neumotorax
TRANSCRIPT
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NEUMOTORAX
DR. EFREN FONG
MEDICINA INTERNA
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NEUMOTORAX
1803
Itard
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DEFINICION
Presencia de aire
en espacio pleural
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ETIOLOGIA
Espontáneo
Traumático
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ETIOLOGIA :ESPONTANEO
Fibrosis intersticial
Enfisema
Tuberculosis
Neoplasias
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FISIOPATOLOGIA
Disminuye ventilación
Mantiene perfusión
-pO2 +pCO2
Vasoconstricción
pulmonar
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CUADRO CLINICO:INTERROGATORIO
Dolor torácico
Tos seca
Disnea en aumento
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CUADRO CLINICO: EXPLORACION
Disminución de
movilidad
Timpanismo
Ausencia V-V
Murmullo Vesicular
abolido
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CUADRO CLINICO: EXPLORACION
Enfisema subcutáneo
Abombamiento del
lado afectado.
Insuficiencia
respiratoria
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DIAGNOSTICO GABINETE
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TRATAMIENTO: NO COMPLICADO
Si es menor 10%:
Reposo relativo
Analgesia
Ingreso
Control Rx a las12hrs.
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TRATAMIENTO: NO COMPLICADO
Si es mayor 10%:
Drenaje pleural
Analgesia
Ingreso
Gasometría
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TRATAMIENTO: COMPLICADO
O2
Monitoreo
Drenaje pleural
Analgesia
Tratar complicaciones
Control gasométrico
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TRATAMIENTO: RECIDIVANTE
2o
Drenaje pleural
Cirugía electiva
3er.
Cirugía electiva
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CATETER DE DRENAJE PLEURAL
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CATETER DE DRENAJE PLEURAL
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CATETER DE DRENAJE PLEURAL
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VALVULA DE DRENAJE PLEURAL