Hemorragia digestiva alta : factores de riesgo y complicaciones en pacientes de 30 a 80 años de edad, estudio realizado en el Hospital Clínica San Francisco período 2014 - 2015
Fecha
2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
La hemorragia digestiva alta es la pérdida de sangre originada en el esófago, estómago o duodeno hasta el ángulo de Treitz. Determinar los factores de riesgo y complicaciones de la hemorragia digestiva alta en pacientes de 30 a 80 años de edad a través de la observación indirecta. Estudio descriptivo y retrospectivo, fueron estudiados 100 pacientes con hemorragia digestiva alta en el Hospital clínica san francisco en el periodo 2014 -2015 según criterios de inclusión y exclusión las variables estudiadas fueron Edad, sexo, factores de riesgo y complicaciones. Según los estudios recolectados la edad con mayor incidencia son entre 61 a 80 años de edad, el sexo masculino tiene una incidencia del 80 % sobre el 20 % que representa la mujer. Entre los factores de riesgo con mayor incidencia es el consumo de Aines, entre los síntomas más llamativos es la Melena, entre las complicaciones con mayor incidencia son los re sangrados en pacientes mayores de 60 años. Un adecuado tratamiento y una correcta detención de las causas evitan los reingresos hospitalarios por re sangrados Los resultados de esta investigación guardan relación con los encontrados en estudios similares, demuestra que el conocimiento de todos estos aspectos nos permitirá brindar una mejor atención a la comunidad.
Background: upper gastrointestinal bleeding is any blood loss of sufficient volume to produce hematemesis, melena or both, whose origin is among the upper esophageal sphincter and Treitz angle. To determine risk factors and complications of upper gastrointestinal bleeding in patients 30-80 years of age through indirect observation. Methods: A descriptive, retrospective study, 100 patients were studied with upper gastrointestinal bleeding in san Francisco Clinical Hospital in the period 2014 -2015 according to inclusion and exclusion criteria of the variables studied were age, sex, risk factors and complications. According to the collected studies with highest incidence age are between 61 to 80 years of age, the male has an incidence of 80% over 20% representing women. Among the risk factors with greater incidence is the consumption of Aines, among the most striking symptoms is the mane, complications with increased incidence are re bleeding in patients over 60 years old. An appropriate treatment and a proper detention causes prevent hospital readmissions by re bleeding results from this research are related to those found in similar studies, shows that the knowledge of all these aspects will enable us to provide a better service to the community keywords: upper gastrointestinal bleeding, ulcers peptide, portal hypertension
Background: upper gastrointestinal bleeding is any blood loss of sufficient volume to produce hematemesis, melena or both, whose origin is among the upper esophageal sphincter and Treitz angle. To determine risk factors and complications of upper gastrointestinal bleeding in patients 30-80 years of age through indirect observation. Methods: A descriptive, retrospective study, 100 patients were studied with upper gastrointestinal bleeding in san Francisco Clinical Hospital in the period 2014 -2015 according to inclusion and exclusion criteria of the variables studied were age, sex, risk factors and complications. According to the collected studies with highest incidence age are between 61 to 80 years of age, the male has an incidence of 80% over 20% representing women. Among the risk factors with greater incidence is the consumption of Aines, among the most striking symptoms is the mane, complications with increased incidence are re bleeding in patients over 60 years old. An appropriate treatment and a proper detention causes prevent hospital readmissions by re bleeding results from this research are related to those found in similar studies, shows that the knowledge of all these aspects will enable us to provide a better service to the community keywords: upper gastrointestinal bleeding, ulcers peptide, portal hypertension
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HEMORRAGIA GASTROINTESTINAL, ULCERA PEPTICA, HIPERTENSION PORTAL, HOSPITAL CLINICA SAN FRANCISCO, CANTON GUAYAQUIL, ECUADOR, EPIDEMIOLOGIA DESCRIPTIVA, ESTUDIOS RETROSPECTIVOS, ADULTO, ANCIANO