017 Octubre | 9 | 0 | 9 |
| 2017 Septiembre | 12 | 0 | 12 |
| 2017 Agosto | 9 | 0 | 9 |
| 2017 Julio | 9 | 0 | 9 |
| 2017 Junio | 14 | 19 | 33 |
| 2017 Mayo | 12 | 14 | 26 |
| 2017 Abril | 15 | 7 | 22 |
| 2017 Marzo | 13 | 8 | 21 |
| 2017 Febrero | 6 | 3 | 9 |
| 2017 Enero | 4 | 1 | 5 |
| 2016 Diciembre | 21 | 6 | 27 |
| 2016 Noviembre | 33 | 6 | 39 |
| 2016 Octubre | 35 | 9 | 44 |
| 2016 Septiembre | 37 | 6 | 43 |
| 2016 Agosto | 22 | 8 | 30 |
| 2016 Julio | 9 | 5 | 14 |
| 2016 Mayo | 2 | 0 | 2 |
| 2016 Abril | 2 | 0 | 2 |
| 2016 Marzo | 1 | 0 | 1 |
| 2016 Febrero | 2 | 0 | 2 |
| 2016 Enero | 4 | 0 | 4 |
| 2015 Diciembre | 4 | 0 | 4 |
| 2015 Noviembre | 1 | 0 | 1 |
| 2015 Octubre | 2 | 0 | 2 |
| 2015 Septiembre | 3 | 0 | 3 |
| 2015 Julio | 11 | 0 | 11 |
| 2015 Junio | 13 | 0 | 13 |
| 2015 Mayo | 21 | 0 | 21 |
| 2015 Abril | 18 | 5 | 23 |
| 2015 Marzo | 16 | 10 | 26 |
| 2015 Febrero | 18 | 0 | 18 |
| 2015 Enero | 20 | 1 | 21 |
| 2014 Diciembre | 18 | 3 | 21 |
| 2014 Noviembre | 17 | 1 | 18 |
| 2014 Octubre | 19 | 1 | 20 |
| 2014 Septiembre | 18 | 2 | 20 |
| 2014 Agosto | 21 | 1 | 22 |
| 2014 Julio | 18 | 2 | 20 |
| 2014 Junio | 23 | 1 | 24 |
| 2014 Mayo | 36 | 3 | 39 |
| 2014 Abril | 23 | 3 | 26 |
| 2014 Marzo | 29 | 10 | 39 |
| 2014 Febrero | 19 | 5 | 24 |
| 2014 Enero | 24 | 8 | 32 |
| 2013 Diciembre | 26 | 7 | 33 |
| 2013 Noviembre | 17 | 7 | 24 |
| 2013 Octubre | 38 | 8 | 46 |
| 2013 Septiembre | 39 | 7 | 46 |
| 2013 Agosto | 14 | 10 | 24 |
| 2013 Julio | 12 | 6 | 18 |
| 2013 Junio | 7 | 1 | 8 |
| 2013 Mayo | 10 | 4 | 14 |
| 2013 Abril | 12 | 2 | 14 |
| 2013 Marzo | 18 | 5 | 23 |
| 2013 Febrero | 42 | 3 | 45 |
| 2013 Enero | 49 | 3 | 52 |
| 2012 Diciembre | 36 | 3 | 39 |
| 2012 Noviembre | 27 | 2 | 29 |
| 2012 Octubre | 23 | 1 | 24 |
| 2012 Septiembre | 0 | 1 | 1 |
| 2000 Septiembre | 4047 | 0 | 4047 |
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