Asunto(s)
Anticoagulantes/uso terapéutico , Heparina de Bajo-Peso-Molecular/uso terapéutico , Medicina Interna , Trombosis de la Vena/prevención & control , Utilización de Medicamentos , Unidades Hospitalarias/estadística & datos numéricos , Humanos , Pacientes Internos , Estudios Retrospectivos , Factores de RiesgoRESUMEN
No disponible
Asunto(s)
Masculino , Persona de Mediana Edad , Humanos , Neoplasias Primarias Múltiples/complicaciones , Neoplasias Pulmonares/complicaciones , Neoplasias Renales/complicaciones , Trastornos Neurológicos de la Marcha/etiologíaRESUMEN
OBJECTIVES: To describe the diagnostic approach, clinical and radiological characteristics, and survival of patients with pleural mesothelioma treated in our hospital over a 9-year period. PATIENTS AND METHOD: All patients with a diagnosis of pleural mesothelioma diagnosed in our hospital from January 1992 through December 2000 were studied. RESULTS: Sixty-two patients (49 men) with a mean age of 65 years (range, 45-85) were diagnosed. Probable or known contact with asbestos was established for 41 patients (66%). Ninety-four percent of the patients had chest pain or dyspnea at the onset of clinical assessment. The tumor was situated in the right hemithorax in 33 patients; 59 patients had pleural effusion, and 3 only had pleural thickening. The pleural fluid was bloody in 19% of patients, glucose levels were less than 60 mg/dL in 44%, and the pH of pleural fluid was less than 7.20 in 19%. The diagnosis was established by pleural biopsy for 52%, and by thoracoscopy or thoracotomy for 44%. The median survival was 11 months (95% confidence interval, 8-15); the probability of survival was 0.22 after 2 years, and 0.09 after 5. For the subgroup of patients with epithelial tumors the probability of survival was 0.31 after 2 years and 0.16 after 5 years. In the univariate analysis the predictors of survival were general clinical status (Karnofsky scale), platelet count, serum albumin level, pleural pH, glucose and lactate dehydrogenase levels, and histological type. CONCLUSIONS: The clinical, radiological, and biochemical characteristics of the pleural fluid from patients with pleural mesothelioma and their survival rate were described.
Asunto(s)
Mesotelioma , Neoplasias Pleurales , Anciano , Anciano de 80 o más Años , Femenino , Humanos , Masculino , Mesotelioma/diagnóstico , Mesotelioma/mortalidad , Mesotelioma/terapia , Persona de Mediana Edad , Neoplasias Pleurales/diagnóstico , Neoplasias Pleurales/mortalidad , Neoplasias Pleurales/terapia , Tasa de Supervivencia , Factores de TiempoRESUMEN
We report a patient with pneumonia and empyema secondary to an abdominal abscess due to Klebsiella pneumoniae from stones released into the abdominal cavity during laparoscopic cholecystectomy.
Asunto(s)
Colecistectomía Laparoscópica/efectos adversos , Empiema Pleural/etiología , Infecciones por Klebsiella/etiología , Klebsiella pneumoniae , Neumonía/etiología , Femenino , Humanos , Persona de Mediana Edad , RecurrenciaRESUMEN
Se presenta una paciente con una neumonía y empiema secundarios al desarrollo de un absceso abdominal por infección por K. pneumoniae de cálculos liberados a la cavidad abdominal durante la colecistectomía laparoscópica. (AU)