epoc-grupal.docx
TRANSCRIPT
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UNIVERSIDAD NACIONALAUTÓNOMA DE MÉXICO
FACULTAD DE ESTUDIOS SUPERIORES ZARAGOZA
ÁREA CIENCIASCIENCIAS MÉDICO BIOLÓGICAS
MÉDICO CIRUJANO
EPIDEMIOLOGÍA
ENFERMEDAD PULMONAROBSTRUCTIVA CRÓNICA
(EPOC)
ALUMNOS DE EQUIPO 2 ORGANIZADOR:
• Alcántara González Lizette Guaalu!e
• "a#ac$o So%a Al#a Patricia
• "ar!intero Menoza "ecilia In&%
• "ort&% E'an(eli%ta Diana Aie&
• "ruz "a#!o% )a*iola +anet$
• )ernánez "ano O,elia Paolina
• Ror-(uez .ara/a% I0c$el Guaalu!e
GRUPO: 1301
PROFESOR TITULAR: ROCIO PANIAGUA HERNÁNDEZ
FEBRERO, 201
ENFERMEDAD OBSTRUCTIVA CRÓNICA (EPOC)
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DEFINICIÓN
L! "#$"%&"'!' ()*&+#!% +-.%)/.! /%#/! EPOC4 "- )#! "#$"%&"'!'(%""#*" 5 .%!.!*" 6)" -" /!%!/."%7! (+% )#! +-.%)//# '"* $*)8+ !9%"+6)" #+ "- /+&(*".!&"#." %""%-*" A-+/!'! ! )#! %"!//# #$*!&!.+%!()*&+#!% ("%--."#." (%#/(!*&"#." $%"#." !* ;)&+ '"* .!!/+ 5 *"("/.+%!/#4,">!/"%!/+#"-, "$"/.+- ">.%!?()*&+#!%"- 5 "#$"%&"'!'"-/+#/+&.!#."- 34 2@4 24 1@4
EPIDEMIOLÓGICA:
L! "#$"%&"'!' ()*&+#!% +-.%)/.! /%#/! "- )#! (!.+*+=! '" !*.!(%"!*"#/! ! #"* &)#'!* 1@ '" *! (+*!/# &)#'!*4, '" /+#'/#(%+%"-! 5 '"."%+%+ -#$/!.+ "# *! /!*'!' '" '!, 6)" ."#" %!# &(!/.+
"/+#&/+ "# *!- ("%-+#!- 5 *+- --."&!- '" -!*)'104 34
E- &- $%"/)"#." "# ("%-+#!- &!5+%"- '" @ !!/"%!/+#"- 5 *!/+&+%*'!' /+#.%)5"# ! *! %!"'!' *+!* "# *+- (!/"#."- #'')!*"- 144410414
L! E#$"%&"'!' P)*&+#!% O-.%)/.! C%#/!- EPOC4, "-. /+#-..)'! (+% *!%+#6).- /%#/! 5 "* "#$-"&! ()*&+#!% 1@4
ETIOLÓGICA:
E* (%#/(!* $!/.+% '" %"-+ !-+/!'+ !* '"-!%%+**+ '" *! EPOC "- "* ;)&+ '"*.!!/+, (+% *+ 6)" -" '"" ')'!% '"* '!#-./+ - #+ ">-." "-." !#."/"'"#."'" ">(+-/# L! #;!*!/# '" +.%!- (!%.=/)*!- (%+/"'"#."- '" *! (+*)/#!&"#.!* + '" !&"#."- +/)(!/+#!*"- (+'%=!# ."#"% /"%.+ (!("* !'.+ E-(+-*" 6)" ">-.!# $!/.+%"- "#9./+- !# '"-/+#+/'+- 6)" ()"'!# ">(*/!% (+% 6)9 -*+ )# 2@ '" *+- $)&!'+%"- '"-!%%+**!# *! EPOC, !)#6)" "* #/+/+#+/'+ "- "* '9$/. ;"%"'.!%+ '" !*$!?1?!#..%(-#!, )# #;'+% '" (%+."!-!-
