<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2521-2281</journal-id>
<journal-title><![CDATA[Medicina clínica y social]]></journal-title>
<abbrev-journal-title><![CDATA[Med. clín. soc.]]></abbrev-journal-title>
<issn>2521-2281</issn>
<publisher>
<publisher-name><![CDATA[Facultad de Ciencias Médicas, Filial de Santa Rosa del Aguaray, Cátedra de Socioantropología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2521-22812023000200048</article-id>
<article-id pub-id-type="doi">10.52379/mcs.v7i2.277</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Manejo de traumatismo esplénico en el Hospital Nacional de Itauguá]]></article-title>
<article-title xml:lang="en"><![CDATA[Management of splenic trauma at the Hospital Nacional de Itauguá]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Acosta-Brunaga]]></surname>
<given-names><![CDATA[Diosnel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Nacional de Itauguá Servicio de Urgencias Adultos ]]></institution>
<addr-line><![CDATA[Itauguá ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2023</year>
</pub-date>
<volume>7</volume>
<numero>2</numero>
<fpage>48</fpage>
<lpage>51</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2521-22812023000200048&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2521-22812023000200048&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2521-22812023000200048&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: El bazo es el órgano más afectado en el traumatismo cerrado de abdomen en el adulto. El traumatismo esplénico puede ser por lesiones no penetrantes (cerrado) o por lesiones penetrantes. Las pruebas de imagen más útiles a la hora de evaluar el trauma esplénico son la ecografía de evaluación enfocada para traumatismo (FATS, por sus siglas en inglés) y la tomografía computarizada (TC).  Objetivo:  describir el manejo del traumatismo esplénico en el Hospital Nacional de Itauguá.  Metodología:  Se trata de un estudio observacional, descriptivo de serie de casos en el cual se incluyó a pacientes adultos con diagnóstico de traumatismo esplénico que fueron atendidos en la urgencia de adultos del Hospital Nacional de Itauguá entre enero de 2018 y enero de 2020. Se incluyó a la totalidad de los pacientes atendidos y no se excluyó a ninguno. Las variables que se estudiaron fueron sexo, edad, tipo de trauma, mecanismo de trauma, hemodinamia, imagenología (FATS y TC), grado de la lesión (I al V), cirugía de urgencias, cirugía realizada, tratamiento no operatorio, éxito del tratamiento, días de internación, óbito y lesiones asociadas.  Resultados: Se presenta una serie de 10 casos, todos son del sexo masculino y cuya edad tiene una media de 30,7 ± 10,58 años. En todos los casos el trauma fue cerrado. El mecanismo del trauma fue accidente con motocicleta en el 80 %. En cuanto a la hemodinamia el 80 % estuvo estable, el 100 % se realizó la FACTS y el 80 % la TC. El grado más frecuente fue el grado IV con 40 %.  Discusión:  el manejo del trauma esplénico ha cambiado a lo largo del tiempo, actualmente se busca un manejo no quirúrgico, sin embargo, esto depende de las condiciones del paciente.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: The spleen is the most affected organ in blunt trauma to the abdomen in the adult. Splenic trauma can be due to non-penetrating (blunt) or penetrating injuries. The most useful imaging tests when evaluating splenic trauma are focused assessment sonography for trauma (FATS) and computed tomography (CT).  Objective: to describe the management of splenic trauma at the Hospital Nacional de Itauguá.  Methodology:  this is an observational, descriptive case series study in which adult patients with a diagnosis of splenic trauma who were seen in the adult emergency department of the Hospital Nacional de Itauguá between January 2018 and January 2020 were included. All patients attended were included and none were excluded. The variables studied were sex, age, type of trauma, mechanism of trauma, hemodynamics, imaging (FATS and CT), grade of injury (I to V), emergency surgery, surgery performed, non-operative treatment, treatment success, days of hospitalization, death and associated injuries.  Results:  We present a series of 10 cases, all of them male, with a mean age of 30.7 ± 10.58 years. In all cases the trauma was blunt. The mechanism of trauma was motorcycle accident in 80 %. Regarding hemodynamics, 80% were stable, 100% underwent FACTS and 80% underwent CT. The most frequent grade was grade IV with 40%.  Discussion:  the management of splenic trauma has changed over time, currently non-surgical management is sought, however, this depends on the patient's conditions.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[cirugía]]></kwd>
<kwd lng="es"><![CDATA[trauma]]></kwd>
<kwd lng="es"><![CDATA[bazo]]></kwd>
<kwd lng="es"><![CDATA[trauma esplénico]]></kwd>
<kwd lng="es"><![CDATA[esplenectomía]]></kwd>
<kwd lng="en"><![CDATA[surgery]]></kwd>
<kwd lng="en"><![CDATA[trauma]]></kwd>
<kwd lng="en"><![CDATA[spleen]]></kwd>
<kwd lng="en"><![CDATA[splenic trauma]]></kwd>
<kwd lng="en"><![CDATA[splenectomy]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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