Variables de interés en el síndrome de Hellp
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2019
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
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Introducción: El síndrome de Hellp (anemia Hemolítica, elevación de las enzimas hepáticas (Elevated Liver enzymes), y plaquetopenia (Low Platelet count)) es una enfermedad infrecuente, representa una forma severa de preeclampsia, asociado con una alta mortalidad marteno-fetal, es característica de la mujer en el embarazo o puerperio. Objetivo central: Conocer diferentes variables de interés del síndrome de Hellp. Objetivos específicos: Determinar la incidencia en el embarazo y puerperio en pacientes diagnosticadas con preeclampsia severa, conocer la edad gestacional más frecuente en la que se presenta, establecer cuáles son las complicaciones más frecuentes en esta patología e identificar factores de riesgo relacionados a esta enfermedad. Resultados: Nuestro estudio constó de pacientes atendidas en el Hospital Teodoro Maldonado Carbo, en su mayoría fueron diagnosticadas antes del parto, quienes 5 de ellas tenían diagnóstico previo de preeclampsia. La vía de parto predominante fue cesárea. La edad promedio fue de 25,8 ± 5,9 años. La complicación más frecuente fue el parto prematuro que se dio en el 96% de las pacientes. Dentro de los factores de riesgo, destacaron los embarazos pretérminos (84%), multiparidad (92%), preeclampsia severa en embarazo actual (72%), entre otras. La edad gestacional media fue < 36 SG con un promedio de 86%. Método: Se realizó una investigación descriptiva con diseño retrospectivo, analítico, observacional y cuantitativo, mi universo estuvo constituido por 277 mujeres con el diagnostico de preeclampsia severa, del cual obtuvimos una muestra de 25 pacientes, diagnosticadas con Síndrome de Hellp en el periodo de enero del 2015 y agosto del 2018.
Introduction: Hellp syndrome (hemolytic anemia, elevation of liver enzymes), and thrombocytopenia (low platelet count) is an infrequent disease, represents a form of preeclampsia, associated with a high maternal-fetal mortality, is characteristic of women in pregnancy or puerperium. Main objective: To know different variables of interest of Hellp syndrome. Specific objectives: To determine the incidence in pregnancy and puerperium in patients diagnosed with severe preeclampsia, to know the most frequent gestational age in which it occurs, to establish the most frequent complications in this pathology and to identify the risk factors related to this disease. Results: My study consisted of patients treated at Teodoro Maldonado Carbo Hospital, most of them were diagnosed before delivery, who had the diagnosis of preeclampsia. The predominant delivery route was cesarean section. The average age was 25.8 ± 5.9 years. The most frequent complication was premature delivery that occurred in 96% of patients. Among the risk factors, preterm pregnancies (84%), multiparity (92%), severe preeclampsia in real pregnancy (72%), among others. The mean gestational age was <36 SG with an average of 86%. Method: A descriptive research was carried out with a retrospective, analytical, observational and quantitative design, my universe consisted of 277 women with the diagnosis of severe preeclampsia, from which we obtained a sample of 25 patients, diagnoses with Hellp Syndrome in the January period. of 2015 and August of 2018
Introduction: Hellp syndrome (hemolytic anemia, elevation of liver enzymes), and thrombocytopenia (low platelet count) is an infrequent disease, represents a form of preeclampsia, associated with a high maternal-fetal mortality, is characteristic of women in pregnancy or puerperium. Main objective: To know different variables of interest of Hellp syndrome. Specific objectives: To determine the incidence in pregnancy and puerperium in patients diagnosed with severe preeclampsia, to know the most frequent gestational age in which it occurs, to establish the most frequent complications in this pathology and to identify the risk factors related to this disease. Results: My study consisted of patients treated at Teodoro Maldonado Carbo Hospital, most of them were diagnosed before delivery, who had the diagnosis of preeclampsia. The predominant delivery route was cesarean section. The average age was 25.8 ± 5.9 years. The most frequent complication was premature delivery that occurred in 96% of patients. Among the risk factors, preterm pregnancies (84%), multiparity (92%), severe preeclampsia in real pregnancy (72%), among others. The mean gestational age was <36 SG with an average of 86%. Method: A descriptive research was carried out with a retrospective, analytical, observational and quantitative design, my universe consisted of 277 women with the diagnosis of severe preeclampsia, from which we obtained a sample of 25 patients, diagnoses with Hellp Syndrome in the January period. of 2015 and August of 2018
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Síndrome Hellp, Epidemiología descriptiva, Epidemiología analítica, Estudios retrospectivos, Hospital de Especialidades Dr. Teodoro Maldonado Carbo, Cantón Guayaquil, Ecuador