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-9%/!- /)5! $!*.! (%++/! "#$-"&! ()*&+#!% 5 "- %"-(+#-!*" #/!&"#." '")# 1 '" *+- "#$-"&!- 14 1@4
E- )#! #$*!&!/# /%#/! '"* "(."*+ %+#6)!*, 6)" (%+')/" ;("%-"/%"/#,%+#6)+*+- /+# +-.%)//# 5 $%+-- *! !//# (%+."+*=./! "- %"-(+#-!*" '"*! '"-.%)//# '" *!- (!%"'"- !*"+*!%"- 5 /!(*!%"-, (%+')/"#'+ '*!.!/# '"*+- "-(!/+- !9%"+- /+# '$"%"#."- .(+- '" "#$-"&!, (!#!/#!% 5/"#.%+!/.+#!%114
L! *&.!/# /%#/! '"* $*)8+ '" !%", /!%!/."%=-./! '" EPOC, "- +/!-+#!'! (+% )#! /+&#!/# '" "#$"%&"'!' '" *!- =!- !9%"!- ("6)"
S" /!%!/."%7! (+% #$*!&!/# /%#/! '" *! =! !9%"! '"* (!%9#6)&! ()*&+#!% 5 '" *!- !%."%!- ()*&+#!%"-
L!- /9*)*!- 5 &"'!'+%"- #$*!&!.+%+- #+*)/%!'+- -+#: &!/%$!+- !*"+*!%"-,(+*&+%$+#)/*"!%"-, *#$+/.+- T CD4 5 /9*)*!- "(."*!*"- E#.%" *+- &"'!'+%"--" "#/)"#.%! "* $!/.+% '" #"/%+-- .)&+%!* !*$!, *")/+.%"#+- B, #."%*")/#! 5$!/.+% 6)&+././+ '" *+- #").%$*+- O.%+- (%+/"-+- 6)" #."%"#"# -+# "*
'"-"6)*%+ "#.%" (%+."!-!- 5 !#.(%+."!-!- 5 "* "-.%9- +>'!#."
14
L! '-&#)/# '"* $*)8+ "-(%!.+%+ "- *! !#+&!*=! $)#/+#!* 6)" '"$#" ! *!EPOC E- "* %"-)*.!'+ '" *!- !*."%!/+#"- !#!.&/!- '" *+- %+#6)+*+-, 6)"+/!-+#!# )# !)&"#.+ '" *! %"--."#/! !* $*)8+ !9%"+, 5 '"* (!%9#6)&! !*"+*!%,6)" (%+')/"# )#! '-&#)/# '" *! "*!-./'!' ()*&+#!% E-.!- !*."%!/+#"-.!&9# +/!-+#!# !#+&!*=!- "# "* #."%/!&+ !-"+-+ 5 ()"'"# (%++/!% /!&+- "# *! &"/#/! "#.*!.+%!, *! ;"&+'#&/! ()*&+#!% 5 *! %"-()"-.! !*"8"%//+ 14
CONSTRUCTO
E- )#! "#$"%&"'!' #$*!&!.+%! /%#/! '"* (!%9#6)&! ()*&+#!% 5'" *!- !%."%!- ()*&+#!%"-, "- (%""#*" 5 .%!.!*", -" /!%!/."%7!
(+% *! +-.%)//# ("%--."#." !* $*)8+ !9%"+ 5 -" '"" ! *!
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'-&#)/# '"* $*)8+ !-"+-+ ()*&+#!% *+ /)!* +"'"/" ! '$"%"#."-(!."#+- E- '" /)%-+ (%+%"-+ /+# %"-()"-.! #$*!&!.+%!
!#+%&!* '" *+- ()*&+#"-, !$"/.! !* 1@ '" *! (+*!/# &)#'!*, 6)"()"'" "-.!% + #+ ! !/+&(!
