Artigo Original/Original Article
Derrames pleurais parapneumónicos em pediatria: Experiência num hospital central universitário
Pediatric parapneumonic pleural effusions: Experience in a university central hospital
Paulo Soares1,
, João Barreira2, Susana Pissarra2, Teresa Nunes3, Inês Azevedo3, Luísa Vaz4
Corresponding author
paulojosoares@sapo.pt
Correspondência / Correspondence to: Paulo Jorge Oliveira Soares, Hospital São João – UAG da Mulher e da Criança, Alameda Prof. Hernâni Monteiro. 4200-319 Porto Telefone: 225 512 100
Correspondência / Correspondence to: Paulo Jorge Oliveira Soares, Hospital São João – UAG da Mulher e da Criança, Alameda Prof. Hernâni Monteiro. 4200-319 Porto Telefone: 225 512 100
1 Interno Complementar de Pediatria, Hospital de São João,Unidade Funcional de Pneumologia Pediátrica (Responsável: Dra. Luísa Vaz) / Resident, Paediatrics
2 Assistente Hospitalar de Pediatria, Hospital de São João,Unidade Funcional de Pneumologia Pediátrica (Responsável: Dra. Luísa Vaz) / Consultant, Paediatrics
3 Assistente Hospitalar Graduado de Pediatria, Hospital de São JoãoUnidade Funcional de Pneumologia Pediátrica (Responsável: Dra. Luísa Vaz) / Consultant, Paediatrics specialist
4 Chefe de Serviço Hospital de São JoãoUnidade Funcional de Pneumologia Pediátrica (Responsável: Dra. Luísa Vaz) / Unit Head
Read
5776
Timeswas read the article
2277
Total PDF
3499
Total HTML
Share statistics
array:24 [ "pii" => "S0873215915301306" "issn" => "08732159" "doi" => "10.1016/S0873-2159(15)30130-6" "estado" => "S350" "fechaPublicacion" => "2009-03-01" "aid" => "8" "copyright" => "Sociedade Portuguesa de Pneumologia/SPP" "copyrightAnyo" => "2009" "documento" => "simple-article" "crossmark" => 0 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "fla" "cita" => "Rev Port Pneumol. 2009;15:241-59" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2425 "formatos" => array:3 [ "EPUB" => 206 "HTML" => 1624 "PDF" => 595 ] ] "itemSiguiente" => array:19 [ "pii" => "S0873215915301318" "issn" => "08732159" "doi" => "10.1016/S0873-2159(15)30131-8" "estado" => "S350" "fechaPublicacion" => "2009-03-01" "aid" => "9" "copyright" => "Sociedade Portuguesa de Pneumologia/SPP" "documento" => "simple-article" "crossmark" => 0 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "fla" "cita" => "Rev Port Pneumol. 2009;15:261-93" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2886 "formatos" => array:3 [ "EPUB" => 214 "HTML" => 1955 "PDF" => 717 ] ] "pt" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Artigo Original/Original Article</span>" "titulo" => "Nanorradiolipossomas modulados molecularmente para estudar a drenagem linfática pulmonar profunda" "tienePdf" => "pt" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "pt" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "261" "paginaFinal" => "293" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Nanoradioliposomes molecularly modulated to study the lung deep lymphatic drainage" ] ] "contieneResumen" => array:2 [ "pt" => true "en" => true ] "contienePdf" => array:1 [ "pt" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Maria Filomena Rabaça Roque Botelho, Maria Alcide Tavares Marques, Célia Maria Freitas Gomes, Augusto Marques Ferreira da Silva, Vasco António Andrade Figueiredo Bairos, Manuel Amaro de Matos Santos Rosa, Antero Pena Abrunhosa, João José Pedroso de Lima" "autores" => array:8 [ 0 => array:2 [ "nombre" => "Maria Filomena Rabaça Roque" "apellidos" => "Botelho" ] 1 => array:2 [ "nombre" => "Maria Alcide Tavares" "apellidos" => "Marques" ] 2 => array:2 [ "nombre" => "Célia Maria Freitas" "apellidos" => "Gomes" ] 3 => array:2 [ "nombre" => "Augusto Marques Ferreira" "apellidos" => "da Silva" ] 4 => array:2 [ "nombre" => "Vasco António Andrade Figueiredo" "apellidos" => "Bairos" ] 5 => array:2 [ "nombre" => "Manuel Amaro de Matos Santos" "apellidos" => "Rosa" ] 6 => array:2 [ "nombre" => "Antero Pena" "apellidos" => "Abrunhosa" ] 7 => array:2 [ "nombre" => "João José Pedroso" "apellidos" => "de Lima" ] ] ] ] ] "idiomaDefecto" => "pt" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215915301318?idApp=UINPBA00004E" "url" => "/08732159/0000001500000002/v1_201509151524/S0873215915301318/v1_201509151524/pt/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S087321591530129X" "issn" => "08732159" "doi" => "10.1016/S0873-2159(15)30129-X" "estado" => "S350" "fechaPublicacion" => "2009-03-01" "aid" => "7" "copyright" => "Sociedade Portuguesa de Pneumologia/SPP" "documento" => "simple-article" "crossmark" => 0 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "fla" "cita" => "Rev Port Pneumol. 