ABSTRACT
BACKGROUND: To be able to diagnose and catalogue a patient with imbalance of the acid basic condition a gasometría must be realized. The pH and the gasometría of the blood of umbilical cord are useful tools to study the immediate situation of the newborn child. The values gasométricos in the vein and the artery of the umbilical cord change according to the geographical altitude. OBJECTIVE: To identify the normal values of the venous gases of the umbilical cord in the postpartum immediate one of normal fetuses to term, born by obstetric resolution, without hurt, in the Spanish Hospital of the Mexico City and to identify the difference with the considered normal values for other institutions of different conditions of the Mexican Republic located to different altitudes. MATERIAL AND METHOD: Transversal, prospective, descriptive and observacional study effected in the service of Obstetrics of the Hospital Español of Mexico (Maternidad Mundet). All the patients were included pregnant woman of term, with pregnancy of normal evolution, with an obstetric resolution without evidence of foetal hurt that they deposited with labor or for elective Caesarean. RESULTS: The average of the curves of normal distribution of the pH, of the PCO2, of the HCO3, of the PO2, of the base excess and of the foetal hemoglobin they were: 7.34, 39.3081, 20.66, 29.3529,-4.09 and 15.18, respectively.The distribution curves of the analyzed values were normal, in no.case there was asymmetry, with a not significant Kolmogorov. CONCLUSIONS: The gasometric of the cord is a simple, practical method and, especially I target to value the foetal condition intraparto. The values found in our analysis do not demonstrate statistically significant differences with the values of other studies effected to minor altitudes that that of the Mexico City. The analysis that here one presents is a partial check of the final sample that will belong 300 individuals.
Subject(s)
Carbon Dioxide/blood , Cesarean Section , Oxygen/blood , Umbilical Veins/metabolism , Adult , Bicarbonates/blood , Blood Gas Analysis , Female , Humans , Hydrogen-Ion Concentration , Infant, Newborn , Mexico , Postpartum Period , Pregnancy , Prospective Studies , Reference Values , Young AdultABSTRACT
La pendicitis es la complicación quirúrgica más frecuente durante el embarazo. Plantea dificultades para el diagnóstico, y requiere de un tratamiento quirúrgico de urgencia. El objetivo de este estadio fue determinar el perfil clínco de esta asociación para establecer bases para el diagnóstico de apendicitis en el embarazo. Se revisaron los casos con diagnóstico preoperatorio de apendicitis y embarazo entre enero de 1990 a diciembre de 1996 en el Hospital Español de México. Se encontraron 17. La edad promedio fue de 28.6 años. De los 17 casos, 12 (70.50 por ciento) fueron verdaderamente apendicitis, y el tiempo transcurrido entre la aparición de síntomas y la realización de la laparotomía fue de 43.35 horas. La historia natural de la apendicitis no se modifica por la presencia del embarazo. El dolor abdominal periste como síntoma clave y se presentó en 100 por ciento de los casos. La laparotomía temprana permite una disminución en la morbilidad y mortalidad materno fetal