">("/.+%!/#, ">!/"%!/+#"-, "$"/.+- ">.%! ()*&+#!%"- 5
"#$"%&"'!'"- /+#/+&.!#."-
CLASIFICACIÓN
P!%! $#"- "')/!.+- -" %"/+&"#'! )#! /*!-$/!/# -&(*" "# /)!.%+ "-.!'=+-
E* &!#"8+ '"* EPOC "- (%#/(!*&"#." )!'+ (+% *+- -=#.+&!-, 5 /+&+ ">-.")#! (+%" /+%%"*!/# "#.%" *! *&.!/# !* $*)8+ !9%"+ 5 *! (%"-"#/! '"-=#.+&!-, *! /*!-$/!/# "- &- )# !+%'!8" (%/./+ 5 '"" "%-" /+&+ )#!;"%%!&"#.! "')/!.! 5 )#! #'/!/# &)5 "#"%!* (!%! "* &!#"8+ 4
4
A-=, *! )=! GOLD 2011 6)" /*!-$/! *! EPOC "# *+- "-.!'+- GOLD1, 2, 3 5
+-.%)//# *"", &+'"%!'!, %!" 5 &)5 %!"4 6)" ."#" "# /)"#.! *+-
-=#.+&!- 5 "* %"-+ '" ">!/"%!/+#"-
● A:GOLD 1?2,5K+ 0?1 ">!/"%!/#K!!/"%!/+#"- K!!/"%!/+#"-,
%"-()"-.! !* .%!.!&"#.+ , "*+/'!' '" (%+%"-# '" *! "#$"%&"'!', + &)"%."4?
L+- $"#+.(+- /*=#/+- -"# G"-EPOC -+#:
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● T(+ A:EPOC #+ !)'7!'+% /+# "#$-"&! + %+#6).- /%#/!
● T(+ B: EPOC &>.+ /+# !-&!, ."#! + #+ !)'7!/+#"- $%"/)"#."-
● T(+ C: EPOC !)'7!'+% /+# "#$-"&!
● T(+ D: EPOC !)'7!'+% /+# %+#6).- /%#/!124
2, , 1, 234
E# $)#/# '" *+- !*+%"- '" *! FE1 (+'"&+- /*!-$/!% *! EPOC "#:
LEE: FE1 /+&(%"#''+ "#.%" "* 0 5 "* 0 '" *+- !*+%"- '" %"$"%"#/!
MODERADA: FE1 "#.%" "* 0 5 "* @ '" *+- !*+%"- '" %"$"%"#/!
GRAE: FE1 &"#+% '"* 0 '" *+- !*+%"- '" %"$"%"#/!
E-.! '-# "- .* (!%! +%"#.!% "* .%!.!&"#.+ 5 (!%! +(.&7!% *+- %"/)%-+--!#.!%+- 34
14
FACTORES DE RIESGO (3,20,2 4
MODIFICABLES NO MODIFICABLES
H)&+ '" *"
I#;!*!/# '" (+*+-, !-"-,;)&+- 5 -)-.!#/!- 6)=&/!-134
H.+ '" $)&!% ;)&+ '"/!%%+ 13, 14
G"#9./+- 104
E'!' &!5+% '" 0 !
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P+*)/# !&"#.!*
H("%%"!/.'!' %+#6)!*
• E-.!'+ #).%/+#!*
A*/+;+*-&+ C!*"$!//# "# "#'!- &!*
"#.*!'!-3@4 E8"%//+• F%=+, /)"%(+- ">.%!(+-/# "# "* .%!!8+ !(+*+-, !-"-, ;)&+- 5 -)-.!#/!- 6)=&/!- 14
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POSTULADOS DE HANLON
MAGNITUD:L! EPOC +/)(! *+- (%&"%+- @ *)!%"- '" &+%*'!' 5 &+%.!*'!' "# "* &)#'+
D" !/)"%'+ ! *!- "-.!'=-./!- 6)" %"(+%.! "* INEGI, ">-." "'"#/! 6)" *!&+%.!*'!' "# *! EPOC -" ! #/%"&"#.!'+ "# "* !/+, "* INER, -" )/ "# "* *)!% "# *! .!*! '" &+%?&+%.!*'!'!#)!* A/.)!*&"#." *! EPOC +/)(! "* /)!%.+ *)!% "# /)!#.+ ! &+%.!*'!' ! #"*&)#'!*, "# M9>/+ -" )/! "#.%" "* 5 "* 134
E# "* 2020 -" "-("%! 6)" +/)(" "* ."%/"% *)!% /+&+ /!)-! '" &+%.!*'!'"#"%!*
E# .9%&#+- '" &+%*'!' .%!#-.!%! '"* /)!%.+ !* ."%/"% *)!% ! #"* &)#'!* 5*! /!)-! '"* !)&"#.+ '" *! &+%*'!' 5 &+%.!*'!' -" '"" (%#/(!*&"#." ! *!
