solución salina hipertónica o gran cantidad de solución salina normal para la bronquiolitis viral

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    Tg`udnf Tl`nfl Mnpbrtfndl g ArlfDlftnili ib Tg`udnf Tl`nfl Fgrkl`p l r l ` l C r g f q u n g ` n t n s X n r l ` 5Kbdlfnskgs y Slzgflknbftgs

    Lvnaigr Klfib`cbra, KI

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    mnirltldnf ib` LT@ bs prgclc`bkbftb nkpgrtlftb iurlftb l bxldbrcldnf vnrl` fg s`g bf gs

    pldnbftbs ib H\ snfg bf tgils `ls bfhbrkbilibs drfndls ib `ls vls rbspnrltgrnls.3,2

    Mypbrtgfnd Tl`nfb 41

    Nfdgfvbfnbftbs drudnl`bs plrl bftbfibr b` kbdlfnskg pgstu`lig qub nfvg`udrl b` trltlknbftg

    ib nfml`ldnf ib sg`udnf sl`nfl mnpbrtfndl bf crgfqung`ntns dluslil pgr b` XTS sbrf

    ibsdrntgs lqu dgf ks ibtl``b.

    K B D L F N T K G T _ G T N C @ B T I B @ L

    I B T M N I S L Y L D N F I B @ L T @ B F @ L

    CSGF\RNG@NYNT XNSL@

    Rf LK bhndnbftb rbqunbrb `l nftbrlddnf dggrinflil

    ib igs dlpls sbplrlils5 ufl dlpl kudgsl

    suprlyldbftb trlfspgrtlil (DK) y uf bftgrfg

    inhbrbftb dbrdl ib `l supbrhndnb db`u`lr ``lklig

    Hna.

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    `qunig pbrndn`nlr (@_D). B` LT@ dgkprnkb lkcls dlpls.3@l hnaurl < bs ufl rbprbsbftldnf

    bsqubktndl ib `gs kbdlfnskgs prgpubstgs ib `l ibsmnirltldnf ib` LT@ bf `l crgfqung`ntns

    dluslil pgr b` XTS (Hna.

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    (nfh`lknbftg/ibsnfh`lknbftg ib `gs pu`kgfbs y plrtndu`lrkbftb `l ldb`brldnf g

    ibsldb`brldnf) prgiudb ufl tbfsnf dgrtlftb qub bs tlfabftb l `l kbkcrlfl lpndl` ib

    d`u`ls bpntb`nl`bs (bf dgftrlstb l `l tbfsnf fgrkl`, qub bs pbrpbfindu`lr) y dlusl qub `ls

    d`u`ls bpntb`nl`bs `ncbrbf LY_ bxtrldb`u`lr, mnirltlfig ib bstl klfbrl b` LT@ (Hna.

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    tlkcnf illfig `l lrquntbdturl bpntb`nl` ib` LT@, y rbiudnbfig ls `l l`turl ib` @_D y

    pbreuindlfig b` LK. Bstg dgftrncuyb prgclc`bkbftb l` tlpgflknbftg ib kgdg bf `ls vls

    rbspnrltgrnls, gcstruddnf ib `ls vls rbspnrltgrnls, mnpbrnfh`ldnf y ltb`bdtlsns qub tlkcnf

    dlrldtbrnzlf ufl nfhbddnf sbvbrl ib XTS.

    Tnf bkclrag, lufqub bs ufl klfbrl clstlftb rlzgflc`b ib bxp`ndlr `ls gcsbrvldngfbs, `l

    mnptbsns lftbrngr fufdl ml snig prgclil bf uf bstuing dgftrg`lig dgf p`ldbcg insblig

    lprgpnlilkbftb qub rbh`beb `ls dgkp`bels nftbrlddngfbs qub gdurrbf nf vnvg, bf `ls invbrsls

    vls lrbls crgfqunl`bs y crgfqung`lrbs bf cbcs pbqubgs iurlftb `l bvg`udnf ib ufl

    crgfqung`ntns lauil pgr XTS dluslil ib klfbrl flturl`. Lufqub nfiuilc`bkbftb gdurrnr

    ibsmnirltldnf ib` LT@ y inshufdnf ib` LK, bf `gs kgkbftgs fg sb slcb mlstl qu puftg.

    T`g sb pubib prbsuknr qub, bf l`aufl btlpl, y bf l`aufgs crgfqung`gs ib bstgs cbcs

    lhbdtligs ib klfbrl ks sbvbrl, b` nkpldtg ib `l nfhbddnf ib XTS bf b` LT@ bsprgclc`bkbftb nftbrkbing bftrb `l Hnaurl

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    illfig b` LT@, y `l lrquntbdturl bpntb`nl` l `l vbz qub `l l`turl rbiudnil ib` @_D pbreuindl b`

    LK (Hna. kbegrl `ls prgpnbilibs rbg`andls ib` kgdg (b`lstndnili y vnsdgsnili), y

    ldb`brl `ls tlsls ib trlfspgrtb ib kgdg.>,

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    BTYRINGT D@FNDGT RTLFIG XLSNLT DGFDBFYSLDNGFBT ^ IGTNT IB FlD` BF

    CSGF\RNG@NYNT _GS XTS

    Laul ibstn`lil (?% FlD`)

    Tkntm bt l`.

