Hidatidosis pulmonar: características, manifestaciones clínicas y tratamiento en pacientes hospitalizados en Concepción, Región del Biobío, Chile / Features of pulmonary hydatidosis in 368 patients admitted to a regional hospital
Rev. méd. Chile
; 148(6): 762-771, jun. 2020. tab, graf
Article
em Es
| LILACS
| ID: biblio-1139369
Biblioteca responsável:
CL1.1
ABSTRACT
Background:
Lungs are the second location in frequency of hydatidosis or cystic echinococcosis.Aim:
To characterize the clinical manifestations, diagnosis, findings and treatment of patients hospitalized for a pulmonary hydatid cyst (PHC). Materials andMethods:
Review of databases, medical records, operation notes and death certificates of patients admitted to a Chilean regional hospital with a PHC.Results:
Four hundred twenty-nine cases were identified and complete data was obtained from 368 patients aged 34 ± 19 years, 224 (60,9%)men. The most common clinical manifestations were cough in 269 (73%) and chest pain in 217 (59%). The most frequent locations were the right lung in 210 (57%) and lower lobes in 218 (59%). One hundred eighty-seven cysts (51%) were complicated. Conservative surgery (cystectomy) was performed in 308 (84%). Postoperative morbidity was observed in 77 (21%) and mortality in 6 (2%) patients. Recurrence was observed in 28 (8%) patients. There was a significant reduction in morbidity, mortality, reoperations, and postoperative days over time.Conclusions:
In these patients, pulmonary hydatidosis was diagnosed mainly during working ages and half of patients had a complicated cyst.Palavras-chave
Texto completo:
1
Base de dados:
LILACS
Assunto principal:
Equinococose Pulmonar
Tipo de estudo:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
País/Região como assunto:
America do sul
/
Chile
Idioma:
Es
Ano de publicação:
2020
Tipo de documento:
Article