Anales De Medicina Interna最新文献_第6页

[Psoriatic arthritis complicated with secondary amyloidosis]. 银屑病关节炎并发继发性淀粉样变。

Anales De Medicina Interna Pub Date : 2008-05-01 DOI: 10.4321/s0212-71992008000500015

J Pérez Silvestre, C Campos Fernández, A Baixauli Rubio, J Calvo Catalá, M I González-Cruz, A Herrera Ballester

引用次数: 4

[Mortality due to heart involvement in the catastrophic antiphospholipid syndrome]. [灾难性抗磷脂综合征中心脏受累的死亡率]。

Anales De Medicina Interna Pub Date : 2008-05-01

B Obón Azuara, M R Ortas Nadal, I Gutiérrez Cía, R Bustamante Rodríguez, C Velilla Soriano, B Villanueva Anadón

引用次数: 0

[Detection and initial management of the systemic inflammatory response syndrome in medicine emergency room: 24 hours follow-up in a general hospital]. [综合医院内科急诊室全身性炎症反应综合征的发现与初步处理:24小时随访]。

Anales De Medicina Interna Pub Date : 2008-05-01 DOI: 10.4321/s0212-71992008000500002

F J Candel, F Martínez-Sagasti, M Matesanz, J González Del Castillo, F Ortuño, F J Martín, A Moneo, I Candel

{"title":"[Detection and initial management of the systemic inflammatory response syndrome in medicine emergency room: 24 hours follow-up in a general hospital].","authors":"F J Candel, F Martínez-Sagasti, M Matesanz, J González Del Castillo, F Ortuño, F J Martín, A Moneo, I Candel","doi":"10.4321/s0212-71992008000500002","DOIUrl":"https://doi.org/10.4321/s0212-71992008000500002","url":null,"abstract":"Introduction: Systemic Inflammatory Response Syndrome (SIRS) is a clinical situation frequently observed in Emergency Room (ER). Its early detection and supporting measures improve prognosis of these patients.Aims: To know the incidence of SIRS among patients who come to ER, their frequency and distribution factors and the clinical evolution at 3 and 30 days.Patients and methods: Observational prospective simple-blind study. During 24 hours, SIRS was detected by observant doctors with an independent registry. Their management was observed. Patients from Obstetrics and Traumatology were not observed. Follow-up was done using telephonic and informatical techniques at 3 and 30 day. A descriptive analysis was done.Results: There were 163 patients attended in ER; 25 of them with SIRS (15.3%), 16 were male (65%) and 9 female (35%). By ages 8 were under 30, 4 were between 30 and 60 and 13 were over. The respiratory rate was not measured in 12 of the 25 patients with SIRS (48%). An infectious etiology (sepsis) was found in 19 of those 25 (76%) patients. The most frequent criterion of sepsis was tachycardia, followed by leukocyte disorders. Support of volume and antimicrobial therapy were only started at once in 21 and 42% respectively on patients with sepsis. 15 of 25 were admitted (2 in ICU). After 3 days, 11 of 25 remained at hospital and after 30 days 2.Conclusions: SIRS is a prevalent situation in ER with a high percentage of admissions. Most of SIRS were of infectious origin (sepsis). Major attention is needed among physicians to establish a promptly diagnose and starting support measures that improve their prognosis.","PeriodicalId":50798,"journal":{"name":"Anales De Medicina Interna","volume":"25 5","pages":"205-8"},"PeriodicalIF":0.0,"publicationDate":"2008-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27656559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

[New drugs in breast cancer]. [治疗乳腺癌的新药]。

Anales De Medicina Interna Pub Date : 2008-05-01 DOI: 10.4321/s0212-71992008000500001

P Khosravi Shahi, G Pérez Manga

引用次数: 0

[Spirometry and echocardiography use in hospitalised patients due to COPD or heart failure]. [肺活量测定和超声心动图在慢性阻塞性肺病或心力衰竭住院患者中的应用]。

