Tratamiento médico-quirúrgico de las hemorragias intraparenquimatosas espontáneas lobares supratentoriales

Authors

Abstract

Introducción: la hemorragia intracerebral espontánea es un problema de salud para la humanidad. No obstante los grandes esfuerzos realizados en el campo de la investigación y la terapéutica, su manejo constituye un dilema para la comunidad médica internacional.

Objetivo: evaluar la eficacia del tratamiento quirúrgico de las hemorragias intracerebrales espontáneas lobares supratentoriales.

Método: se realizó un cuasiexperimento con grupo control en el Hospital General Docente de Morón, provincia Ciego de Ávila, entre marzo de 2014 y septiembre de 2017. Se crearon dos grupos, seleccionados sin emparejamiento e intencionalmente según criterios quirúrgicos internacionales. La población en estudio quedó conformada por 42 pacientes: 24 (57,14 %) en el grupo I que recibió tratamiento médico, y 18 en el II (48,86 %), operados mediante craniectomía descompresiva. La prueba de independencia chi cuadrado se utilizó para evaluar la hipótesis (significativos los valores de p ≤0,05). Se cumplieron las pautas éticas.

Resultados: en el grupo I predominó el grupo de edades de 60 y más años (61,53 %) y en el II, el de 30 a 49 años (50,00 %). La hipertensión arterial como factor de riesgo se presentó en 41,66 % del grupo I y en 38,88 % del II. Sobrevivieron a los seis meses del egreso 54,76 % de los pacientes y fallecieron 45,24 %. Los resultados estadísticamente no fueron significativos por la poca casuística del estudio.

Conclusiones: el tratamiento quirúrgico no presentó un nivel de evidencia estadística significativa en cuanto a la disminución de la mortalidad en comparación con el tratamiento médico.

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Author Biography

Miguel de Jesus Mazorra Pazos, Hospital General Moron

Jefe servicio Provincial Neurocirugia

especialista Neurocirugia

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Published

2019-06-14

How to Cite

1.
Pazos M de JM, Lacerda-Gallardo Ángel J, Torrecilla-Díaz R. Tratamiento médico-quirúrgico de las hemorragias intraparenquimatosas espontáneas lobares supratentoriales. Mediciego [Internet]. 2019 Jun. 14 [cited 2024 Dec. 18];26(1):e1660. Available from: https://revmediciego.sld.cu/index.php/mediciego/article/view/1060

Issue

Vol. 26 No. 1 (2020)

Section

Original article

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