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https://hdl.handle.net/11000/30190
Rotura de aneurisma de aorta abdominal en el medio extrahospitalario : presentación de un caso y revisión de la literatura.
Título : Rotura de aneurisma de aorta abdominal en el medio extrahospitalario : presentación de un caso y revisión de la literatura. |
Autor : Cruzado Vilcapoma, Rocío Estela |
Tutor: López Sánchez, Francisca |
Editor : Universidad Miguel Hernández de Elche |
Departamento: Departamentos de la UMH::Medicina Clínica |
Fecha de publicación: 2023-09-07 |
URI : https://hdl.handle.net/11000/30190 |
Resumen :
La rotura de un aneurisma de aorta abdominal (AAA) y el consecuente shock hemorrágico es una complicación aguda catastrófica asociada a una elevada mortalidad y con un pico de letalidad en los primeros minutos tras la rotura, constituye una emergencia quirúrgica vascular; es esencial un alto índice... Ver más
The rupture of an abdominal aortic aneurysm (AAA) and the consequent hemorrhagic shock is a catastrophic acute complication associated with high mortality and with a peak lethality in the first minutes after rupture, it constitutes a vascular surgical emergency; a high index of suspicion from the out-of-hospital environment is essential as a time-dependent pathology. We present the case of a patient who, while at her home, presented an acute condition of severe low back pain, syncope, and hemodynamic instability; a USVA-type ambulance attended the scene from where support and maintenance treatment for permissive hypotension was started. Infrarenal ruptured abdominal aortic aneurysm (rAAA) was diagnosed by CT angiography in the hospital emergency room. Delay times are evaluated, including transport times from clinical suspicion to access to the operating room, and survival per year. It is suggested to implement a standardized protocol of therapeutic measures with a multidisciplinary approach from prehospital care, aimed at the direct transfer of patients with suspected rAAA to a reference center that has a health team specialized in aortic surgery, which have been shown to reduce morbidity and mortality of this entity in the places that have been implemented.
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Palabras clave/Materias: aneurisma de aorta abdominal shock hemorrágico extrahospitalario ambulancia hipotensión ruptured abdominal aortic aneurysm hemorrhagic shock |
Área de conocimiento : CDU: Ciencias aplicadas: Medicina: Patología. Medicina clínica. Oncología: Enfermedades infecciosas y contagiosas. Fiebres |
Tipo de documento : info:eu-repo/semantics/masterThesis |
Derechos de acceso: info:eu-repo/semantics/openAccess |
Aparece en las colecciones: TFM-M-U. en Medicina de Urgencias y Emergencias
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La licencia se describe como: Atribución-NonComercial-NoDerivada 4.0 Internacional.