%0 Journal Article
%T Enfermedad tromboemb車lica venosa en gestantes y pu谷rperas graves Venous thromboembolic disease in puerpera and pregnant women under severe condition
%A Kareny Matos Borrego
%A Manuel Ram車n D赤az Raspall
%J MEDISAN
%D 2011
%I Centro Provincial de Ciencias M谷dicas
%X Se efectu車 un estudio descriptivo y transversal de 52 gestantes y pu谷rperas, con diagn車stico de enfermedad tromboemb車lica venosa, que ingresaron en la Unidad de Cuidados Intensivos del Hospital Provincial Docente Clinicoquir迆rgico "Saturnino Lora Torres" de Santiago de Cuba, desde enero del 2007 hasta julio del 2009. En la serie predominaron las mujeres en edad f谷rtil (tercera d谷cada de vida) y los siguientes factores de riesgo: reposo prolongado en cama y uso de anticonceptivos orales. La mencionada afecci車n prim車 en forma de trombosis venosa, sobre todo en las gr芍vidas en el tercer trimestre de embarazo y en las que se decidi車 realizar ces芍rea; a los efectos, entre las manifestaciones cl赤nicas m芍s comunes figuraron: dolor, taquicardia y edema, principalmente en la pierna izquierda. El diagn車stico definitivo se estableci車 fundamentalmente a trav谷s de la ecograf赤a Doppler, el tratamiento aplicado en la mayor赤a de las afectadas se bas車 en la heparina de bajo peso molecular y las complicaciones m芍s frecuentes, relacionadas con la anticoagulaci車n, resultaron ser las hemorragias y las trombocitopenias. A descriptive and cross-sectional study of 52 pregnant and puerpera women under a diagnosis of venous thromboembolic disease who were admitted at the Intensive Care Unit from “Saturnino Lora Torres“ Provincial Teaching Clinical-Surgical Hospital in Santiago de Cuba was carried out from January, 2007 to July, 2009. Women in childbearing age (third life decade) and the following risk factors: prolonged bed rest and oral contraceptive use were predominant in the series. The aforementioned affection was relevant in its venous thrombosis form, mainly in the gravid in the third trimester of pregnancy and in those who underwent cesarean delivery. To all intents and purposes, pain, tachycardia, and edema, mostly in the left leg, were the most common clinical manifestations. The final diagnosis was made using Doppler scanning. The therapy applied to the majority of the affected women was based on underweighted molecular heparin. Hemorrages and thrombopenias, both related to anticoagulation, were the most frequent complications.
%K enfermedad tromboemb車lica venosa
%K gestante
%K pu谷rpera
%K ecograf赤a Doppler
%K Unidad de Cuidados Intensivos
%K venous thromboembolic disease
%K pregnant woman
%K puerpera
%K Doppler scanning
%K Intensive Care Unit
%U http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30192011000500009