Demostrar que la transfusión precoz de paquetes globulares es un factor de riesgo para síndrome de distrés respiratorio agudo en pacientes con trauma grave en el Hospital Regional Docente de Trujillo durante el periodo de Enero a Diciembre del 2014. MATERIAL Y MÉTODO: Realizamos un estudio observacional, analítico, de casos y controles, que evaluó 132 pacientes ≥ 18 años de edad con trauma grave, los cuales fueron distribuidos en dos grupos, los casos 44 pacientes con SDRA y los controles 88 pacientes sin SDRA. RESULTADOS: La edad promedio de los casos fue 32,34 ± 14,69 años y de los controles fue 31,45 ± 12,79 años; la proporción del género masculino en los casos y controles fue 93,18% y 88,64% respectivamente. El trauma cerrado fue observado en 20,45% y 18,18% en los casos y controles respectivamente. El RTS y nivel de Hto en los casos fue 7,47 ± 0,76 y 29,40 ± 5,27%, ...

Bleeding occurring in the second half of pregnancy causes important maternal and infant morbidity and even mortality; at the Instituto Nacional Materno Perinatal it compromises between 9 and 15% of all gestations. We recall it is associated to premature delivery, abruption placenta, placenta previa, disseminated intravascular coagulation. Treatment frequently requires blood and blood derivates transfusions as well as performing surgical procedures, including emergency hysterectomy. This is a review of second half of pregnancy hemorrhage causes; we emphasize precocious diagnosis and timely treatment of these pathologies.

Bleeding occurring in the second half of pregnancy causes important maternal and infant morbidity and even mortality; at the Instituto Nacional Materno Perinatal it compromises between 9 and 15% of all gestations. We recall it is associated to premature delivery, abruption placenta, placenta previa, disseminated intravascular coagulation. Treatment frequently requires blood and blood derivates transfusions as well as performing surgical procedures, including emergency hysterectomy. This is a review of second half of pregnancy hemorrhage causes; we emphasize precocious diagnosis and timely treatment of these pathologies.

The author analyzes the criteria with which it has faced in his clinic consecutive acute syndrome fibrinogenopenia the box "placental abruption". Considers that addressed the causes of the decline in the levels of fibrinogen, is justified today than ever before proceeding to the early artificial rupture of membranes (medical birth Kreis) in order to trigger the job and also interfere with the release of tromboplásticas or fibrinolytic substances simultaneously and closely watching the changes taking place in the test and the clot fibrinogenemia curve. When treatment does not work obstetric results or blood incoagulability syndrome is emerging from a severe beginning with characters, I think that should be used without delay to the evacuation of the uterus by Cesarean section. Specific treatment of hypo- and afibrinogenaemia should include the timely administration - using the intravenou...

The author analyzes the criteria with which it has faced in his clinic consecutive acute syndrome fibrinogenopenia the box "placental abruption". Considers that addressed the causes of the decline in the levels of fibrinogen, is justified today than ever before proceeding to the early artificial rupture of membranes (medical birth Kreis) in order to trigger the job and also interfere with the release of tromboplásticas or fibrinolytic substances simultaneously and closely watching the changes taking place in the test and the clot fibrinogenemia curve. When treatment does not work obstetric results or blood incoagulability syndrome is emerging from a severe beginning with characters, I think that should be used without delay to the evacuation of the uterus by Cesarean section. Specific treatment of hypo- and afibrinogenaemia should include the timely administration - using the intravenou...