Biomedical subjects

E Rejas Ugena

Publications and source records attributed to E Rejas Ugena.

22 records · Page 2Linked to original sources

PubMed2003

[Descriptive study of 21,804 ENT emergencies in a third level hospital].

We present a descriptive study about 21.804 emergency patients (ENT Department) treated in our hospital between 1994 and 2000. We have seen about 260 patients every month being the otologic pathology (35.63%) the most frequent one, followed by the nasosinusal (26.65%). Individually, the epistaxis where the 13% of all cases attended. The nasal traumas (contusions and fractures) where about a 10% of the total and in a third place, the external otitis (6.84%). We estimate in more than a 60% of the patients with a simple pathology (not urgent) and in a 3% of the patients without ENT pathology when they came to emergency. We believe, like other consulted authors, that there is a high patients index coming to the Hospital, for other reasons, without a justifiable ENT emergency. That contributes to different levels, with other specialities, to the collapse of the emergencies services.

Ear Diseases↗

PubMed2003

[Nasopharyngeal angiofibroma. Our experience (1990-2001)].

We present our experience in the treatment of nasopharyngeal angiofibromas, tumours not very common, with a benign histology but with the risk of severe epistaxis or possible involvement of vital structures. In a period of 12 years (1990-2001) we have treated 6 males with this pathology, operating 5 of them. We describe the clinical manifestations, the tumour stages following the Fisch classification, the diagnostic and surgical techniques used, the evolution of the patients and their postoperatory. We review also the literature about this subject.

Adolescent↗

PubMed2002

[Acute epiglottitis in adults. Our case load in 11 years].

We report a retrospective study of 20 cases of acute epiglottitis in adults admitted at our hospital between 1991 and 2001. We gather a series of variables: Patient sex, age, year and month of admission, personal history, initial clinical symptoms, complementary tests asked, given treatment, evolution and hospital average stay. We found an obvious predominance in male (19:1 with respect to female), with an average age of 45 years. The main symptoms were dysphagia-odynophagia (85%), followed by fever (55%) and pharyngocervical pain. Dyspnea was confirmed in 9 of 20 patients (45%); 5 of them required airway control with the help of intubation in one case, urgent coniotomy in three cases and tracheotomy in another one. A patient suffered from an acute mediastinitis and required assistance and medical i.v. extended treatment in UCI. We show a case of another patient who suffered sudden cardiorespiratory arrest a followed by death. He did not present previous dyspnea. Acute epiglottitis in adults is a rare pathology with a good prognosis in general, but may lead to an unpredictable and serious complication even in the absence of airway blockage. We carry out a medical literature review in this respect.

Acute Disease↗

PubMedDate not supplied

[Statistical study regarding anemia in patients admitted with epistaxis. Importance of its control and the associated risk factors].

OBJECTIVE: To emphasize the importance of hemodinamic control and risk factors in the patients hospitalized due to epistaxis. MATERIAL AND METHODS: Retrospective study of 200 consecutive patients admitted by such cause between 1997 and 2004 of whom 46 (23%) developed some degree of anemia. Among other clinical variables we analyze the present risk factors, age, sex, levels of hematocrit and hemoglobin, origin of the nasal hemorrhage, number of transfusions that were required and type of nasal packing used. RESULTS: We prove a significant statistical association (p<0,01)) between epistaxis with anemia and risk factors. About 39% of the anemizing epistaxis needed a transfusion, generally red cell concentrates. CONCLUSIONS: Every admitted epistaxis needs a good hemodinamic study and control of the patient and the treatment of the base pathology associated.

Adult↗