Sx hellp dr bocarejo
-
Upload
delfirio-franco-lopez -
Category
Documents
-
view
454 -
download
3
Transcript of Sx hellp dr bocarejo
![Page 1: Sx hellp dr bocarejo](https://reader034.fdocumentos.com/reader034/viewer/2022042522/559bf14a1a28ab18428b45b7/html5/thumbnails/1.jpg)
LISSETT MANZANARES GOMEZ
DR. BOCAREJO
![Page 2: Sx hellp dr bocarejo](https://reader034.fdocumentos.com/reader034/viewer/2022042522/559bf14a1a28ab18428b45b7/html5/thumbnails/2.jpg)
HEMOLISIS
ENZIME LIVER
LOW PLATELETS
![Page 3: Sx hellp dr bocarejo](https://reader034.fdocumentos.com/reader034/viewer/2022042522/559bf14a1a28ab18428b45b7/html5/thumbnails/3.jpg)
INCIDENCIA EN PREECLAMPSIA 4-12%
INCEDENCIA PREECLAMPSIA SEVERA 20-25%
POST PARTO 24H 30%
TA NORMAL 20%
![Page 4: Sx hellp dr bocarejo](https://reader034.fdocumentos.com/reader034/viewer/2022042522/559bf14a1a28ab18428b45b7/html5/thumbnails/4.jpg)
MALA ADAPTACIONINMUNOLOGICA
ALT. INVASIONTROFOBLASTICA
10-16 SEM
16-22 SEM
PAREDES MUSCULARES Y ENDOTELIO DE LA DE
PARTE DECIDUAL DE LAS ART. EN ESPIRAL
CAPA MUSCULAR DE LAS ART EN ESPIRAL.
![Page 5: Sx hellp dr bocarejo](https://reader034.fdocumentos.com/reader034/viewer/2022042522/559bf14a1a28ab18428b45b7/html5/thumbnails/5.jpg)
PERFUSION YFILTRACION GLOMERULAR
ALT. ENDOTELIOVASCULAR
LIBERACION DE SUSTANCIASQUE ALT. EL ENDOTELIO EN
GENERAL
VASOS DE MAYOR CALIBRE YCON MENOR RESISTENCIA AL FLUJO
PREECLAMPSIA
![Page 6: Sx hellp dr bocarejo](https://reader034.fdocumentos.com/reader034/viewer/2022042522/559bf14a1a28ab18428b45b7/html5/thumbnails/6.jpg)
PROSTACICLINA TROMBOXANO
SENSIBILIDAD A LAANGIOTENSINA II
CID Y DEMASCOMPLICACIONES
O.NCELULAS
ENDOTELIALES CATECOLAMINAS
NORADRENALINA----------------CONVIERTE TG EN ACIDOS GRASOS LIBRES
PEROXIDOS LIPIDOS(CITOTOXICOS)
![Page 7: Sx hellp dr bocarejo](https://reader034.fdocumentos.com/reader034/viewer/2022042522/559bf14a1a28ab18428b45b7/html5/thumbnails/7.jpg)
![Page 8: Sx hellp dr bocarejo](https://reader034.fdocumentos.com/reader034/viewer/2022042522/559bf14a1a28ab18428b45b7/html5/thumbnails/8.jpg)
![Page 9: Sx hellp dr bocarejo](https://reader034.fdocumentos.com/reader034/viewer/2022042522/559bf14a1a28ab18428b45b7/html5/thumbnails/9.jpg)
NAUSEAS
EPIGASTRALGIA
HEMATURIA
MACROSCOPICA
50% CON (-) 50 000
ICTERICIA
ECLAMPSIA
PUERPERAL
ASCITIS
![Page 10: Sx hellp dr bocarejo](https://reader034.fdocumentos.com/reader034/viewer/2022042522/559bf14a1a28ab18428b45b7/html5/thumbnails/10.jpg)
FSP ANORMAL ------------ESQUISTOCITOS
BILIRRUBINA ---------------+ 1,2 mg/dl
LDH-----------------------------+ 600 U/L
AST------------------------------+ 70 U/L
PLAQUETAS-----------------(-) 100.000
![Page 11: Sx hellp dr bocarejo](https://reader034.fdocumentos.com/reader034/viewer/2022042522/559bf14a1a28ab18428b45b7/html5/thumbnails/11.jpg)
CLASE 1--------(-) 50 000
CLASE 2….50 000 A 100
000
CLASE 3……100 000 A
150 000
![Page 12: Sx hellp dr bocarejo](https://reader034.fdocumentos.com/reader034/viewer/2022042522/559bf14a1a28ab18428b45b7/html5/thumbnails/12.jpg)
•SINDROME HEMOLITICO UREMICO•HIGADO GRASO AGUDO
•PURPURA TROMBOCITOPENICA AUTOINMUNE•PIELONEFRITIS
•COLECISTITIS•PANCREATITIS
•ENFERMEDAD ACIDO PEPTICA
![Page 13: Sx hellp dr bocarejo](https://reader034.fdocumentos.com/reader034/viewer/2022042522/559bf14a1a28ab18428b45b7/html5/thumbnails/13.jpg)
CARDIORESPIRATORIAS Edema de pulmón, derrame pleural, síndrome del distrés respiratorio del adulto
RENALES Insuficiencia renal aguda
HEPATICAS Infarto, hemorragia, hematomasubcapsular, insuficiencia hepática
COAGULACION Coagulación intravasculardiseminada, necesidad de trasfusión de derivados sanguíneos
