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Preeclampsia y eclampsia en el periodo grávido y puerperal de pacientes ingresadas en cuidados intensivos / Preeclampsia and Eclampsia during the Pregnant and Puerperal Period in Patients Admitted to Intensive Care
Acosta Aguirre, Yaneya; Bosch Costafreda, Carmen; López Barroso, Reinaldo; Rodríguez Reyes, Oscar; Rodríguez Yero, Daimarelis.
Affiliation
  • Acosta Aguirre, Yaneya; Hospital General Docente Dr. Juan Bruno Zayas Alfonso. Santiago de Cuba. CU
  • Bosch Costafreda, Carmen; Hospital General Docente Dr. Juan Bruno Zayas Alfonso. Santiago de Cuba. CU
  • López Barroso, Reinaldo; Hospital General Docente Dr. Juan Bruno Zayas Alfonso. Santiago de Cuba. CU
  • Rodríguez Reyes, Oscar; Universidad de Ciencias Médicas de Santiago de Cuba. Facultad de Medicina 2. Santiago de Cuba. CU
  • Rodríguez Yero, Daimarelis; Hospital General Docente Dr. Juan Bruno Zayas Alfonso. Santiago de Cuba. CU
Rev. cuba. obstet. ginecol ; 43(4): 53-60, oct.-dic. 2017. tab
Article in Es | LILACS | ID: biblio-901331
Responsible library: CU1.1
RESUMEN

Introducción:

la preeclampsia produce proteinuria, edema e hipertensión arterial. La eclampsia aparece luego de la preeclampsia o de forma aguda con convulsiones. Ambos estados suelen producirse hacia el final de la gestación, durante o después del parto.

Objetivo:

caracterizar a gestantes o puérperas con preeclampsia-eclampsia, ingresadas en la unidad de cuidados intensivos.

Método:

estudio descriptivo, prospectivo y longitudinal, que incluyó 38 pacientes a las que se les realizó examen físico completo, exámenes complementarios de utilidad para su diagnóstico y el índice APACHE II.

Resultados:

predominaron las puérperas con preeclampsia y las edades entre 21 a 35 años. Los factores de riesgo más frecuentes encontrados fueron las edades extremas, antecedentes personales y la nuliparidad. Con una estadía entre 4 y 5 días de ambos grupos, con 100 por ciento de egresos vivos.

Conclusiones:

con una estrategia de seguimiento precoz en gestantes y puérperas con riesgo, se puede llegar al diagnóstico de formas graves e incipientes de preeclampsia(AU)
ABSTRACT

Introduction:

Preeclampsia produces proteinuria, edema and arterial hypertension. Eclampsia appears after preeclampsia or it appears acute with seizures. Both states usually occur towards the end of pregnancy, during or after delivery.

Objective:

To characterize pregnant or puerperal women suffering preeclampsia-eclampsia, who were admitted to the ICU.

Method:

A descriptive, prospective and longitudinal study was conducted in 38 patients who underwent a complete physical examination, complementary tests useful for their diagnosis and the APACHE II index.

Results:

Puerperal women suffering preeclampsia and ages ranging 21 to 35 years prevailed. The most frequent risk factors found were extreme ages, personal history, and nulliparity. Subjects in both groups stayed 4 - 5 days. A hundred percent were discharged alive.

Conclusions:

with a strategy of early follow-up in pregnant and puerperal women at risk, the diagnosis of severe and incipient forms of preeclampsia can be reached(AU)
Subject(s)
Key words
Full text: 1 Collection: 01-internacional Database: LILACS Main subject: Pre-Eclampsia / Eclampsia Type of study: Observational_studies / Risk_factors_studies Limits: Female / Humans / Pregnancy Language: Es Journal: Rev. cuba. obstet. ginecol Journal subject: GINECOLOGIA / OBSTETRICIA Year: 2017 Document type: Article Affiliation country: Cuba Country of publication: Cuba
Full text: 1 Collection: 01-internacional Database: LILACS Main subject: Pre-Eclampsia / Eclampsia Type of study: Observational_studies / Risk_factors_studies Limits: Female / Humans / Pregnancy Language: Es Journal: Rev. cuba. obstet. ginecol Journal subject: GINECOLOGIA / OBSTETRICIA Year: 2017 Document type: Article Affiliation country: Cuba Country of publication: Cuba