Etiología y complicaciones en pacientes mayores a 40 años hospitalizados con diagnóstico de hematuria en el HDPNG-2
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2018
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
La hematuria es una de las manifestaciones más comunes de patología urológica. El presente estudio tuvo como objetivo analizar la etiología y complicaciones en pacientes mayores a 40 años hospitalizados con diagnóstico de hematuria en el HPNG-2. Se estudió las historias clínicas de 101 pacientes con la finalidad de encontrar la etiología y ver las complicaciones más frecuentes de la hematuria. Cabe destacar que un correcto enfoque diagnóstico desde el inicio será primordial para el oportuno tratamiento y la resolución de la patología de base.
Se obtuvieron los siguientes resultados: en un 39 (38,61%) de los casos la etiología fue hiperplasia prostática benigna, seguido de infección de vías urinarias 22 (21,78%), y en tercer lugar con cáncer de próstata 17 (16,83%). Se encontró que pacientes en el rango etario comprendido entre 40 a 60 años de edad tienen mayor riesgo de presentar una patología grave como es hiperplasia prostática benigna o las neoplasias. Podemos concluir que en el 26 (25,74 %) de los casos se desarrollan complicaciones como anemia, sepsis y acidosis metabólica.
Hematuria is one of the most common manifestations of urological pathology. The objective of this study was to analyze the etiology and complications in patients older than 40 years hospitalized with a diagnosis of hematuria in the HPNG-2. We studied the clinical histories of 101 patients in order to find the etiology and see the most frequent complications of hematuria. It should be noted that a correct diagnostic approach from the beginning will be essential for the timely treatment and resolution of the underlying pathology. The following results were obtained: in 39 (38,61%) of the cases the etiology was benign prostatic hyperplasia, followed by urinary tract infection 22 (21,78%), and thirdly with prostate cancer 17 (16,83%). It was found that patients in the age range between 40 to 60 years of age have a higher risk of presenting a serious pathology such as benign prostatic hyperplasia or neoplasms. We can conclude that complications such as anemia, sepsis and metabolic acidosis develop in 26 (25,74%) of the cases.
Hematuria is one of the most common manifestations of urological pathology. The objective of this study was to analyze the etiology and complications in patients older than 40 years hospitalized with a diagnosis of hematuria in the HPNG-2. We studied the clinical histories of 101 patients in order to find the etiology and see the most frequent complications of hematuria. It should be noted that a correct diagnostic approach from the beginning will be essential for the timely treatment and resolution of the underlying pathology. The following results were obtained: in 39 (38,61%) of the cases the etiology was benign prostatic hyperplasia, followed by urinary tract infection 22 (21,78%), and thirdly with prostate cancer 17 (16,83%). It was found that patients in the age range between 40 to 60 years of age have a higher risk of presenting a serious pathology such as benign prostatic hyperplasia or neoplasms. We can conclude that complications such as anemia, sepsis and metabolic acidosis develop in 26 (25,74%) of the cases.
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Hematuria, Hiperplasia prostática, Infecciones urinarias, Hospital Policía Nacional Guayaquil No. 2, Cantón Guayaquil, Ecuador, Etiología