NEUROLOGICAS Isquemia, edema cerebral,hemorragia, eclampsia
![Page 14: Sx hellp dr bocarejo](https://reader034.fdocumentos.com/reader034/viewer/2022042522/559bf14a1a28ab18428b45b7/html5/thumbnails/14.jpg)
ABRUPTIO PLACENTA
MAYOR TIEMPO TRAFICO ANTICUERPOS Y CID FETAL
ACIDOSIS INTRAUTERINA Q DETERIORA EL SULFACTANTE
DISTRESS FETAL INTRAUTERINO
![Page 15: Sx hellp dr bocarejo](https://reader034.fdocumentos.com/reader034/viewer/2022042522/559bf14a1a28ab18428b45b7/html5/thumbnails/15.jpg)
CLASE 1
SOPORTE HEMODINAMICO
COMPONENTES SANGUINEOS
TERMINACION EMBARAZO
![Page 16: Sx hellp dr bocarejo](https://reader034.fdocumentos.com/reader034/viewer/2022042522/559bf14a1a28ab18428b45b7/html5/thumbnails/16.jpg)
CLASE 2 SI EMPEORA
PUEDEN RECIBIR MADURACION
PULMONAR
![Page 17: Sx hellp dr bocarejo](https://reader034.fdocumentos.com/reader034/viewer/2022042522/559bf14a1a28ab18428b45b7/html5/thumbnails/17.jpg)
CLASE 3PERFIL COMPLETO
DE COAGULACION
SI EL CUADRO CID
ES EVIDENTETODAS
SULFATO MG
![Page 18: Sx hellp dr bocarejo](https://reader034.fdocumentos.com/reader034/viewer/2022042522/559bf14a1a28ab18428b45b7/html5/thumbnails/18.jpg)
MORTALIDAD 10%
ECLAMPSIA
DISFUNCION VENTRICULAR
SEPSIS
GASES ARTERIALES
CONTROL LA-LE
RX TORAX
OXIMETRIA
OXIGENO
CSV C/30-1 H
FONDO DE OJOELECTROCARDIOGRAMA
![Page 19: Sx hellp dr bocarejo](https://reader034.fdocumentos.com/reader034/viewer/2022042522/559bf14a1a28ab18428b45b7/html5/thumbnails/19.jpg)
![Page 20: Sx hellp dr bocarejo](https://reader034.fdocumentos.com/reader034/viewer/2022042522/559bf14a1a28ab18428b45b7/html5/thumbnails/20.jpg)
EDEMA DE LAS CELULAS ENDOTELIALES DEL
GLOMERULO CON DEPOSITOS DE FIBRINA
ENDOTELIOSIS CAPILAR GLOMERULAR
TUMEFACCION
DISM. PERFUSION Y FILTRACION GLOMERULAR
CREATININA, AC, URICO Y PROTEINURIA
![Page 21: Sx hellp dr bocarejo](https://reader034.fdocumentos.com/reader034/viewer/2022042522/559bf14a1a28ab18428b45b7/html5/thumbnails/21.jpg)
![Page 22: Sx hellp dr bocarejo](https://reader034.fdocumentos.com/reader034/viewer/2022042522/559bf14a1a28ab18428b45b7/html5/thumbnails/22.jpg)
CONGESTION HEPATICA PASIVA CRONICA
NECROSIS HEMORRAGICA PERIPORTAL
HEMATOMA SUBCAPSULAR
RUPTURA HEPATICA
![Page 23: Sx hellp dr bocarejo](https://reader034.fdocumentos.com/reader034/viewer/2022042522/559bf14a1a28ab18428b45b7/html5/thumbnails/23.jpg)
AUTOREGULACION----------55ml/min/100gr
TA SALIDA DE PLASMA Y G.R.
CONVULSION
![Page 24: Sx hellp dr bocarejo](https://reader034.fdocumentos.com/reader034/viewer/2022042522/559bf14a1a28ab18428b45b7/html5/thumbnails/24.jpg)
LESIONES NECROTICAS, FIBROIDESDE LAS ART DE LA PLACENTA
ARTERIOLITIS DEGENERATIVA DE LAS ARTERIAS ESPIRALES DE LA DECIDUA
DISM. FLUJO UTEROPLACENTARIO
DEGENERACION RAPIDA DEL SINCITIOBLOQUES DE FIBRINATROMBOSIS INTERVELLOSAINFARTOS PLACENTARIOS
![Page 25: Sx hellp dr bocarejo](https://reader034.fdocumentos.com/reader034/viewer/2022042522/559bf14a1a28ab18428b45b7/html5/thumbnails/25.jpg)
• INSUFICIENCIA PLACENTARIA
•ALT. HORMONAL
•RCIU O MUERTE INTRAUTERINA
•ABRUPTIO DE PLACENTA
![Page 26: Sx hellp dr bocarejo](https://reader034.fdocumentos.com/reader034/viewer/2022042522/559bf14a1a28ab18428b45b7/html5/thumbnails/26.jpg)
UCI
OXIGENO
CABECERA ELEVADA
CONTROL LA-LE
DIURETICOS
![Page 27: Sx hellp dr bocarejo](https://reader034.fdocumentos.com/reader034/viewer/2022042522/559bf14a1a28ab18428b45b7/html5/thumbnails/27.jpg)
ESTRECHAMIENTOS FOCALES ARTERIOLARESQUE SE GENERALIZAN
EXUDADOS
ALGODONOSOS
HEMORRAGIAS
PAPILEDEMA
ANGIOGRAFÍA FLUORESCEÍNICA
![Page 28: Sx hellp dr bocarejo](https://reader034.fdocumentos.com/reader034/viewer/2022042522/559bf14a1a28ab18428b45b7/html5/thumbnails/28.jpg)