Anales De Medicina Interna Pub Date : 2008-05-01 DOI: 10.4321/s0212-71992008000500005

M J Torrubia Fernández, A Comín Orce, M Moreno Vernis, S J Carrizo Sierra, J M Marín Tigo

{"title":"[Spirometry and echocardiography use in hospitalised patients due to COPD or heart failure].","authors":"M J Torrubia Fernández, A Comín Orce, M Moreno Vernis, S J Carrizo Sierra, J M Marín Tigo","doi":"10.4321/s0212-71992008000500005","DOIUrl":"https://doi.org/10.4321/s0212-71992008000500005","url":null,"abstract":"Background and objective: There is no information on the use of the spirometry as a confirmatory tool for the diagnosis of COPD at the hospital setting. To determine the pattern of use of the spirometry (SPIR) in comparison with the use of the echocardiography (ECHO) in heart failure (HF).Methods: We included those patients that during one year they were discharge with the primary diagnosis of \"COPD exacerbation\" or \"Heart Failure\" (codes: ICM-9-CM: 491.21 y 428). From the generated list, history charts were reviewed and original SPIR and ECHO were pooled out from the pulmonary function test and non-invasive cardiac unit departments.Results: Among 408 patients with COPD, SPIR was done in 110 (27%) and among 328 patients with HF, ECHO was prescribed in 250 (76%) (p < 0,001). COPD group was younger (71.8 +/- 9.8 vs. 74.9 +/- 10.6, p < 0,001), but no other differences were found with HF group. Among those patients who had SPIR, age was lower (69.5 +/- 9.1 vs. 72.5 +/- 9.9, p=0,005) and there was a high % of in-patients carried by pulmonology versus internal medicine (30 vs. 13%, p < 0,002) comparing with the group of patients who had no SPIR.Conclusions: We found a small percentage of COPD patients who had spirometry during hospitalization due to COPD exacerbation. This peculiar pattern of the limited use of the confirmatory diagnostic test appear disease-specific since we also found a large percentage of patient with heart failure who had echocardiography during their hospitalization.","PeriodicalId":50798,"journal":{"name":"Anales De Medicina Interna","volume":"25 5","pages":"222-5"},"PeriodicalIF":0.0,"publicationDate":"2008-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27655861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

[Efficiency profile in the neurological referrals effectuate reference specialists: use case-mix system adjusted clinical groups]. [神经内科转诊专家的效率概况:使用病例混合系统调整的临床组]。

Anales De Medicina Interna Pub Date : 2008-05-01 DOI: 10.1016/S1098-3015(10)66990-2

A. Sicras-Mainar, R. Navarro-artieda

引用次数: 1

[Recurrent parathyroid cyst: a clinical case]. 复发性甲状旁腺囊肿1例

Anales De Medicina Interna Pub Date : 2008-05-01 DOI: 10.4321/s0212-71992008000500008

J Lorenzo, G Fernández, B Iglesias, R Boente, M Sas

引用次数: 3

[Serum free light chains: clinical utility]. 血清游离轻链:临床应用。

Anales De Medicina Interna Pub Date : 2008-05-01 DOI: 10.4321/s0212-71992008000500017

A Encinas Madrazo, M E González García, J Cepeda Piorno, A J González Huerta, E Fernández Rodríguez

引用次数: 0

[Fever of unknown origin: unusual form of presentation of Cogan's syndrome]. [不明原因发热:科根综合征的不寻常表现形式]。

Anales De Medicina Interna Pub Date : 2008-05-01 DOI: 10.4321/s0212-71992008000500013

E Solé Altarriba, J M Garcés Jarque, X Nogués Solán, A Díez Pérez

引用次数: 1

[Peptostreptococcus endocarditis: presentation of two cases and literature review]. 【胃链球菌心内膜炎:两例报告及文献复习】。

Anales De Medicina Interna Pub Date : 2008-05-01 DOI: 10.4321/s0212-71992008000500006

A Bassa Malondra, M García Gasalla, A Cladera, M Gaeau

引用次数: 5