2009;15:227-39" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2737 "formatos" => array:3 [ "EPUB" => 214 "HTML" => 1727 "PDF" => 796 ] ] "pt" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Artigo Original/Original Article</span>" "titulo" => "Traqueostomia: Indicações e complicações em doentes pediátricos" "tienePdf" => "pt" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "pt" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "227" "paginaFinal" => "239" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Tracheostomy: Indications and complications in paediatric patients" ] ] "contieneResumen" => array:2 [ "pt" => true "en" => true ] "contienePdf" => array:1 [ "pt" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Artur Sousa, Teresa Nunes, Rosa Roque Farinha, Teresa Bandeira" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Artur" "apellidos" => "Sousa" ] 1 => array:2 [ "nombre" => "Teresa" "apellidos" => "Nunes" ] 2 => array:2 [ "nombre" => "Rosa" "apellidos" => "Roque Farinha" ] 3 => array:2 [ "nombre" => "Teresa" "apellidos" => "Bandeira" ] ] ] ] ] "idiomaDefecto" => "pt" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S087321591530129X?idApp=UINPBA00004E" "url" => "/08732159/0000001500000002/v1_201509151524/S087321591530129X/v1_201509151524/pt/main.assets" ] "pt" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Artigo Original/Original Article</span>" "titulo" => "Derrames pleurais parapneumónicos em pediatria: Experiência num hospital central universitário" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "241" "paginaFinal" => "259" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Paulo Soares, João Barreira, Susana Pissarra, Teresa Nunes, Inês Azevedo, Luísa Vaz" "autores" => array:6 [ 0 => array:4 [ "nombre" => "Paulo" "apellidos" => "Soares" "email" => array:1 [ 0 => "paulojosoares@sapo.pt" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "af0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cr0005" ] ] ] 1 => array:3 [ "nombre" => "João" "apellidos" => "Barreira" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "af0010" ] ] ] 2 => array:3 [ "nombre" => "Susana" "apellidos" => "Pissarra" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "af0010" ] ] ] 3 => array:3 [ "nombre" => "Teresa" "apellidos" => "Nunes" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">3</span>" "identificador" => "af0015" ] ] ] 4 => array:3 [ "nombre" => "Inês" "apellidos" => "Azevedo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">3</span>" "identificador" => "af0015" ] ] ] 5 => array:3 [ "nombre" => "Luísa" "apellidos" => "Vaz" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">4</span>" "identificador" => "af0020" ] ] ] ] "afiliaciones" => array:4 [ 0 => array:3 [ "entidad" => "Interno Complementar de Pediatria, Hospital de São João,Unidade Funcional de Pneumologia Pediátrica (Responsável: Dra. Luísa Vaz) / Resident, Paediatrics" "etiqueta" => "1" "identificador" => "af0005" ] 1 => array:3 [ "entidad" => "Assistente Hospitalar de Pediatria, Hospital de São João,Unidade Funcional de Pneumologia Pediátrica (Responsável: Dra. Luísa Vaz) / Consultant, Paediatrics" "etiqueta" => "2" "identificador" => "af0010" ] 2 => array:3 [ "entidad" => "Assistente Hospitalar Graduado de Pediatria, Hospital de São JoãoUnidade Funcional de Pneumologia Pediátrica (Responsável: Dra. Luísa Vaz) / Consultant, Paediatrics specialist" "etiqueta" => "3" "identificador" => "af0015" ] 3 => array:3 [ "entidad" => "Chefe de Serviço Hospital de São JoãoUnidade Funcional de Pneumologia Pediátrica (Responsável: Dra. Luísa Vaz) / Unit Head" "etiqueta" => "4" "identificador" => "af0020" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cr0005" "etiqueta" => "*" "correspondencia" => "<span class="elsevierStyleBold">Correspondência / <span class="elsevierStyleItalic">Correspondence to:</span></span> Paulo Jorge Oliveira Soares, Hospital São João – UAG da Mulher e da Criança, Alameda Prof. Hernâni Monteiro. 4200-319 Porto Telefone: 225 512 100" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Pediatric parapneumonic pleural effusions: Experience in a university central hospital" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2008-06-13" "fechaAceptado" => "2008-11-06" "PalabrasClave" => array:2 [ "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec570441" "palabras" => array:5 [ 0 => "Pneumonia" 1 => "derrame pleural" 2 => "drenagem" 3 => "cirurgia" 4 => "prognóstico" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key-words" "identificador" => "xpalclavsec570442" "palabras" => array:5 [ 0 => "Drainage" 1 => "pleural effusion" 2 => "pneumonia" 3 => "prognosis" 4 => "surgery" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Introdução:</span> Os derrames pleurais podem complicar as pneumonias na população pediátrica. Assumem especial importância pelas implicações na duração do internamento, geralmente prolongado, e pela morbilidade associada.</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Objectivos:</span> Caracterizar uma população de doentes com pneumonia complicada de derrame; determinar os possíveis factores de prognóstico a partir de dados clínicos, radiológicos e analíticos na admissão; e avaliar a influência das intervenções terapêuticas na evolução da doença.</p><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Métodos:</span> Revisão casuística dos doentes com idade inferior a 18 anos e derrame pleural parapneu mónico, internados de Julho de 1997 a Junho de 2004 (7 anos).</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Resultados:</span> Foram estudados 118 casos, 60% do sexo masculino, com idade média 7 anos. A incidência de derrame pleural aumentou ao longo do período do estudo. Verificou-se maior incidência de casos no Outono e no Inverno. Na admissão, 60% dos doentes apresentavam sinais de dificuldade respiratória e 39% dor torácica. Em 40% dos doentes foram detectados septos pleurais na admissão, o que se associou a maior duração de internamento e de antibioticoterapia e mais frequente necessidade de cirurgia. Em 72% dos doentes foi efectuada toracocentese (pH médio: 7,24). Em 17% foi possível isolar o agente: <span class="elsevierStyleItalic">Streptococcus pneumoniae</span> (cinco), <span class="elsevierStyleItalic">Staphylococcus aureus</span> (quatro) e <span class="elsevierStyleItalic">Streptococcus pyogenes</span> (quatro). Foram submetidos a drenagem pleural 52% e necessitaram de cirurgia 18%. A mediana da duração de internamento foi de 15 dias e a média de 16,4 dias (2 a 51).</p><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Discussão</span>: Associam-se a pior prognóstico a presença de: sinais de dificuldade respiratória; septos; empiema; baixo valor no líquido pleural de pH, glicose ou proteínas; desidrogenase láctica elevada no líquido pleural e proteína C-reactiva sanguínea aumentada. A drenagem pleural e/ou cirurgia mais precoces provavelmente diminuem o tempo de doença e de internamento.</p><p id="sp0030" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Conclusão</span>: Os derrames parapneumónicos complicados são tratados com êxito em centros de referência com experiência nos diferentes tipos de intervenção que poderão ser necessários.</p><p id="sp0035" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2009; XV (2): 241-259</span></p></span>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0040" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Introduction:</span> Pleural effusions can complicate pneumonias in children and adolescents and are usually associated with a long hospital stay and increased morbidity.</p><p id="sp0045" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Aims:</span> To characterise a population of patients with parapneumonic pleural effusion and to establish possible prognostic factors on admission based on clinical, imaging and analytical data. To correlate treatment options with the outcome.