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Egas Moniz, 1500 Lisboa." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Whole lung lavage – Report of four cases of alveolar proteinosis" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec159903" "palabras" => array:2 [ 0 => "Lavagem pulmonar total" 1 => "proteinose alveolar" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key-words" "identificador" => "xpalclavsec159902" "palabras" => array:2 [ 0 => "Whole lung lavage" 1 => "alveolar proteinosis" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A lavagem pulmonar é uma técnica desenvolvida na década de 60 do século xx com o intuito de remoção física de material proteináceo dos brônquios, em doentes com proteinose alveolar, levando a uma melhoria clínica e funcional. A técnica foi evoluindo e o que era inicialmente realizado com anestesia local a um segmento do pulmão é actualmente realizado sob anestesia geral, sequencialmente, a ambos os pulmões.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A presente revisão descreve a técnica de lavagem pulmonar total, a sua principal indicação, a proteinose alveolar e, a propósito, relatamos alguns dados relativos à experiência do nosso serviço, onde a realizam com regularidade desde 2002.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Whole lung lavage is a technique that was developed in the 1960s with the purpose of removing lipoproteinaceous material that accumulates in the bronchi of patients with alveolar proteinosis, leading to clinical and functional improvement. There has been an evolution in the technique; initially it was performed under local anesthesia to each segment of the lung and currently it is performed under general anesthesia sequentially to both lungs.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">This review describes the whole lung lavage, its major indication, alveolar proteinosis and some data on the experience of our hospital.</p>" ] ] "NotaPie" => array:2 [ 0 => array:2 [ "etiqueta" => "*" "nota" => "<p class="elsevierStyleNotepara">Serviços de Pneumologia – Hospital de Santa Maria, CHLN, EPE, Lisboa, Portugal</p>" ] 1 => array:2 [ "etiqueta" => "**" "nota" => "<p class="elsevierStyleNotepara">Anestesia – Hospital de Santa Maria, CHLN, EPE, Lisboa, Portugal</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:12 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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