Dr. Miguel Ángel González Sosa - UAEH · 2011. 10. 7. · Dr. Miguel Ángel González Sosa...
44
Dr. Miguel Ángel González Sosa Presentación realizada en el curso de “Clinopatología del Aparato Respiratorio” dentro de la Licenciatura de Médico Cirujano del Área Académica de Medicina en el semestre Julio – Diciembre 2011. !"#$%&'(%"%)*' ,-" .&'/'(% 0-1&#/'(%/#% 0-1&#/'(%/2 !"#$%&'(%"%)2
Transcript of Dr. Miguel Ángel González Sosa - UAEH · 2011. 10. 7. · Dr. Miguel Ángel González Sosa...
Dr. Miguel Ángel González Sosa
Presentación realizada en el curso de “Clinopatología del Aparato Respiratorio” dentro de la Licenciatura de Médico Cirujano del Área Académica de Medicina en el semestre Julio – Diciembre 2011.
!"#$%&'(%"%)*'+,-"+.&'/'(%+0-1&#/'(%/#%+
+0-1&#/'(%/2+!"#$%&'(%"%)2+
Abstract This presentation is a part of the curse “Respiratory Clinopatology” imparted in the Medicine Academic Area, Health Sciences Institute of the Universidad Autónoma del Estado de Hidalgo January – June 2011 Key words: bronchitis
Área del Conocimiento: 3 Medicina y Ciencias de la Salud
Resumen La presentación es parte del curso de “Clinopatología del Aparato Respiratorio” impartido en el Área Académica de Medicina del Instituto de Ciencias de la Salud de la Universidad Autónoma del Estado de Hidalgo. Julio – Diciembre 2011 Palabras Clave: bronquitis
!"#$%&'()(*!!+,'-+!Bronquitis Aguda
345676!687+9+++ 4:+ ;7.+ 47540<43.3+ !.0.!=406>.3.+ ?80+675@.<.!687+ .A;3.+ 34+ @.+ <;!8:.+ B087C;6.@+ + 4+++D6?40:4!04!687+ 34+ @.:+ [email protected];@.:+<;!8:.:+ 34+ @8:+B087C;68:E+
+B087C;6=6:++.A;3.+
4=68@8A6.+9++
– F60.@+– B.!=406.7.+– :;:=.7!6.:+6006=.7=4:++8++?8@F8:+
+B087C;6=6:++.A;3.+
F60.@+9++
– .3478F60;:E+– 675@;47>.+– ?.0.675@;47>.+– :67!6=6.@++04:?60.=8068E+
+B087C;6=6:++.A;3.+
B.!=406.7.+9++
• 74;<8!8!8E+• D.4<8?D6@;:+675@;47>.4E+• 4:=.56@8!8!8:E+• A0.<+74A.=6F8:E+
+B087C;6=6:++.A;3.+
:;:=.7!6.:+6006=.7=4:+8+?8@F8:+9++• 58:5478:E+• B68G638+34+!.0B878E+• A.:+76=08:8+!87!47=0.38E+• F.0643.34:+34+?8@F8E+• .<876.!8E+• D;<8:+47+A4740.@E+
+B087C;6=6:++.A;3.+
4?634<68@8A6.+9++• !.<B68:+34+=4<?40.=;0.E+• =0.7:<6:687+ ?80+ F6.+ .404.+ 34@+D8<B04+47540<8+.@+:.78E+
• A0.734:+.A@8<40.!6874:E+• !;.@C;640+:4G8++H++43.3E+
+B087C;6=6:++.A;3.+
.7.=8<6.+?.=8@8A6!.+9+<.!08:!8?6!.<47=4+IB087!8:!8?6.J++• 434<.+34+@.+<;!8:.E+• D6?40:4!04!687+34+<8!8E+• !87A4:=687E+• :4!04!687+?;0;@47=.E+
B087C;6=6:++.A;3.+
.7.=8<6.+?.=8@8A6!.+9+<6!08:!8?6!.<47=4++• 434<.+• 6756@=0.!687+34+@6758!6=8:E+• 6756@=0.!687+34+?8@6<8058:E+• 34:!.<.!687+!4@;@.0E+• 74!08:6:+50.7!.++I+8!.:687.@+JE+
B087C;6=6:++.A;3.+
!;.308+!@676!8+9++
