Abstract

MALDONADO CORONEL, Fausto Vinicio et al. Hemorragia subaracnoidea aneurismática en la unidad de cuidados intensivos del Hospital Luis Vernaza, Guayaquil, Ecuador. Rev Eug Esp [online]. 2019, vol.13, n.1, pp.19-27. ISSN 2661-6742.  https://doi.org/10.37135/ee.004.06.02.

Subarachnoid hemorrhage can be caused by a traumatic brain injury or when the so called aneurysm (defect in the structure of the wall of a blood vessel) ruptures causing blood flow in the subarachnoid space. Based on this, it was developed a study with a mixed approach, of a non experimental, descriptive, longitudinal, prospective type in order to describe aneurysmal subarachnoid hemorrhage in patients treated in the intensive care unit of Luis Vernaza Hospital, in the city of Santiago de Guayaquil, Ecuador, during the period from January to September 2016. The study population was constituted by 31 patients diagnosed with aneurysmal subarachnoid hemorrhage and treated at the service mentioned above. The results were: 24 of the 31 patients were female, more than 90% of the study population were over 40 years of age. The posterior communicating artery was the most affected in the patients representing 32.26%, 58.33% of the cases had cerebral involvement with different degrees of involvement, 38.71% of the patients developed late cerebral ischemia. A statistically significant relationship was established between this last complication and the administration of tranexamic acid as part of the treatment to avoid rebleeding, which occurred only in 16.13% of the participating patients.

Keywords : Brain ischemia; Subarachnoid Hemorrhage; Vasospasm; Intracranial; Tranexamic Acid.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )