{"id":2153,"date":"2020-03-26T08:47:54","date_gmt":"2020-03-26T12:47:54","guid":{"rendered":"http:\/\/instituciones.gtm.sld.cu\/hgdan\/?p=2153"},"modified":"2020-03-28T11:54:24","modified_gmt":"2020-03-28T15:54:24","slug":"cambios-imagenologicos-en-la-neumonia-grave-por-covid-19","status":"publish","type":"post","link":"https:\/\/instituciones.gtm.sld.cu\/hgdan\/cambios-imagenologicos-en-la-neumonia-grave-por-covid-19\/","title":{"rendered":"Cambios imagenol\u00f3gicos en la neumon\u00eda grave por COVID-19"},"content":{"rendered":"\n<p>El sitio de <a href=\"https:\/\/temas.sld.cu\/coronavirus\/\" target=\"_blank\" rel=\"noreferrer noopener\">Infecciones por coronavirus<\/a>\n de la red Infomed propone el estudio de los cambios imagenol\u00f3gicos que \nse producen en pacientes que padecen formas graves de la enfermedad, a \npartir del estudio de un caso.<\/p>\n\n\n\n<p>Se trata de un hombre de 75 a\u00f1os a quien se confirm\u00f3 que padec\u00eda<a href=\"https:\/\/temas.sld.cu\/coronavirus\/covid-19\/\" target=\"_blank\" rel=\"noreferrer noopener\"> COVID-19<\/a>\n en estado grave, y que fue transferido a la unidad de cuidados \nintensivos (UCI) de un hospital universitario terciario de una \nuniversidad m\u00e9dica. Ten\u00eda antecedentes de hipertensi\u00f3n arterial de 10 \na\u00f1os y diabetes de un a\u00f1o.<\/p>\n\n\n\n<p>El examen f\u00edsico revel\u00f3 que su \ntemperatura corporal era de 35.5 \u2103, su pulso era de 54 latidos por \nminuto, su tensi\u00f3n arterial era de 136\/79 mm Hg, su saturaci\u00f3n de \nox\u00edgeno era del 91% (ventilaci\u00f3n no invasiva), y el \u00edndice de \noxigenaci\u00f3n (OI: PO2 \/ FiO2) 100 mmHg.<\/p>\n\n\n\n<p>Le diagnosticaron neumon\u00eda grave por \nCOVID-19 combinada con s\u00edndrome de dificultad respiratoria aguda (SDRA),\n shock s\u00e9ptico y s\u00edndrome de disfunci\u00f3n org\u00e1nica m\u00faltiple (MODS). Esta \npresentaci\u00f3n se centra en la <a href=\"https:\/\/media.springernature.com\/lw685\/springer-static\/image\/art%3A10.1007%2Fs00134-020-05976-w\/MediaObjects\/134_2020_5976_Fig1_HTML.jpg?as=webp\" target=\"_blank\" rel=\"noreferrer noopener\">caracter\u00edstica de imagen t\u00edpica de la Tomograf\u00eda Axial Computarizada (TAC) de t\u00f3rax<\/a>\n en el paciente donde la \u201cl\u00ednea septal\u201d blanca marcada con la flecha \nroja sugiere que se produjo exudaci\u00f3n celul\u00f3sica en la superficie de los\n l\u00f3bulos pulmonares.<\/p>\n\n\n\n<p>En las im\u00e1genes din\u00e1micas, estas l\u00edneas \nblancas son claramente visibles, lo que proporciona evidencia para \njuzgar la variante grave de la COVID-19. En el sistema de imagen \ntridimensional, la reconstrucci\u00f3n de las lesiones pulmonares bilaterales\n proporcion\u00f3 una clave clave para la identificaci\u00f3n temprana de la \nenfermedad. Actualmente, su condici\u00f3n es relativamente estable.<\/p>\n\n\n\n<p><strong><a href=\"https:\/\/link.springer.com\/article\/10.1007\/s00134-020-05976-w#citeas\" target=\"_blank\" rel=\"noreferrer noopener\">Vea los detalles del caso<\/a><\/strong>.<\/p>\n\n\n\n<p><em>Referencia: Zhang, W. <a href=\"http:\/\/link.springer.com\/article\/10.1007\/s00134-020-05976-w#citeas\" target=\"_blank\" rel=\"noreferrer noopener\">Imaging changes in severe COVID-19 pneumonia.<\/a> Intensive Care Med (2020). https:\/\/doi.org\/10.1007\/s00134-020-05976-w<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>El sitio de Infecciones por coronavirus de la red Infomed propone el estudio de los cambios imagenol\u00f3gicos que se producen en pacientes que padecen formas graves de la enfermedad, a partir del estudio de un caso.<\/p><p><a class=\"more-link btn\" href=\"https:\/\/instituciones.gtm.sld.cu\/hgdan\/cambios-imagenologicos-en-la-neumonia-grave-por-covid-19\/\">Seguir leyendo<\/a><\/p>\n","protected":false},"author":4,"featured_media":2032,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0},"categories":[1],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v21.8 - 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