</p><p id="sp0050" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Methods:</span> Case review of patients under 18 years old with parapneumonic pleural effusion, admitted between July 1997 – June 2004 (7<span class="elsevierStyleHsp" style=""></span>years).</p><p id="sp0055" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Results:</span> 118 patients were included, 60% male, with mean age 7 years. The incidence of pleural effusion increased throughout the period of the study. The admissions occurred predominantly in autumn and winter. On admission 60% of patients had respiratory distress and 39% chest pain. In 40% loculations were found on admission and were associated with longer hospital stay, longer course of antibiotic therapy and more frequent need for surgery. Thoracentesis was performed in 72% of patients (mean pH pleural fluid 7.24). The aetiologic agent was identified in 17% of cases: <span class="elsevierStyleItalic">Streptococcus pneumoniae</span> (five), <span class="elsevierStyleItalic">Staphylococcus aureus</span> (four) and <span class="elsevierStyleItalic">Streptococcus pyogenes</span> (four). In our study, 52% of patients underwent pleural drainage and 18% surgery. Median length of hospital stay was 15 days with mean 16.4<span class="elsevierStyleHsp" style=""></span>days (2 – 51).</p><p id="sp0060" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Discussion:</span> Factors associated with worse prognosis were respiratory distress, loculations, empyema, low pH in pleural fluid, glucose or proteins in pleural fluid, high lactic dehydrogenase level in pleural fluid and high serum C-reactive protein. Pleural drainage and/or surgery can shorten hospital stay and improve outcome.</p><p id="sp0065" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Conclusion:</span> Complicated parapneumonic pleural effusions are managed successfully in centres with experience in the different types of procedure that might be necessary.</p><p id="sp0070" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2009; XV (2): 241-259</span></p></span>" ] ] "lecturaRecomendada" => array:1 [ 0 => array:3 [ "vista" => "all" "titulo" => "<span class="elsevierStyleSectionTitle" id="st0025">Bibliografia/Bibliography</span>" "seccion" => array:1 [ 0 => array:2 [ "vista" => "all" "bibliografiaReferencia" => array:20 [ 0 => array:3 [ "identificador" => "bb0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Community-acquired pneumonia in children" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "K. McIntosh" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1056/NEJMra011994" "Revista" => array:6 [ "tituloSerie" => "N Engl J Med" "fecha" => "2002" "volumen" => "346" "paginaInicial" => "429" "paginaFinal" => "437" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11832532" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bb0010" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Tratamiento de los derrames pleurales parapneumónicos" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "O.A. Cruz" 1 => "B. González" 2 => "M. Galdó" 3 => "J.P. Frías" 4 => "A.S. Posadas" 5 => "L.S. Borrell" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "An Esp Pediatr" "fecha" => "2001" "volumen" => "54" "paginaInicial" => "272" "paginaFinal" => "282" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11262257" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bb0015" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Derrame pleural parapneumónico (protocolos diagnósticos y terapéuticos en Pediatría)" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "O.A. Cruz" 1 => "A.M. Galdó" 2 => "M.B. García" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "WWW" => array:2 [ "link" => "http://www.aeped.es/protocolos" "fecha" => "2003" ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bb0020" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Abordagem terapêutica dos derrames parapneumónicos e empiemas" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "I.B. Lança" 1 => "M. Santos" 2 => "D. Barata" 3 => "C.A. Vasconcelos" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Acta Pediatr Port" "fecha" => "2000" "volumen" => "31" "paginaInicial" => "235" "paginaFinal" => "240" ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bb0025" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Resolution of pleural effusions" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "M. Cohen" 1 => "S.A. Sahn" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Chest" "fecha" => "2001" "volumen" => "119" "paginaInicial" => "1547" "paginaFinal" => "1562" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11348966" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bb0030" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Facteurs de risqué de survenue des pleuropneumopathies bactériennes en pédiatrie" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "C. Thumerelle" 1 => "C. Santos" 2 => "S. Morillon" 3 => "L. Bott" 4 => "G. Pouessel" 5 => "A. Deschildre" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.arcped.2005.04.042" "Revista" => array:6 [ "tituloSerie" => "Arch Pédiatr" "fecha" => "2005" "volumen" => "12" "paginaInicial" => "827" "paginaFinal" => "829" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15904818" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bb0035" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pleural effusions in the pediatric population" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "O. Efrati" 1 => "A. Barak" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Pediatr Rev" "fecha" => "2002" "volumen" => "23" "paginaInicial" => "417" "paginaFinal" => "426" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12456894" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bb0040" "etiqueta" => "8." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "L’échographie dans la pathologie thoracique de l’enfant" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "C. Durand" 1 => "C. Garel" 2 => "F. Nugues" 3 => "P. Baudain" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Radiol" "fecha" => "2001" "volumen" => "82" "paginaInicial" => "729" "paginaFinal" => "737" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11443292" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bb0045" "etiqueta" => "9." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Management of late-stage parapneumonic empyema" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "B.L. Chen" 1 => "J.C. Langer" 2 => "P.A. Dillon" 3 => "R.P. Foglia" 4 => "C.B. Huddleston" 5 => "E.N. Mendeloff" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Pediatr Surg" "fecha" => "2002" "volumen" => "37" "paginaInicial" => "371" "paginaFinal" => "374" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11877650" "web" => "Medline" ] ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bb0050" "etiqueta" => "10." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Increased incidence in childhood empyema thoracis in Northern Ireland" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "A. Thompson" 1 => "A. Reid" 2 => "M. Shields" 3 => "H. Steen" 4 => "R. Taylor" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Ir Med J" "fecha" => "1999" "volumen" => "92" "paginaInicial" => "438" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10967870" "web" => "Medline" ] ] ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bb0055" "etiqueta" => "11." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Empyema thoracis in children: a 26-year review of the Montreal Children’s Hospital experience" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "W. Chan" 1 => "E. Keiser-Gauvin" 2 => "G.M. Davis" 3 => "L.T. Nguyen" 4 => "J.M. Laberge" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Pediatr Surg" "fecha" => "1997" "volumen" => "32" "paginaInicial" => "870" "paginaFinal" => "872" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9200089" "web" => "Medline" ] ] ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bb0060" "etiqueta" => "12." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The changing face of pleural empyemas in children: epidemiology and management" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "K.D. Schultz" 1 => "L.L. Fan" 2 => "J. Pinsky" 3 => "L. Ochoa" 4 => "E.O. Smith" 5 => "S.L. Kaplan" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Pediatrics" "fecha" => "2004" "volumen" => "113" "paginaInicial" => "1735" "paginaFinal" => "1740" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15173499" "web" => "Medline" ] ] ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bb0065" "etiqueta" => "13." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Management of parapneumonic collections in infants and children" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "J.J. Doski" 1 => "D. Lou" 2 => "B.A. Hicks" 3 => "S.M. Megison" 4 => "P. Sanchez" 5 => "M. Contidor" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Pediatr Surg" "fecha" => "2000" "volumen" => "35" "paginaInicial" => "265" "paginaFinal" => "270" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10693678" "web" => "Medline" ] ] ] ] ] ] ] ] 13 => array:3 [ "identificador" => "bb0070" "etiqueta" => "14." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pleural empyema" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "J.D. Campbell" 1 => "J.P. Nataro" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Pediatr Infect Dis J" "fecha" => "1999" "volumen" => "18" "paginaInicial" => "725" "paginaFinal" => "726" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10462345" "web" => "Medline" ] ] ] ] ] ] ] ] 14 => array:3 [ "identificador" => "bb0075" "etiqueta" => "15." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Community-acquired pneumonia in infants and children" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "M. Ostapchuk" 1 => "D.M. Roberts" 2 => "R. Haddy" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am Fam Physician" "fecha" => "2004" "volumen" => "70" "paginaInicial" => "899" "paginaFinal" => "908" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15368729" "web" => "Medline" ] ] ] ] ] ] ] ] 15 => array:3 [ "identificador" => "bb0080" "etiqueta" => "16." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pleural effusion in childhood: management algorithm" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "E. Bodart" 1 => "D. Weynants" 2 => "G. de Bilderling" 3 => "P. Eucher" 4 => "D. Tuerlinckx" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Rev Med Liege" "fecha" => "2006" "volumen" => "61" "paginaInicial" => "16" "paginaFinal" => "22" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16491543" "web" => "Medline" ] ] ] ] ] ] ] ] 16 => array:3 [ "identificador" => "bb0085" "etiqueta" => "17." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Parapneumonic effusions and empyema" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "R.W. Light" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1513/pats.200510-113JH" "Revista" => array:6 [ "tituloSerie" => "Proc Am Thorac Soc" "fecha" => "2006" "volumen" => "3" "paginaInicial" => "75" "paginaFinal" => "80" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16493154" "web" => "Medline" ] ] ] ] ] ] ] ] 17 => array:3 [ "identificador" => "bb0090" "etiqueta" => "18." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The treatment of parapneumonic effusions and pleural empyemas" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "H. Hamm" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1055/s-2005-870982" "Revista" => array:6 [ "tituloSerie" => "Pneumologie" "fecha" => "2005" "volumen" => "59" "paginaInicial" => "696" "paginaFinal" => "703" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16222582" "web" => "Medline" ] ] ] ] ] ] ] ] 18 => array:3 [ "identificador" => "bb0095" "etiqueta" => "19." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Video-assisted thoracic surgery – the past, present status and the future" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "L. Shi-ping" 1 => "L. Hui-ping" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "J Zhejiang Univ" "fecha" => "2006" "volumen" => "7" "paginaInicial" => "118" "paginaFinal" => "128" ] ] ] ] ] ] 19 => array:3 [ "identificador" => "bb0100" "etiqueta" => "20." