Frecuencia del shock hipovolémico de tipo hemorrágico en el servicio de emergencia del Hospital Vicente Corral Moscoso en el año 2016

Abstract

Background: hypovolemic shock is a complication that occurs in patients with acute hemorrhage. This type of shock is the secound most frequent type, with a percentage of 16%, so it’s important to know its main causes, it clinical signs and to establish an adequate treatment to get a greater survival of patients. General Objective: to determinate the frequency of haemorrhagic hipovolemic shock and its main etiologies in patients over 18 years old who were attend in emergency service of Vicente Corral Moscoso Hospital in the 2016. Methodology: a restrospective cross-sectional descriptive study was used with the data from the clinical history of patients diagnosed with hypovolemic hemorrhagic shock at the emergency service of the Vicente Corral Moscoso Hospital during 2016, after wich a database was created an analyzed and interpreted thorugh the programs SPSS 15.0 and Office Excel 2013 to finally present the data using tables and graphs. Results: the present study had 257 patients, showing that the main hypovolemic shock cause was obstetric haemorrhage (44,4%), followed by clinical bleeding (30,3%) and finally the surgical bleeding (25,3%). The most affected sex was female (61,5%), and the most affected age group was 18 to 24 years old (27,6%). The gynaeco-obstetrical most frequent cause was incomplete abortion (42,7%), the clinical most frequent cause was the non-variceal upper gastrointestinal bleeding (69%), and the surgical most frequent cause were the abdominal and chest penetrating trauma (16,9% each)