Browsing by Author "Toscano Ponce, Andrés Gustavo"

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    “Enfisema bulloso como causa de insuficiencia respiratoria crónica”
    (Universidad Técnica de Ambato - Facultad de Ciencias de la Salud - Carrera de Medicina, 2018-10-01) Toscano Ponce, Andrés Gustavo; Acosta Acosta, Josué Dr. Esp.
    Bullous emphysema is a chronic obstructive pulmonary pathology of importance in his knowledge at present, this due to the low frequency with which it manifests in young adult patients and more for its short-term mortality when it is not diagnosed early. We report the case of a 44-year-old male patient with a history of recently diagnosed pulmonary fibrosis, who presented a clinical picture of ten hours of evolution characterized by respiratory difficulty of small efforts, accompanied by a sensation of drowning, central and distal cyanosis, anxiety, pain in the left hemithorax, pungent type of moderate intensity radiating to a posterior region, in addition to cough with transparent expectoration with bloody streaks. Physical examination showed tachycardia, tachypnea, 70% ambient air saturation, perioral cyanosis, dyspnea, a pulmonary level showed decreased thoracic expansibility, use of accessory muscles, decreased vesicular murmur in both pulmonary fields, crackles and bilateral wheezing. In complementary studies, hypoxemia and respiratory acidosis, mild neutrophilia, chest radiograph, the fibrotic pattern with emphysematous bullae and small parahily infiltrates are shown. It is classified as an exacerbated blistering emphysema, so it can be treated intrahospitally with high-flow oxygen and antibiotic therapy. The objective of the present is a case of diagnosis and early and timely treatment in patients with bullous emphysema to prevent morbidities and reduce the mortality that can occur in them