2019, Number 3
High digestive hemorrage patients characterization
Language: Portugués
References: 10
Page:
PDF size: 392.57 Kb.
ABSTRACT
Introduction: the high digestive haemorrhage (HDA) is the haematic loss or hematemesis, which occurs between the high oesophageal sphincter and the Treitz angle placed in a neighbouring organ.Objective: to characterize high digestive haemorrhage patients.
Results: most of patients were diagnosed with high digestive haemorrhage; registered in the group from 62 to 72 years old. Alcoholism prevailed as personal antecedent in males. The majority of cases belonged to homodynamic category stable and the main form of presentation of the haemorrhage digestive discharge was the duodenal ulcer mane; with urgency endoscopy as the fundamental diagnosis procedure, carried out by conduction and patients' pursuit, within 7 to 24 hours. Transfixion was the most effective medical technique in almost the entirely group. The highest surgical interventions number occurred between 7 to 34 hours. Most applied surgical techniques were transfixion of the bleeding glass by Piloroplastic and Vaguectomy.
Conclusions: the rebleeding turned out to be the main complication registered in deceased patients. Hospital demurrage last from 3 to 5 days with almost absolute prevalence, satisfactory evolution and life expenditure with low lethality rate.
REFERENCES
Oliver Solaz L, Jordán Alonso AD, Alfonso Moya O, Alejo Concepcción O, Cruz Méndez D. Comportamiento de la hemorragia digestiva alta en el quinquenio 2009 a 2013. Med Electrón. 2017 [citado 8 oct 2018]; 39(3): 432-442. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1684-18242017000300002&lng=es
Robertson M, Majumdar A, Boyapati R, Chung W, Worland T, Terbah R. Risk stratification in acute upper GI bleeding: comparison of the AIMS65 score with the Glasgow-Blatchford and Rockall scoring systems. Gastrointest Endosc.2016 [citado 25 sep 2018]; 83(6): 1151–1160. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0016510715030370