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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1988-9-15
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pubmed:abstractText |
A case is reported of bronchial stenosis due to a vascular cause in a patient with chronic obstructive lung disease, cor pulmonale and pulmonary arterial hypertension. This led to right lower lobe atelectasis and acute respiratory failure (pHa 7.24; PaCO2 85 mmHg; PaO2 44 mmHg) with important right-to-left shunting. This diagnosis was only suggested on day 7 by fibreoptic bronchoscopy and confirmed a week later by tomography and digital angiography. Nifedipine, used to reduce the pulmonary arterial hypertension, increased the cardiac index (31.min-1.m-2 to 3.3.1.min-1.m-2) and oxygen transport (488 ml.min-1.m-2 to 554 ml.min-1.m-2), despite increasing the shunt effect (Qs/QT: 26% to 31%). This and the antiinflammatory action of methylprednisolone were probably responsible for the favourable outcome.
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pubmed:language |
fre
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:issn |
0750-7658
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
7
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
261-3
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:3044207-Aged,
pubmed-meshheading:3044207-Bronchial Diseases,
pubmed-meshheading:3044207-Bronchoscopy,
pubmed-meshheading:3044207-Constriction, Pathologic,
pubmed-meshheading:3044207-Female,
pubmed-meshheading:3044207-Hemodynamics,
pubmed-meshheading:3044207-Humans,
pubmed-meshheading:3044207-Hypertension, Pulmonary,
pubmed-meshheading:3044207-Lung Diseases, Obstructive,
pubmed-meshheading:3044207-Pulmonary Artery,
pubmed-meshheading:3044207-Pulmonary Heart Disease,
pubmed-meshheading:3044207-Respiratory Insufficiency,
pubmed-meshheading:3044207-Subtraction Technique
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pubmed:year |
1988
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pubmed:articleTitle |
[Bronchial stenosis of vascular origin in pulmonary arterial hypertension].
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pubmed:affiliation |
Servizio di Anestesia e Rianimazione, ULSS 36, Ospedale di Mestre, Venice, Italy.
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pubmed:publicationType |
Journal Article,
English Abstract,
Case Reports
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