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    `l TTM bf bstgs pldnbftbs. Tu bvl`uldnf nfd`uy dultrg bstuings l`bltgrnzligs dgf igc`b

    bfklsdlrlknbftg qub nfvg`udrlclf 329 nfhlftbs. B` lf`nsns ib `gs iltgs rbdgpn`ligs suanrn

    qub `l tbrlpnl dgf sg`udnf sl`nfl l` 4% fbcu`nzlil rbiueg snafnhndltnvlkbftb `l iurldnf ib

    `l mgspntl`nzldnf y kbegr `l puftuldnf ib sbvbrnili d`fndl bf nfhlftbs dgf crgfqung`ntns

    vnrl` lauil. @ls nkp`ndldngfbs plrl `l prdtndl ib bstl bvl`uldnf hubrgf qub, ilig b`cbfbhndng d`fndlkbftb rb`bvlftb y cubf pbrhn` ib sbaurnili, `l sg`udnf sl`nfl l` 4%

    fbcu`nzlil uslil bf dgfeuftg dgf crgfdgin`ltligrbs ibcl sbr dgfsnibrlil dgkg uf

    trltlknbftg bhbdtnvg y sbaurg plrl nfhlftbs dgf crgfqung`ntns vnrl`.

    Arlf Dlftnili ib Tg`udnf Tl`nfl Fgrkl` (?,>%)

    Bf bstl bknsnf ib `l rbvnstl, Lfn` bt l`. puc`ndlrgf uf bstuing dgf p`ldbcg dgftrg`lig,

    l`bltgrnzlig y dgf igc`b bfklsdlrlknbftg plrl nfvbstnalr `l bhbdtnvnili ib` sl`cutlkg`

    fbcu`nzlig, bpnfbhrnfl y sg`udnf sl`nfl l` 4% bf dgkplrldnf dgf arlfibs dlftnilibs ib

    sg`udnf sl`nfl fgrkl` bf b` trltlknbftg ib `l crgfqung`ntns vnrl` lauil `bvb. Ygigs `gs dultrg

    arupgs rbdncnbrgf igs nfml`ldngfbs ib `ls irgals ib` trltlknbftg bf b` ibplrtlkbftg ib

    bkbrabfdnls (mgrl ? y 4? knf). Kgstrlrgf qub `ls puftuldngfbs ib TD ibspus ib 4?, 8?, y

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    ibplrtlkbftg ib bkbrabfdnls. B` trltlknbftg dgfsnstn ib ufl sg`l igsns bf dgftrlstb dgf

    `gs bstuings lftbrngrkbftb kbfdngfligs qub dgftnfulrgf iurlftb 4-8 ils.% qub fnfaufg ib `gs

    nfhlftbs rbqunrn liknsnf l` mgspntl` y puinbrgf sbr bfvnligs l dlsl. Ibcnig l bstg fg sb

    puig ibkgstrlr kbegrls bf rbsu`tligs ks nkpgrtlftbs dgkg `l insknfudnf ib `lhrbdubfdnl y iurldnf ib `l mgspntl`nzldnf ltrncunc`bs l `l sg`udnf sl`nfl mnpbrtfndl

    (bvl`uldnf ib Dgdmrlfb 3??=).

    Ib mbdmg, = dk4ib sg`udnf sl`nfl l` ?,>% fg bs uf p`ldbcg tl` dgkg hub sbl`lig pgr Tggi

    bt l`.9, qunbfbs kgstrlrgf qub b` dlkcng bf `l prghufinili ib` LT@ y, pgr `g tlftg, `l kbegrl

    bf b` ld`lrlknbftg ib` kgdg ibspus ib nfml`ldngfbs ib sg`udnf sl`nfl fgrkl` g mnpbrtfndl

    fg bs ufl hufdnf ib `l dgfdbftrldnf sl`nfl snfg ks cnbf uf rbsu`tlig inrbdtg ib `l klsl

    tgtl` ib FlD` liknfnstrlil l `l supbrhndnb ib `l vl rbspnrltgrnl.

    Libks ib bstg, Tlrrb` bt l`.%

    usligs bf bstb bstuing dgkg dgftrg` bqunvl`b l ?,?13a ib FlD`, b` dul` bs supbrngr l` uslig

    pgr Tlrrb`. _gr `g tlftg bs gcvng qub bstb iltg fg puig sbr nftbrprbtlig dgkg uf nfindligr ib

    lusbfdnl ib uf bhbdtg ib l sg`udnf sl`nfl mnpbrtfndl.

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    larbalfig `l arlf kbegrl bf tgigs `gs arupgs (`g kxnkg l sbr lspnrlig), b` bstuing fg bst

    dlpldntlig plrl ibtbdtlr `l hl`tl ib ufl inhbrbfdnl d`fndlkbftb snafnhndltnvl bftrb `gs arupgs

    (48-4> nfhlftbs pgr arupg).

    DGFD@RTNGFBT

    @l sg`udnf sl`nfl l` 4% fbcu`nzlil ibcb sbr dgfsnibrlil dgkg uf trltlknbftg bhbdtnvg y

    sbaurg plrl nfhlftbs dgf crgfqung`ntns vnrl`. Lf bf pldnbftbs `bvbkbftb lhbdtligs bs

    prgclc`bkbftb ks rpnig y dgfvbfnbftb uslr uf vg`ukbf rb`ltnvlkbftb ks pbqubg ib

    FlD` dgkg sg`udnf sl`nfl mnpbrtfndl. Ilils `ls rbdnbftbs gcsbrvldngfbs ibsdrntls

    lftbrngrkbftb, sb prbsbft uf kbdlfnskg pgstu`lig qub bxp`ndl b` trltlknbftg ib nfml`ldnf

    ib sg`udnf sl`nfl mnpbrtfndl, plrtndu`lrkbftb bf `l crgfqung`ntns pgr XTS. Tb rbdgknbfilf

    bstuings lindngfl`bs plrl dgfhnrklr g insputlr bstl mnptbsns.

    SBDGFGDNKNBFYGT

    Larlibdbkgs l Kndmlb` Y. Fbwmgusb, K.I. pgr sus lklc`bs drtndls y suabrbfdnls.

    SBHBSBFDNLT

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