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Experience with video-assisted thoracoscopic surgery in the management of complicated pneumonia in children" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "R. Subramaniam" 1 => "V.T. Joseph" 2 => "G.M. Tan" 3 => "A. Goh" 4 => "O.M. Chay" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Pediatr Surg" "fecha" => "2001" "volumen" => "36" "paginaInicial" => "316" "paginaFinal" => "319" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11172424" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "pt" "url" => "/08732159/0000001500000002/v1_201509151524/S0873215915301306/v1_201509151524/pt/main.assets" "Apartado" => array:4 [ "identificador" => "9575" "tipo" => "SECCION" "pt" => array:2 [ "titulo" => "Artigos originais" "idiomaDefecto" => true ] "idiomaDefecto" => "pt" ] "PDF" => "https://static.elsevier.es/multimedia/08732159/0000001500000002/v1_201509151524/S0873215915301306/v1_201509151524/pt/main.pdf?idApp=UINPBA00004E&text.app=https://journalpulmonology.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215915301306?idApp=UINPBA00004E" ]
Article information
ISSN: 08732159Original language: Portuguese
The statistics are updated each day
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 4 | 3 | 7 |
| 2024 October | 55 | 21 | 76 |
| 2024 September | 28 | 23 | 51 |
| 2024 August | 48 | 35 | 83 |
| 2024 July | 40 | 40 | 80 |
| 2024 June | 33 | 20 | 53 |
| 2024 May | 32 | 44 | 76 |
| 2024 April | 35 | 28 | 63 |
| 2024 March | 38 | 31 | 69 |
| 2024 February | 37 | 35 | 72 |
| 2024 January | 21 | 20 | 41 |
| 2023 December | 29 | 21 | 50 |
| 2023 November | 21 | 22 | 43 |
| 2023 October | 18 | 34 | 52 |
| 2023 September | 30 | 31 | 61 |
| 2023 August | 20 | 20 | 40 |
| 2023 July | 23 | 39 | 62 |
| 2023 June | 23 | 19 | 42 |
| 2023 May | 17 | 36 | 53 |
| 2023 April | 21 | 18 | 39 |
| 2023 March | 21 | 32 | 53 |
| 2023 February | 15 | 22 | 37 |
| 2023 January | 27 | 30 | 57 |
| 2022 December | 17 | 37 | 54 |
| 2022 November | 34 | 43 | 77 |
| 2022 October | 38 | 36 | 74 |
| 2022 September | 14 | 27 | 41 |
| 2022 August | 38 | 50 | 88 |
| 2022 July | 25 | 51 | 76 |
| 2022 June | 18 | 28 | 46 |
| 2022 May | 44 | 47 | 91 |
| 2022 April | 23 | 46 | 69 |
| 2022 March | 32 | 29 | 61 |
| 2022 February | 26 | 38 | 64 |
| 2022 January | 22 | 44 | 66 |
| 2021 December | 30 | 35 | 65 |
| 2021 November | 26 | 39 | 65 |
| 2021 October | 23 | 41 | 64 |
| 2021 September | 28 | 37 | 65 |
| 2021 August | 24 | 21 | 45 |
| 2021 July | 30 | 26 | 56 |
| 2021 June | 17 | 23 | 40 |
| 2021 May | 20 | 25 | 45 |
| 2021 April | 62 | 63 | 125 |
| 2021 March | 57 | 20 | 77 |
| 2021 February | 44 | 20 | 64 |
| 2021 January | 34 | 29 | 63 |
| 2020 December | 26 | 16 | 42 |
| 2020 November | 45 | 26 | 71 |
| 2020 October | 20 | 19 | 39 |
| 2020 September | 61 | 20 | 81 |
| 2020 August | 50 | 29 | 79 |
| 2020 July | 62 | 20 | 82 |
| 2020 June | 53 | 13 | 66 |
| 2020 May | 65 | 25 | 90 |
| 2020 April | 58 | 18 | 76 |
| 2020 March | 50 | 9 | 59 |
| 2020 February | 49 | 23 | 72 |
| 2020 January | 57 | 29 | 86 |
| 2019 December | 54 | 20 | 74 |
| 2019 November | 56 | 18 | 74 |
| 2019 October | 66 | 19 | 85 |
| 2019 September | 46 | 20 | 66 |
| 2019 August | 64 | 17 | 81 |
| 2019 July | 49 | 18 | 67 |
| 2019 June | 53 | 25 | 78 |
| 2019 May | 65 | 47 | 112 |
| 2019 April | 43 | 16 | 59 |
| 2019 March | 94 | 18 | 112 |
| 2019 February | 82 | 18 | 100 |
| 2019 January | 70 | 14 | 84 |
| 2018 December | 33 | 6 | 39 |
| 2018 November | 23 | 4 | 27 |
| 2018 October | 20 | 6 | 26 |
| 2018 September | 13 | 6 | 19 |
| 2018 August | 50 | 17 | 67 |
| 2018 July | 43 | 24 | 67 |
| 2018 June | 53 | 16 | 69 |
| 2018 May | 46 | 18 | 64 |
| 2018 April | 53 | 26 | 79 |
| 2018 March | 31 | 25 | 56 |
| 2018 February | 23 | 3 | 26 |
| 2018 January | 22 | 14 | 36 |
| 2017 December | 33 | 7 | 40 |
| 2017 November | 46 | 14 | 60 |
| 2017 October | 28 | 13 | 41 |
| 2017 September | 33 | 8 | 41 |
| 2017 August | 19 | 13 | 32 |
| 2017 July | 15 | 5 | 20 |
| 2017 June | 33 | 10 | 43 |
| 2017 May | 32 | 9 | 41 |
| 2017 April | 13 | 4 | 17 |
| 2017 March | 13 | 4 | 17 |
| 2017 February | 19 | 2 | 21 |
| 2017 January | 17 | 2 | 19 |
| 2016 December | 17 | 3 | 20 |
| 2016 November | 10 | 2 | 12 |
| 2016 October | 10 | 6 | 16 |
| 2016 September | 2 | 1 | 3 |
| 2016 August | 4 | 1 | 5 |
| 2016 July | 4 | 8 | 12 |
| 2016 June | 1 | 1 | 2 |
| 2016 May | 8 | 0 | 8 |
| 2016 April | 2 | 4 | 6 |
| 2016 March | 4 | 3 | 7 |
| 2016 February | 3 | 5 | 8 |
| 2016 January | 6 | 4 | 10 |
| 2015 December | 9 | 3 | 12 |
| 2015 November | 6 | 2 | 8 |
| 2015 October | 2 | 2 | 4 |
Show all
