Garza-Serna U, Gómez-Gutiérrez RD, Quezada-Valenzuela G, Cárdenas-Del Castillo B, Contreras-Cepeda V, Chávez-García EA, Nieto-Sanjuanero A

Idioma: Español
Referencias bibliográficas: 23
Paginas: 378-385
Archivo PDF: 1814.82 Kb.

RESUMEN

Introducción: la hernia diafragmática congénita es una enfermedad que afecta a 1 de 3000 recién nacidos, con un alto índice de morbilidad y mortalidad, especialmente si se presenta con otras malformaciones como las anomalías congénitas cardiacas. El manejo del paciente con este padecimiento debe ser tratado de forma multidisciplinaria e incluir su evaluación prenatal y atención posnatal.
Objetivo: reportar el primer caso exitoso en México de un paciente con hernia diafragmática congénita manejado con membrana de oxigenación extracorpórea.
Caso clínico: paciente masculino de 37.5 semanas de gestación con diagnóstico prenatal de hernia diafragmática congénita a las 24 semanas de gestación sin otras anomalías congénitas; índice pulmón/ cabeza de 1.7. A las seis horas de nacido presentó saturación de oxígeno preductal de 78% y posductal a 58% con índice de oxigenación de 41, a pesar del tratamiento agresivo médico y ventilatorio, por lo que se necesitó la intervención e implementación de la membrana de circulación extracorpórea.

REFERENCIAS (EN ESTE ARTÍCULO)

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