Cómo citar
Hemández SeguraE. N. (2012). Craneotomía descompresiva en trauma craneoencefálico experiencia en el hospital de San José. Bogotá DC, Colombia. Revista Repertorio De Medicina Y Cirugía, 21(3), 165-171. https://doi.org/10.31260/RepertMedCir.v21.n3.2012.812

Autores/as

Edith Natalia Hemández Segura

Resumen

Objetivo: identificar las características clínicas de los pacientes llevados a craneotomía descompresiva como parte del manejo del trauma craneoencefálico. Métodos: serie de casos de enero 2005 a diciembre 2010 del Hospital de San José de Bogotá DC, a quienes se les efectuó el procedimiento. Las variables estudiadas fueron: edad, género, escala de coma de Glasgow al realizar la craneotomía descompresiva, escala de Marshall, comorbilidades, soporte inotrópico o vasopresor requerido, inducción de  coma barbitúrico  con tiopental,  ventriculostomía externa  para  control de la presión intracraneana antes o al momento  de realizar la craneotomía, uso de catéter yugular ascendente y tipo de craneotomía descompresiva. Conclusión: la valoración al ingreso con escala coma de Glasgow de 3 a 6, asociada con escala de Mar­ shall IV, indican mal pronóstico a pesar de realizar la craneotomía descompresiva en las primeras seis horas postrauma craneoencefálico. Se hace necesario el control riguroso del paciente con esta patología para realizar el diagnóstico y manejo oportunos.

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Coordinador Editorial

Leonardo Arismendy Rodriguez
jlarismendy@fucsalud.edu.co
Fundación Universitaria de Ciencias de la Salud - FUCS
Bogotá DC, Colombia
Dirección: Carrera 19 No. 8 A 32
Tel: (+571) 3538100 Ext. 2836

Asistente Editorial

Gloria Restrepo B.
revista.repertorio@fucsalud.edu.co
Fundación Universitaria de Ciencias de la Salud - FUCS
Bogotá DC, Colombia
Dirección: Carrera 19 No. 8 A 32
Tel: (+571) 3538100 Ext. 2836


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