Browsing by Author "Quizhpi Lazo, Julia Marcela"

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    Manejo quirúrgico del secuestro pulmonar complicado. Informe de un caso.
    (2019) Ayala Yunga, Jonathan Alfredo; Quizhpi Lazo, Julia Marcela; Crespo Guillen, Mauro Rogelio; Salamea Molina, Juan Carlos; Endis Miranda, Miurkis
    Introduction: pulmonary sequestration is a rare disease in adulthood; its highest incidence is in early stages of life. It is accompanied by repeated or severe chronic lung infections, and may be associated with congenital malformations. The diagnosis is based on the detection of anomalous irrigation through a vessel of the systemic circulation.This case allows us to propose a differential diagnosis in patients of adulthood, even when it is pathology with higher incidence in children and young people, and guide the management according to this diagnostic possibility.Clinical case: female patient, 19 years old, with a history of asthma and respiratory infections after a month of evolution. The patient was admitted with respiratory distress, fever and productive cough.A tomography and chest X-ray are performed; that show images compatible with collection in the left pulmonary field and pleural effusion. BAAR is performed in sputum with a negative result for tuberculosis.Posterolateral left thoracotomy is performed, left lower lobe resection, and pleural drain is placed. Pulmonary abscess is identified in the left lower lobe, and findings of anatomical pulmonary sequestration. Patient presents positive evolution; The clinical and radiographic control in the immediate and intermediate postoperative period was satisfactory.Conclusion: we present the case of adulthood, where an adequate diagnosis and multidisciplinary management allows a satisfactory evolution of the patient.
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    Prevalencia de mortalidad y factores asociados en pacientes con diagnóstico de trauma de tórax y abdomen moderado y severo, ingresados al servicio de emergencia del Hospital Vicente Corral Moscoso. Cuenca, periodo 2016 – 2018
    (Universidad de Cuenca, 2021-05-13) Quizhpi Lazo, Julia Marcela; Reinoso Naranjo, Jeovanni Homero
    Introduction: in Ecuador, deaths due to accidental trauma are the leading cause of death in patients of productive age. In HVCM, this is traffic accidents. There are no data that characterize the mortality of trauma in order to the associated factors that can cause serious injuries, alter the quality of life, or cause the death of the patient. Objective: To determine the prevalence of mortality and factors associated with moderate and severe trauma to the chest and abdomen, admitted to the Vicente Corral Moscoso hospital. Cuenca, period 2016 - 2018. Materials and Methods: Cross-sectional analytical study, data were collected from medical records with a diagnosis of chest and abdomen trauma, from January 2016 to December 2018. Results: Mortality was 18.9%; men aged 18-29 with 48.3%, victims of traffic accidents (PR = 4.24; p = 0.001), tachycardia (PR = 2.7 p = 0.027), hypotensive (PR = 5.05 p = <0.001), with severe ISS (PR = 7.1 p = 0.000). DCS and whole blood transfusion were associated with higher mortality. Trauma location is not a risk factor. Conclusions: the highest prevalence is in male patients, of productive age; hemodynamic instability, severity of trauma, traffic accidents, determine its prognosis and mortality; We consider that the treatments received have a greater tendency to mortality, this due to causes other than trauma, without being associated with mortality in these specific cases.