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Urgencias > Hemotorax masivo > Flashcards

Hemotorax masivo Flashcards

1
Q

Hemotorax masivo. Definicion

A

> 1500 ml o > 2/3 del volumen sanguineo

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2
Q

Hemotorax masivo. Causa mas fx

A

Trauma penetrante

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3
Q

Hemotorax masivo. Clinica y rx

A 
Compromiso de ventilacion y circulacion
Disminucion del murmullo vesicular
Matidez a la percusion
Ingurgitacion yugular 
Hipotension
Rx radiopacidad
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4
Q

Hemotorax masivo. Tx inical

A

Adecuada circulacion con Cristaloides

Sonda pleural en 5o EIC LMC

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5
Q

Hemotorax masivo. Tx definitivo

A

Toracotomia

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6
Q

Indicaciones para toracotomia

A

Necesidad de multiples transfusiones
>200ml/h en 2-4 hrs
Lesiones penetracion en torax anterior

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Urgencias (38 decks)

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