<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0034-7493</journal-id>
<journal-title><![CDATA[Revista Cubana de Cirugía]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Cir]]></abbrev-journal-title>
<issn>0034-7493</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0034-74932021000300003</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Papel de la ecografía en la sala de emergencia en el diagnóstico del trauma de tórax]]></article-title>
<article-title xml:lang="en"><![CDATA[The Role of Sonography in the Emergency Room for the Diagnosis of Thoracic Trauma]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Brismat Remedios]]></surname>
<given-names><![CDATA[Ihosvany]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morales de la Torre]]></surname>
<given-names><![CDATA[Roger]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Sosa]]></surname>
<given-names><![CDATA[Gabriel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Álvarez Mesa]]></surname>
<given-names><![CDATA[Maeghery]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez Durán]]></surname>
<given-names><![CDATA[Nadieska]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de La Habana Hospital Universitario &#8220;General Calixto García&#8221; Departamento Cirugía General]]></institution>
<addr-line><![CDATA[ La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2021</year>
</pub-date>
<volume>60</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-74932021000300003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-74932021000300003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-74932021000300003&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  Dentro de la atención al lesionado con trauma torácico se cuenta con varios medios diagnósticos, entre ellos la evaluación por ecografía focalizada en trauma extendido a tórax, el cual ha mostrado una alta sensibilidad, aun realizado por médicos no radiólogos como cirujanos generales, emergencistas e intensivistas.  Objetivo:  Determinar la utilidad de la ecografía torácica extendida realizada por cirujanos en lesionados con traumatismo torácico.  Métodos:  Se realizó un estudio observacional, descriptivo de evaluación de pruebas diagnósticas con un diseño transversal, en 1052 pacientes ingresados en la sala de emergencia. Se les realizó la evaluación por ecografía torácica extendida en el Hospital Universitario &#8220;General Calixto García&#8221;, durante el período comprendido entre enero de 2020 y febrero de 2021.  Resultados: Fueron realizados en un periodo de 1 año un total de 1052 ultrasonidos torácicos, 221 casos fueron positivos, de ellos 81 neumotórax (7,7 %) y 62 hemoneumotórax (5,9 %) todos confirmados por tomografía de tórax. La edad promedio fue de 45,27 (18-97), el sexo masculino prevaleció con 772 casos (73,4 %). Los mecanismos productores de trauma más frecuentes fueron: caída de altura 273 casos (26 %) y trauma contuso 181 casos (17,2 %). La ecografía torácica extendida obtuvo una sensibilidad de un 95,24 % y una especificidad de 99,88 % en el diagnóstico lesiones torácicas.  Conclusiones: La ecografía torácica extendida demostró que en manos de los cirujanos generales es una herramienta confiable, segura, no invasiva, poco costosa, repetible, que permite diagnosticar rápidamente lesiones torácicas y tratarlas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Within care for the injured patient with thoracic trauma there are several diagnostic means. For example, extended focused assessment with sonography for thoracic trauma has shown high sensitivity, even when performed by non-radiologists such as general surgeons, emergency specialists and intensivists.  Objective: To determine the usefulness of extended thoracic sonography performed by surgeons on injured patients with thoracic trauma.  Methods: An observational, descriptive and cross-sectional study of diagnostic tests assessment was carried out in 1052 patients admitted to the emergency room. They were assessed by extended thoracic sonography at General Calixto García University Hospital, during the period between January 2020 and February 2021.  Results: A total of 1052 thoracic ultrasounds were performed in a period of one year, of which 221 cases were positive. Of them, 81 were pneumothorax (7.7%) and 62 were hemopneumothorax (5.9%), all confirmed by chest tomography. The average age was 45.27 (18-97). The male sex prevailed, with 772 cases (73.4%). The most frequent trauma-producing mechanisms were altitude fall, accounting for 273 cases (26%), and blunt trauma, accounting for 181 cases (17.2%). Extended thoracic ultrasound showed a sensitivity of 95.24% and a specificity of 99.88% in the diagnosis of thoracic injuries.  Conclusions: Extended thoracic ultrasound showed that, in the hands of general surgeons, it is a reliable, safe, noninvasive, inexpensive and repeatable tool that allows rapid diagnosis and treatment of thoracic injuries.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[trauma de tórax]]></kwd>
<kwd lng="es"><![CDATA[ultrasonido torácico]]></kwd>
<kwd lng="es"><![CDATA[neumotórax]]></kwd>
<kwd lng="es"><![CDATA[hemotórax]]></kwd>
<kwd lng="en"><![CDATA[thoracic trauma]]></kwd>
<kwd lng="en"><![CDATA[thorax sonography, pneumothorax]]></kwd>
<kwd lng="en"><![CDATA[hemothorax]]></kwd>
</kwd-group>
</article-meta>
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