"('"&! 4 : A/.)!*&"#." *+- '!.+- &)"-.%!# )#! !*.! (%"!*"#/! '" *!"#$"%&"'!' "# "'!' *!+%!*, '+#'" "* 0 '" *+- (!/"#."- -+# &"#+%"- '" @!
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TENDENCIA SECULAR:
E* #/%"&"#.+ "# *! &+%.!*'!' ;! -'+ -)-.!#/!* "# *+- (%&"%+ .%"#.! !"#.! '" "%%+%"- 3@4
L! "-(%+&".%=!, ()"'" '!#+-./!% 5 &"8+%!% "* .%!.!&"#.+ (%"/+7 24
R> '" .%!> PA 5 *!."%!*, 6)" '""%# %"(".%-" "# /!-+- '"">!/"%!/+#"- (!%! '"-/!%.!% /+&(*/!/+#"- $%"/)"#."- /+&+-+%"#$"//+#"- + #")&+.%!>334
E* "-.)'+ %!'+*/+, &)"-.%! )# '!$%!&! !(*!#!'+, *!- -+&%!-%+#/+!-/)*!%"- #+ !*/!#7!# *! ("%$"%! '"* ()*&# 334
G!-+&".%=! 334
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VIABILIDAD:
G)=! (!%! "* '!#-./+ 5 "* .%!.!&"#.+ '" *! "#$"%&"'!' ()*&+#!% +-.%)/.! /%#/!
A."#/# #."%!* !* (!/"#." /+# E#$"%&"'!' O-.%)/.! C%#/! '"-'"
*! !."#/# (%&!%! ! *! "-("/!*7!'! 4
D"-'" 200, "* M#-."%+ '" S!#'!' 5 P+*=./! S+/!*, ! .%!9- '"* P*!#'" C!*'!' '"* S-."&! N!/+#!* '" S!*)' SNS4 5 *! E-.%!."! "#EPOC, ;! "-.!'+ .%!!8!#'+ (!%! %"')/% "* #&"%+ '" ("%-+#!- /+#EPOC 5 (!%! '"#.$/!% *! &!#"%! '" &"8+%!% *! !."#/# 5 *! /!*'!' '"'! '" *!- ("%-+#!- 6)" *! -)$%"# 24
FACTIBILIDAD:
A'"&- '" *! /!%! '" &+%.!*'!' 5 &+%*'!', *! EPOC /+#**"! !*.+- /+-.+-
"/+#&/+- %"-)*.!#."- '" *+- /+-.+- '%"/.+- '" *! !."#/# (!%! *! -!*)' 5 *+-/+-.+- #'%"/.+- %"*!/+#!'+- /+# *+- /)'!'+- 5 *! (9%''! '" *! (%+')/.'!''"* (!/"#." 4
MEDIDAS PREVENTIVAS 1° !° " #° NIVEL DE ATENCIÓN
1$ (PROMOCIÓN A LA SALUD " PROTECCIÓN ESPECÍFICA) A'&#-.%!/# '" *! !/)#! (!%! "* %)- '" *! #$*)"#7! )#! "7 !* !
-")&"#.+ '"
(!/"#."- /!#''!.+- ! /%)=! '" EPOC, #/*)5"#'+ %"')//# ()*&+#!%,
)*"/.+&=!, 5
.%!#-(*!#." '" ()*&# @4
L+- (%+%!&!- '" %";!*.!/# ()*&+#!% (%+(+%/+#!# &"8+%!- "# -=#.+&!-
%"-(%!.+%+-/!*'!' '" '! 2@4
!$ (DX TEMPRANO " TX OPORTUNO)
E* '!#-./+ '" EPOC '"" /+#-'"%!%-" "# /)!*6)"% (!/"#." 6)" ."#"-=#.+&!- '" .+-, (%+')//# '" "-().+ + '-#"! 5K+ ."#" ;-.+%! '" ">(+-/#
! $!/.+%"- '" %"-+ (!%! *! "#$"%&"'!'4
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LIMITACIÓN DEL DA%O#$ (REHABILITACIÓN)
E#.%"#!&"#.+ &)-/)*!%, #).%/#, $-+."%!(!, "')/!/#, !(+5+
(-/+*/+ 5 +>"#+."%!(! ! *!%+ (*!7+ E8"%//+- "# //*".! 5 !#'!
