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2014, Número 4

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Rev Med MD 2014; 5.6 (4)


Revisión de trauma de cráneo severo en niños

De la Torre-Gómez RE, Rodríguez-Rodríguez IC, López-León A, Carranza-Barrera LG, Brancaccio-Orozco J, Guzmán-Rodríguez I, Aviz-Vinaya LD

Idioma: Español
Referencias bibliográficas: 60
Paginas: 229-237
Archivo PDF: 583.55 Kb.


RESUMEN

La siguiente es una revisión de los aspectos más importantes desde el punto de vista de clasificación, fisiopatología, diagnóstico y manejo del traumatismo cráneoencefálico en la edad pediátrica. Esta patología es la principal causa de discapacidad en niños y adolescentes y la primera causa de muerte en adultos jóvenes. Desde el punto de vista de la fisiopatología se abordará el daño estructural en el traumatismo cráneoencefálico, la clasificación por su gravedad, se revisarán las variables hemodinámicas más importantes como presión intracraneal, presión de perfusión cerebral, autorregulación. El manejo se iniciará desde el servicio de urgencias con una agresiva resucitación que evite la hipoxia e hipotensión y el manejo se continuará en la unidad de cuidados intensivos pediátricos. Se enfatiza las recomendaciones en el manejo del cráneo hipertensivo, a través de guías con el manejo actual desde las medidas iniciales o de primera línea hasta las de segunda línea.


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