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Cirugia > Isquemia Intestinal > Flashcards

Isquemia Intestinal Flashcards

1
Q

Como se produce

A

Interrupción de flujo arterial en hombres >60 años más común

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2
Q

Riesgo

A

Estado protrombotico
Hematologico
Post quirúrgico

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3
Q

Vaso afectado en aguda y en crónica

A

Mesenterica superior en 70%

Angina intestinal

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4
Q

Clínica

A

Aguda dolor abdominal severo 2-3 horas evolución.

Crónica - postprandial perdida peso

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5
Q

Laboratorios

A

Leucositosis desv izquierda

Dimero d sugestivo>500mg

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6
Q

Imagen en isquemia intestinal

A

Inicial Rx abdomen
Elección tac helocoidal
Oro angiografia identifica vaso y trata obstrucción

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7
Q

Tratamiento

A

Estabilizar hemodinamia

Antibiótico (papaverina intraarterial inicial )

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8
Q

Después de la revascularizacion

A

Cx de second look 24 hrs más heparina

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Cirugia (9 decks)

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