-# $# 41343@4
E-(%+&".%!
P%)"! %+#/+'*!.!'+%!
R> P?A 5 L!. '" .%!>
B%+#/+'*!.!'+%"- 334
E# "* (!/"#." 6)" 5! ."#" *! "#$"%&"'!', 5 ! $# '" (%""#% *! ">!/"%!/+#"-,
)#! +(/# '" .%!.!&"#.+ (*!#."!'! "- !/)#!%*+ /+#.%! *! #$*)"#7! 5
#")&+/+/+ )#! "7 !* !
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C)!#'+ -" "#/)"#.%! !!#7!'+ "- /+&# *! (9%''! '" ("-+ 5 *!/!6)">!14
T+- /%#/!: -" (%"-"#.! "# $+%&! #."%&."#." + .+'+- *+- '=!-, "-. (%"-"#."
.+'+ "* '=!, "- (+/+ /+&# 6)" -" (%"-"#." -*+ (+% *! #+/;"E>("/.+%!/# /%#/!: #+ ">-." ### (!.%# "# *!- /!%!/."%=-./!- '" *!
">("/.+%!/# D)%!#." *!- #$"//+#"- %"-(%!.+%!- !)&"#.! "# /!#.'!',
/!&+ '" /+*+% 5 /+#--."#/!
D-#"!: "- (%+%"-! "&("+%! ! .%!9- '"* ."&(+, ("%--."#.", "&("+%! /+# "*
"8"%//+ ')%!#." *!- #$"//+#"- + '"-/+&("#-!/+#"-
S*!#/!- 5 -"#-!/# '" ("/;+ !(%".!'+: -=#.+&!- #+ "-("/=$/+-, ()"'"#
!%!% '" )# '=! ! +.%+ 5 (%"-"#.!%-" + #+, -" '"-"#/!'"#! /+# "* "8"%//+, $%=+ +
')%!#." *!- ">!/"%!/+#"- #$"//+-!-
A *! ">(*+%!/# $=-/! -" "#/)"#.%!: /!#+-- '" *!+- 5 '"'+-, %"-(%!/# /+#
*!+- $%)#/'+-, #)%.!/# 5))*!%, '-&#)/# '"* %)'+ %"-(%!.+%+ +
!+*'+, %!/+#"- +/!*"- '-&#)'!-, ()"'" ;!"% -*!#/!- 134
SIGNOS DE ALARMA
R"-(%!.+%+-: A)&"#.+ '" *! '-#"!, !)&"#.+ '" *! .+-, !)&"#.+ '"* +*)&"#'"* "-().+, !)&"#.+ '" *! ()%)*"#/! '"* "-().+, %"-(%!/# %('! 5 -)("%$/!*5 -*!#/!-
S-.9&/+-: F"%", .!6)/!%'!, "'"&! '" &"&%+- #$"%+%"-, !*."%!/# '"*"-.!'+ &"#.!* 24
L! EPOC -" !-+/! ! '+- "#$"%&"'!'"- $)#'!&"#.!*&"#.":
HQPERLIN ;..(:KK"-("'!+%KKE#$-"&!V()*&+#!%E#$-"&!()*&+#!% : E- "* !%!#'!&"#.+ ("%&!#"#." '" *+- %+#6)+*+- ."%&#!*"-,/+# '"-.%)//# '" *! (!%"' !*"+*!% , ()'"#'+ + #+ (%"-"#.!%-" $%+--E-.+ (%++/! "* /+*!(-+ '" *!- =!- %"-(%!.+%!- S" -)"*" "'"#/!% "# *!/*=#/! (+% (+*(#"! 5 .!6)(#"!, ("%+ /+# '-&#)/# '"* &)%&)**+ "-/)*!%
! *! !)-/)*.!/# 5, (+% !)&"#.+ '"* "-(!/+ %".%+"-."%#!* "# *! %!'+%!$=!*!."%!* 76)"%'! '"* .%!>E* ("%$* '" *+- (!/"#."- /+# "#$-"&! P"%$* Pink Puffer 4 "-: !-."#!, !*%"'"'+% '" 0 !("/.+%!/#, '-#"!(%"/+7, *"" !*."%!/# '" *! '$)-# '" !-"-, -#+- %!'+*/+- '";("%#-)$*!/# 5 )**!-, &)5 !8! /!(!/'!' '" '$)-# '" CO 5 )#!%"--."#/! '" *! =! !9%"! (+/+ !*."%!'! +/!-+#!*&"#." "*"!'!4
E-.+- (!/"#."- +."#"# (+/! &"8+%=! /*=#/! /+# "* )-+ '"
