[Current concepts in COPD treatment].
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Biomedical subjects
Publications and source records attributed to Florin Mihălţan.
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We present the case of a 25 year old patient, who suffered a car accident two month before he came to our hospital. At that moment, he had multiple costal fractures and left haemothorax, resolved by surgical means. At the actual presentation: dullness in the inferior half of left hemithorax, abolished breath sounds at this level. Radiologic--left lung atelectasis, bronchoscopic examination revealed--complete stenosis of the main left bronchus, while computer tomography has shown complete obstruction of the main left bronchus, at 1.7-2 cm from the carina. Fibrosis after posttraumatic bronchial disruption was the cause of the stenosis. Surgical treatment was the choice, with segmental resection of the main left bronchus and reanastomosis; the permeability was maintained on a month after the surgical intervention.
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COPD, a "trendy" disease, didn't yet reveal all its secrets. A frequently subject discussed lately in the specialty literature is about its association to anemia. This is taking in consideration that in all pneumology books COPD is considered a disease associated to the polyglobulia. The authors demonstrate in this review the impact of anemia on the disease as well as the analogies between this obstructive disease and other chronic diseases. In order to do so, the details of pathogenetic impact of disease, the clinical features and possible corrections of this association are reviewed.
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