Entero Necri Flashcards

1
Q

Definición

A

Enfermedad inflamatoria aguda del intestino neonatal
Necrosis coagulativa de la pared intestinal y riesgo de perforación
Íleon distal y colon próximal
RNPT

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2
Q

Colonización tardía por la microbiota intestinal
Prematuridad
Nutrición enteral precoz con fórmula artificial

A

FR

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3
Q

Cuadro

A
2da o 3a semana de vida 
Distensión
Dolor abdominal 
Mala tolerancia
Sangrado síntomas extradigestivos
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4
Q

Dx

A
Rx simple de abdomen seriada 
Ecografia abdominal 
MIGA DE PAN 
NEUMATISIS 
Neumoperitoneo: qx
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5
Q

Labs

A
Leucocitosis/ leucopenia
Trombocitopenia
PCR aumentada 
Acidosis metabólica 
Hiponatremia ( mal px)
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6
Q

Tx

A

Ayuno
Sonda nasogastrica descompresión
Antibiticoterapia empírica amplió espectro
Mala evolución o perforación: qx

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7
Q

Complicaciones

A

Menor peso
Estenosis intestinal
Intestino corto

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