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Rotura de aneurisma de aorta abdominal en el medio extrahospitalario : presentación de un caso y revisión de la literatura.


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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.
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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