Shock hemorrágico postparto
| dc.contributor.advisor | Vasquez Bone, Katterine Kariuxy | |
| dc.contributor.author | Gavilanez Moposita, Silvia Margoth | |
| dc.date.accessioned | 2020-09-29T15:34:23Z | |
| dc.date.available | 2020-09-29T15:34:23Z | |
| dc.date.issued | 2020 | |
| dc.identifier.uri | http://dspace.utb.edu.ec/handle/49000/8387 | |
| dc.description | Hemorrhagic shock is the acute loss of circulating volume without the main cause of death in trauma, potentially preventable and one of the main causes of death in the population under 44 years of age. Massive bleeding can cause hemodynamic instability, decreased tissue perfusion, organ damage, and death. It is an excessive blood loss in the postpartum period. Depending on the means of resolution, there are established amounts of blood loss to be classified as hemorrhage, in vaginal delivery> 500 CC and in cesarean section> 1,000 CC of blood, on other occasions a decrease in hematocrit of more than 10% can be used as an indicator of hemorrhage. Primary bleeding occurs within the first 24 hours of the obstetric event. Secondary bleeding occurs after the first 24 hours postpartum, and up to 12 weeks later, with multiple causes such as involution of the placental site, retention of products of conception, infections and coagulation disorders, among others. We present the case of a 46-year-old patient with no significant history brought by the ecu 911, unconscious, responding to Glasgow pain 12, with no relatives attending for presenting heavy transvaginal bleeding for approximately 6 hours after home delivery and placental debris tension, it is taken directly to the surgical center, a manual revision of the uterus is performed, under short sedation, placental remains are obtained. | es_ES |
| dc.description | Hemorrhagic shock is the acute loss of circulating volume without the main cause of death in trauma, potentially preventable and one of the main causes of death in the population under 44 years of age. Massive bleeding can cause hemodynamic instability, decreased tissue perfusion, organ damage, and death. It is an excessive blood loss in the postpartum period. Depending on the means of resolution, there are established amounts of blood loss to be classified as hemorrhage, in vaginal delivery> 500 CC and in cesarean section> 1,000 CC of blood, on other occasions a decrease in hematocrit of more than 10% can be used as an indicator of hemorrhage. Primary bleeding occurs within the first 24 hours of the obstetric event. Secondary bleeding occurs after the first 24 hours postpartum, and up to 12 weeks later, with multiple causes such as involution of the placental site, retention of products of conception, infections and coagulation disorders, among others. We present the case of a 46-year-old patient with no significant history brought by the ecu 911, unconscious, responding to Glasgow pain 12, with no relatives attending for presenting heavy transvaginal bleeding for approximately 6 hours after home delivery and placental debris tension, it is taken directly to the surgical center, a manual revision of the uterus is performed, under short sedation, placental remains are obtained. | es_ES |
| dc.description.abstract | El shock hemorrágico es la perdiga aguda del volumen circulante siendo la principal causa de muerte en el trauma, potencialmente prevenible y una de las principales causas de muerte en la población menor de 44 años. La hemorragia masiva puede producir inestabilidad hemodinámica, disminución de la perfusión tisular, daño de órganos y muerte. Es una pérdida excesiva hemática en el posparto. Dependiendo la vía de resolución, existen cantidades establecidas de pérdida hemática para catalogarse como hemorragia, en parto vaginal > 500 CC y en cesárea > 1 000 CC de sangre, en otras ocasiones se puede utilizar la disminución del hematocrito de más 10% como indicador de hemorragia. La hemorragia primaria se presenta dentro de las primeras 24 horas del evento obstétrico. La hemorragia secundaria se presenta posterior a las primeras 24 horas posparto, y hasta 12 semanas después, con múltiples causas como su involución del sitio placentario, retención de productos de la concepción, infecciones y alteraciones de la coagulación, entre otras. Se presenta el caso de una paciente de 47 años sin antecedentes de importancia traída por el ecu 911, somnolienta, responde a dolor Glasgow 12, sin familiares acude por presentar sangrado transvaginal abundante desde hace aproximadamente 6 horas posterior al parto domiciliario y retención placentario, es llevada directamente a centro quirúrgico se realiza revisión manual de útero, bajo sedación corta, se obtiene restos placentarios. | es_ES |
| dc.format.extent | 39 p. | es_ES |
| dc.language.iso | es | es_ES |
| dc.publisher | Babahoyo: UTB-FCS, 2020 | es_ES |
| dc.rights | Atribución-NoComercial-SinDerivadas 3.0 Ecuador | * |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/ec/ | * |
| dc.subject | Retención placentaria | es_ES |
| dc.subject | Shock hemorrágico | es_ES |
| dc.subject | Muerte | es_ES |
| dc.title | Shock hemorrágico postparto | es_ES |
| dc.type | bachelorThesis | es_ES |
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