http://es.wikipedia.org/wiki/Enfisema_pulmonarhttp://es.wikipedia.org/wiki/Enfisema_pulmonarhttp://es.wikipedia.org/wiki/Enfisema_pulmonarhttp://es.wikipedia.org/wiki/Bronquioloshttp://es.wikipedia.org/wiki/Alv%C3%A9olo_pulmonarhttp://es.wikipedia.org/wiki/Fibrosishttp://es.wikipedia.org/wiki/Polipneahttp://es.wikipedia.org/wiki/Enfisema_pulmonarhttp://es.wikipedia.org/wiki/Enfisema_pulmonarhttp://es.wikipedia.org/wiki/Bronquioloshttp://es.wikipedia.org/wiki/Alv%C3%A9olo_pulmonarhttp://es.wikipedia.org/wiki/Fibrosishttp://es.wikipedia.org/wiki/Polipnea
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%+#/+'*!.!'+%"- 5 (+% *+ "#"%!* (%+%"-!# '"-$!+%!*"&"#." /+# "* (!-+'"* ."&(+
B%+#6).- /%#/!: E- )#! #$*!&!/# '" *+- %+#6)+-, 6)" ;!/" 6)" -"%"')7/! "* $*)8+ '" !%" 6)" "#.%! 5 -!*" '" *+- ()*&+#"- P!%!*"*!&"#.", ;!5)# !)&"#.+ '" *! -"/%"/# &)/+-! 6)" +-.%)5" *!- =!- %"-(%!.+%!- E#
.9%&#+- /*=#/+-, -" /+#-'"%! /+&+ /%#/! /)!#'+ -" !(%"/! .+- 5">("/.+%!/# "# *! &!5+% (!%." '" *+- '=!- ')%!#." 3 &"-"- !* !("/.+%!/# 5 '-#"!
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"8"%//+ 4
E.-,/+ 0*2: E# *! EPOC ()"'"# (%"-"#.!%-" '"%-+- -=#.+&!- "-("/=$/+-
6)" #+%&!*&"#." #+ -" ;!/"# "'"#."- ;!-.! 6)" ;!5! +/)%%'+ )# '!/*)5" "* '!#-./+
E-.+- -=#.+&!- $=-/+- ()"'"# -"%: *! /!#+-- /"#.%!*, +*&"#"- !)&"#.!'+-'"* ()*&#, '-#"! ')%!#." "* %"(+-+, %"-(%!/# /+# *+- *!+- $%)#/'+-,%"."#/# '" *=6)'+-, "# *! !)-/)*.!/# ()"'" "-/)/;!%-" -*!#/!-,'-&#)/# '" *+- %)'+- %"-(%!.+%+- 5 "-."%.+%"- 4
E3',/&'*- : 4,&-25+ -4 0467 -8'/
D"" %"!*7!%-" "-(%+&".%=! "# /)!*6)"% (!/"#." 6)" -" -+-("/;" EPOCP!%! *+%!% '"#.$/!% (!/"#."- "# $+%&! ."&(%!#! "# "* /)%-+ '" *!"#$"%&"'!', *! "-(%+&".%=! '"" %"!*7!%-" "# #'')+- 6)" ."#"# .+- /%#/!5 ">("/.+%!/# !)#6)" #+ (%"-"#."# '-#"!, ;!9#'+-" '"-/!%.!'+
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#/!*&"#." (+% !/*+-/+(=!- *! (+-*'!' '" )#! .)"%/)*+-- !/.! 4
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http://annals.org/article.aspx?articleid=479627http://annals.org/article.aspx?articleid=479627http://annals.org/article.aspx?articleid=479627http://www.neumologica.org/Archivos/ADULTOS/EPOC%20EXACERBACIONES%20GPC.pdfhttp://www.neumologica.org/Archivos/ADULTOS/EPOC%20EXACERBACIONES%20GPC.pdfhttp://www.thepcrj.org/journ/vol20/20_1_15_22_spanish.pdfhttp://www.thepcrj.org/journ/vol20/20_1_15_22_spanish.pdfhttp://www.thepcrj.org/journ/vol20/20_1_15_22_spanish.pdfhttp://www.thepcrj.org/journ/vol20/20_1_15_22_spanish.pdfhttp://www.thepcrj.org/journ/vol20/20_1_15_22_spanish.pdfhttp://books.google.com.mx/books?id=bVz3C1RKju4C&printsec=frontcover&dq=epidemiologia+del+EPOC+2010&hl=es&sa=X&ei=kAwEU9OELeTB2QX4-oHYAQ&ved=0CCoQ6AEwAA#v=onepage&q&f=falsehttp://books.google.com.mx/books?id=bVz3C1RKju4C&printsec=frontcover&dq=epidemiologia+del+EPOC+2010&hl=es&sa=X&ei=kAwEU9OELeTB2QX4-oHYAQ&ved=0CCoQ6AEwAA#v=onepage&q&f=falsehttp://books.google.com.mx/books?id=bVz3C1RKju4C&printsec=frontcover&dq=epidemiologia+del+EPOC+2010&hl=es&sa=X&ei=kAwEU9OELeTB2QX4-oHYAQ&ved=0CCoQ6AEwAA#v=onepage&q&f=falsehttp://books.google.com.mx/books?id=bVz3C1RKju4C&printsec=frontcover&dq=epidemiologia+del+EPOC+2010&hl=es&sa=X&ei=kAwEU9OELeTB2QX4-oHYAQ&ved=0CCoQ6AEwAA#v=onepage&q&f=falsehttp://www.scielo.org.pe/pdf/amp/v26n4/a01v26n4.pdfhttp://www.redalyc.org/articulo.oa?id=96618984001http://www.redalyc.org/articulo.oa?id=96618984001http://annals.org/article.aspx?articleid=479627http://annals.org/article.aspx?articleid=479627http://www.neumologica.org/Archivos/ADULTOS/EPOC%20EXACERBACIONES%20GPC.pdfhttp://www.neumologica.org/Archivos/ADULTOS/EPOC%20EXACERBACIONES%20GPC.pdfhttp://www.thepcrj.org/journ/vol20/20_1_15_22_spanish.pdfhttp://www.thepcrj.org/journ/vol20/20_1_15_22_spanish.pdfhttp://www.thepcrj.org/journ/vol20/20_1_15_22_spanish.pdfhttp://books.google.com.mx/books?id=bVz3C1RKju4C&printsec=frontcover&dq=epidemiologia+del+EPOC+2010&hl=es&sa=X&ei=kAwEU9OELeTB2QX4-oHYAQ&ved=0CCoQ6AEwAA#v=onepage&q&f=falsehttp://books.google.com.mx/books?id=bVz3C1RKju4C&printsec=frontcover&dq=epidemiologia+del+EPOC+2010&hl=es&sa=X&ei=kAwEU9OELeTB2QX4-oHYAQ&ved=0CCoQ6AEwAA#v=onepage&q&f=falsehttp://books.google.com.mx/books?id=bVz3C1RKju4C&printsec=frontcover&dq=epidemiologia+del+EPOC+2010&hl=es&sa=X&ei=kAwEU9OELeTB2QX4-oHYAQ&ved=0CCoQ6AEwAA#v=onepage&q&f=falsehttp://www.scielo.org.pe/pdf/amp/v26n4/a01v26n4.pdfhttp://www.redalyc.org/articulo.oa?id=96618984001http://www.redalyc.org/articulo.oa?id=96618984001
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