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2018, Número 1

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Med Crit 2018; 32 (1)


Alteraciones de la hemostasia en el enfermo con quemaduras

Carrillo ER, Tamez CA, Garnica EMA, Sánchez PH, Carrillo CDM, Carrillo CCA

Idioma: Español
Referencias bibliográficas: 46
Paginas: 41-47
Archivo PDF: 159.52 Kb.


RESUMEN

Las quemaduras graves se asocian a coagulopatía, que semeja a la que se presenta en trauma y sepsis. Se caracteriza por un desbalance procoagulante-anticoagulante e hiperactividad del sistema fibrinolítico. Es secundaria a hemodilución, hipotermia, inflamación, hipoperfusión tisular y lesión endotelial. La presencia de coagulopatía es un factor de riesgo en el incremento de morbimortalidad. A pesar de estar bien reconocida, no hay guías específicas para su abordaje y tratamiento, pero se han propuesto diferentes medidas y esquemas terapéuticos guiados por objetivos, semejantes a los recomendados para la coagulopatía en trauma.


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