Atonía uterina : manejo de la hemorragia severa post parto, estudio a realizar en el Hospital Universitario de Guayaquil
Fecha
2018
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
Se define a la hemorragia posparto, como el proceso patológico caracterizado por la pérdida de sangre que sobrepasa el límite de los 500 mililitros, producido en el posparto inmediato y desarrollando complicaciones y afecciones en el estado de salud de la paciente, dejando secuelas como falla renal, síndrome de distress respiratorio, coagulopatías y alteraciones metabólicas como el síndrome de Shennan. La investigación de corte transversal, se utilizó como fuente otorgada por el departamento de estadísticas, datos compuesta por pacientes ingresadas bajo el código de diagnóstico CIE-10 O72, especialmente entre 18 a 40 años de edad con diagnóstico de Hemorragia Posparto del Hospital Universitario de Guayaquil, se determinó que en 100 pacientes, se encontró una media de 27 años de edad en estas pacientes, con una mayor frecuencia en edades menores, de 19 años, el abordaje terapéutico de esta patología, debe estar enfocado hacia mantener la contracción uterina de forma perenne, lo cual se logra usualmente mediante la aplicación de la compresión bimanual del útero de la paciente. Posterior a esto, debe llevarse a cabo una inspección y exploración de forma manual del útero de la paciente, con la finalidad de determinar que no existan en su interior restos de tejido propio de la placenta. Debe llevarse a cabo el vaciamiento de la vejiga y posteriormente, la aplicación de fármacos uterotónicos, como oxitocina
Postpartum hemorrhage is defined as the pathological process characterized by blood loss that exceeds the limit of 500 milliliters, produced in the immediate postpartum period and developing complications and conditions in the patient's state of health, leaving sequelae such as renal failure, respiratory distress syndrome, coagulopathies and metabolic disorders such as Shennan syndrome. The cross-sectional investigation was used as a source granted by the statistics department, consisting of patients admitted under the ICD-10 O72 diagnostic code, especially between 18 and 40 years of age with a diagnosis of Postpartum Hemorrhage at the University Hospital of Guayaquil , it was determined that in 100 patients, an average of 27 years of age was found in these patients, with a greater frequency in younger ages, of 19 years, the therapeutic approach of this pathology, must be focused towards maintaining the uterine contraction in a perennial, which is usually achieved by applying bimanual compression of the patient's uterus. After this, an inspection and manual exploration of the uterus of the patient should be carried out, in order to determine that there are no remains of tissue from the placenta. The emptying of the bladder must be carried out and subsequently, the application of uterotonic drugs, such as oxytocin
Postpartum hemorrhage is defined as the pathological process characterized by blood loss that exceeds the limit of 500 milliliters, produced in the immediate postpartum period and developing complications and conditions in the patient's state of health, leaving sequelae such as renal failure, respiratory distress syndrome, coagulopathies and metabolic disorders such as Shennan syndrome. The cross-sectional investigation was used as a source granted by the statistics department, consisting of patients admitted under the ICD-10 O72 diagnostic code, especially between 18 and 40 years of age with a diagnosis of Postpartum Hemorrhage at the University Hospital of Guayaquil , it was determined that in 100 patients, an average of 27 years of age was found in these patients, with a greater frequency in younger ages, of 19 years, the therapeutic approach of this pathology, must be focused towards maintaining the uterine contraction in a perennial, which is usually achieved by applying bimanual compression of the patient's uterus. After this, an inspection and manual exploration of the uterus of the patient should be carried out, in order to determine that there are no remains of tissue from the placenta. The emptying of the bladder must be carried out and subsequently, the application of uterotonic drugs, such as oxytocin
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Atonía uterina, Hospital Universitario de Guayaquil, Cantón Guayaquil, Ecuador, Hemorragia posparto