{"id":2017,"date":"2010-02-10T19:45:00","date_gmt":"2010-02-11T01:45:00","guid":{"rendered":"http:\/\/medicinainterna.com.mx\/2010\/02\/10\/valoracion-clinica-de-la-hemorragia-digestiva"},"modified":"2010-02-10T19:45:00","modified_gmt":"2010-02-11T01:45:00","slug":"valoracion-clinica-de-la-hemorragia-digestiva","status":"publish","type":"post","link":"https:\/\/medicinainterna.com.mx\/?p=2017","title":{"rendered":"Valoraci\u00f3n cl\u00ednica de la hemorragia digestiva."},"content":{"rendered":"<h5>\u00a0<\/h5>\n<h5><\/h5>\n<table border=\"1\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td>\n<p>Gravedad <\/p>\n<\/td>\n<td>\n<p>Datos cl\u00ednicos <\/p>\n<\/td>\n<td>\n<p>Disminuci\u00f3n de volemia<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p>Leve <\/p>\n<\/td>\n<td>\n<p>Asintom\u00e1tica <\/p>\n<\/td>\n<td>\n<p>10% (500 ml)<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p>Moderada <\/p>\n<\/td>\n<td>\n<p>TAS&gt; 100 mm Hg            <br \/>Pulso &lt; 100 lpm             <br \/>Ligera vasoconstricci\u00f3n perif\u00e9rica\u00a0 <br \/>Tilt-test &#8211; <\/p>\n<\/td>\n<td>\n<p>10-25% (500-1250 ml)<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p>Grave <\/p>\n<\/td>\n<td>\n<p>TAS&lt; 100 mm Hg            <br \/>Pulso 100- 120 lpm             <br \/>Evidente vasoconstricci\u00f3n perif\u00e9rica             <br \/>Tilt-test + <\/p>\n<\/td>\n<td>\n<p>25-35% (1250-1750 ml)<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p>Masiva <\/p>\n<\/td>\n<td>\n<p>TAS&lt; 70 mm Hg            <br \/>Pulso &gt; 120 lpm             <br \/>Intensa vasoconstricci\u00f3n perif\u00e9rica             <br \/>Shock <\/p>\n<\/td>\n<td>\n<p>35-50% (1750-2500 ml)<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p>TAS: presi\u00f3n arterial sist\u00f3lica; Tilt-test: positivo si al adoptar el ortostatismo desde dec\u00fabito aumenta &gt;=20 pulsaciones la frecuencia cardiaca o disminuye &gt;=20 mm Hg la TAS.<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Fuente: Navarro A. Hemorragia digestiva. En: Ginestal RJ. Cuidados Intensivos. ELA. Madrid 1991; 899- 906<\/p>\n<div class=\"blogger-post-footer\"><img width='1' height='1' src='https:\/\/blogger.googleusercontent.com\/tracker\/3335219593278186444-3224836490724678006?l=www.medinterna.com.mx' alt='' \/><\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u00a0 Gravedad Datos cl\u00ednicos Disminuci\u00f3n de volemia Leve Asintom\u00e1tica 10% (500 ml) Moderada TAS&gt; 100 mm Hg Pulso &lt; 100 lpm Ligera vasoconstricci\u00f3n perif\u00e9rica\u00a0 Tilt-test &#8211; 10-25% (500-1250 ml) Grave TAS&lt; 100 mm Hg Pulso 100- 120 lpm Evidente vasoconstricci\u00f3n perif\u00e9rica Tilt-test + 25-35% (1250-1750 ml) Masiva TAS&lt; 70 mm Hg Pulso &gt; 120 lpm &hellip; <a href=\"https:\/\/medicinainterna.com.mx\/?p=2017\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;Valoraci\u00f3n cl\u00ednica de la hemorragia digestiva.&#8221;<\/span><\/a><\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[6],"tags":[],"class_list":["post-2017","post","type-post","status-publish","format-standard","hentry","category-gastroenterologia"],"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/posts\/2017","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2017"}],"version-history":[{"count":0,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=\/wp\/v2\/posts\/2017\/revisions"}],"wp:attachment":[{"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2017"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2017"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicinainterna.com.mx\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2017"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}