– 38@80+04=084:=40.@+– =8:+6006=.=6F.+676!6.@<47=4E+– =8:+?083;!=6F.+?8:=40680<47=4E+– 564B04E+– 36:5876.K+836785.A6.K+H+36:74.E+
B087C;6=6:++.A;3.+
4G?@80.!687+56:6!.+9++.;:!;@=.!687+9++• 4:=40=804:+087!.7=4:++H++:[email protected]=4:E+
B087C;6=6:++.A;3.+
36.A78:=6!8+9++
• 0.368A0.56.++?E+.E++34+=80.GE+• 78+6736!.+767A;7.++.@=40.!687E+
B087C;6=6:++.A;3.+
!6=8@8A6.+D4<.=6!.+9++• @4;!8?476.++• @4;!8!6=8:6:+!87+74;=0856@6.+• !;@=6F8+34+4G?4!=80.!687E+
B087C;6=6:++.A;3.+
=0.=.<647=8+9++
– :67=8<.=6!8E+– .34!;.3.+D630.=.!687E+– 5@;63656!.7=4:E+– <;!8@6=6!8:E+– .7=6B68=6!8=40.?6.E+
B087C;6=6:++.A;3.+
!8<?@6!.!6874:+9++
– ++!08;?E++I+@E+=E+BE+JE+– ++B087C;68@6=6:E+– ++74;<876.+
B087C;6=6:++.A;3.+
?0878:=6!8+9++• 5.F80.B@4++:67++!8<?@6!.!6874:+
@.067A8=0.C;48B087C;6=6:+
LEM++345676!687+9++
+ @.+ @.0 67A8=0.C;8B087C;6= 6 :+ 4:+ ;7.+675@.<.!687+.A;[email protected]+ +H+ + =0.C;4.+C;4+:4+ 676!6.+ 47+ 06785.067A4K+ ?08A04:.+ D.!6.+04A6874:+ 675406804:+ 34@+ .0B8@+ 04:?60.=8068+ H+?083;!4+36F40:8:+A0.38:+34+8B:=0;!!687+47+@.:+F6.:+.404.:E+
@.067A8=0.C;48B087C;6=6:+
NEM++345676!687+9++
+ 4:+ =.<B647+ !878!63.+ !8<8+ :4;38!0;?K+ !0;?+ 78+ 365=406!8K+=0.C;46=6:K+ 5.@:8+ !0;?K+ @.067A6=6:+ .A;3.+ 4:=478=6!.K+ @.067A6=6:+.A;3.+ 8B:=0;!=6F.+ H+ @.067A8=0.C;48B087C;6=6:+ 6754!!68:.+.A;3.E+
• .!=;.@<47=4+:[email protected]+B.O8+4@+78<[email protected]=0.C;48B087C;6=6:+6754!!68:.+.A;3.K+.+=83.+675@.<.!687+=.7=8+34+@.:+4:=0;!=;0.:+:;?0.A@8=6!.:K+!8<8+:;BA@8=6!.:E+
@.067A8=0.C;48B087C;6=6:+
PEM++4=68@8A6.+9+++F60;:+9++ +++++++?.0.675@;47>.++LKNK++2++P++I+QN+R+J+
+ ++ + +++++++675@;47>.+++++I+S+R+J++ ++ + +++++++0678F60;:+++++I+S+R+J++ ++ + +++++++.3478F60;:+++I+P+R+J++ ++ + +++++++<6!8?@.:<.+74;<876.++I+L+R+J+B.!=406.7.+9++++D.4<8?D6@;:++675@;47>.4E+
@.067A8=0.C;48B087C;6=6:+
QEM++4?634<68@8A6.+9++
+@8:+<4:4:+34@+.T8+47+C;4+@.+67!6347!6.+4:+<.H80+:87+@8:+<4:4:+34+78F64<B04++.++<.0>8+I+ULEV+R+J+H+36:<67;H4+3;0.7=4+@8:+<4:4:+34++O;768+++.+++.A8:=8++
+ +I+LWES+R+J+++ +43.3+9++L+M+P++.T8:++ +<.H80+504!;47!6.+47=04+@8:+LP++H++NQ++<4:4:+++ +:4G8+9+?08?80!687+34++N++.++L+
@.067A8=0.C;48B087C;6=6:+
U+M+!;.308+!@676!8+9++
• :67308<4+04:?60.=8068+.@=8E+
• :67308<4+67:;56!647!6.+04:?60.=806.E+
@.067A8=0.C;48B087C;6=6:+
S+M+36.A78:=6!8+9++• 4G.<47+34+@.+5.067A4+I+4E+5E+JE++• !;@=6F8+47+<4368+34+@8455@40++++++I+:4!04!687+5.067A4.+JE++• B68<4=06.++D4<.=6!.E++• 0G+34+=80.G+?E+.E++H++@.=40.@4:+34+!;4@@8E++• 4738:!8?6.E+
@.067A8=0.C;48B087C;6=6:+
W+M+36.A78:=6!8+3654047!6.@+9+++• 365=406.++• .B!4:8+04=085.067A48E++I+0GE+@.=E+!;4@@8+J++• 434<.+.7A6874;08=6!8EJ++• =0.;<.=6:<8:+34+@[email protected]++• <.@580<.!687+!87A476=.:[email protected]+
@.067A8=0.C;48B087C;6=6:+
V+M+!8<?@6!.!6874:+9+++• 8=6=6:+<436.E+• 74;<876.+67=40:=6!6.@E+• 74;<876.+34+58!8:+<;@=6?@4:E+• 4756:4<.+<436.:=676!8E+• 74;<8=80.GE+
@.067A8=0.C;48B087C;6=6:+
LX+M+=0.=.<647=8+9+++• <.7=4740+;7+.34!;.38+67=40!.<B68+04:?60.=8068E+.<B647=4+
D;<438E+• 74B;@6>.380+5068+34+A8=.+A0;4:.E+• D630.=.!687++H++04?8:8++47+!.<.E+• .7=6=40<6!8:E+• A.:8<4=06.K+=0.C;48:=8<6.K+67=;B.!687+4738=0.C;4.@E+
@.067A8=0.C;48B087C;6=6:+
?0878:=6!8+9++• 34?4734+ 34@+ =64<?8+ H+ A0.F43.3+ 34+ @.+
6754!!687K+34+@.+43.3++H++=64<?8+=0.7:!;00638+.7=4:+34+67:=6=;60+4@+=0.=.<647=8Y+@8+454!=6F8+34@+ =0.=.<647=8+ H+ 4@+ 34:.008@@8+ 34+!8<?@6!.!6874:E+
B087C;68@6=6:+
L+M+345676!687+9++
• @.+ B087C;68@6=6:+ .A;3.+ 4:+ ;7+ :67308<4+ 34+8B:=0;!!687+34@+ =0.!=8+04:?60.=8068+ +.+ +76F4@+B087C;[email protected]+ + H+ + !87:=6=;H4+ ;7.+ 34+ @.:+47540<43.34:+ <.:+ 504!;47=4:+ 34@+ .0B8@+04:?60.=8068+67540680+47+@8:+76T8:E+
B087C;68@6=6:+
N+M+4?634<68@8A6.+9++• <.H80+504!;47!6.+3;0.7=4+@8:+N++?06<408:+.T8:+!87+;7.+
67!6347!6.+<.G6<.++.@0434380++34++@8:++S+<4:4:E++• @.+67!6347!6.+4:+<.H80+3;0.7=4+4@+67F64078K+H++@8:+
?06<408:+<4:4:+34+?06<.F40.E+
B087C;68@6=6:+
P+M+4=68@8A6.+9++• F60;:+:67!6=6.@+04:?60.=8068+• F60;:+?.0.675@;47>.++L++2++N+9+• F60;:+?.0.675@;47>.++P+• .3478F60;:+• 0D678F60;:+• <H!8?@.:<.++
+
+
B087C;68@6=6:+
!;.308+!@676!8+9++
+
» +0678004.++:408:.+» +4:=807;38:+» +564B04+PV+M+PZ[+!E+» +=8:+?.08G6:=6!.+» +36:74.+
B087C;68@6=6:+
V+M+4G?@80.!687+56:6!.+9+++• :6A78:+34+67:;56!647!6.+04:?60.=806.+
B087C;68@6=6:+
Z+M+36.A78:=6!8+9++
» +BE+DE+
» +!;@=6F8:+7.:85.067A48:+
» +0GE+34+=80.G+
B087C;68@6=6:+
LX+M+36.A78:=6!8++3654047!6.@+9++
» +.:<.+B087C;6.@E+» +!;40?8+4G=0.T8+47+=0.C;4.E+» +=8:54067.E+» +56B08:6:+C;6:=6!.E+» +4756:4<.E+
B087C;68@6=6:+
0.368@8A6.++9++• :6A78:+34+D6?40675@.!687E+• D806>87=.@6>.!687+34+@8:+4:?.!68:+67=40!8:=.@4:E+• .B.=6<647=8+34+@8:+D4<636.50.A<.:++4++D6?40@;!634>E+• 8?.!63.34:+?@4;08?;@<87.04:+:4A;7+
!8<?@6!.!6874:E+
B087C;68@6=6:+
<4363.:+A4740.@4:+9++• .3<676:=0.!687+34+@6C;638:E+• F47=6@.!687+.34!;.3.E+• 36A6=.@6!8:++H++36;04=6!8:+I67:;56!647!6.+!.036.!.+JE+
B087C;68@6=6:+
LNEM+=0.=.<647=8+9++
• :67=8<.=6!8E+• .=<8:540.+D;<43.E+• 8G6A478=40.?6.E+• .3<676:=0.!687++?.047=40.@E+• .O;:=.0+4@+34:4C;6@6B068+.!638+\+B.:4+
B087C;68@6=6:+
=0.=.<647=8+9++• 8G6A478++.++PX++M++QX+R+• .7=6B68=6!8:+I+.<?6!6@67.+J+NXX+<AE+]AE+6E+FE++!\S+
D80.:+!;.738+D.H+.A04A.3.+6754!!687+B.!=406.7.E+
B087C;68@6=6:+
LL+M+?0878:=6!8+9++
• +5.:4+!06=6!.+47=04+@.:+?06<40.:+QV+M+WN+D80.:E++++++34:?;4:+34@+676!68+34+@.+=8:++H++@.++36:74.E++• <[email protected]++L+R++
3/E+<#)^-"+_$)-"+A%$`a"-`+:%1'+)%$`'"-`1VQbc%(d'#"Ee%d+
