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Tromboembolismo pulmonar
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Transcript of Tromboembolismo pulmonar
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Tromboembolismo Tromboembolismo pulmonarpulmonar
Gallo, Agustina
Julio 2012
HIGA EVA PERON
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• Oclusión canal arterial pulmonar 95%
• Trombo proviene de los MMII (TVP)
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Hallazgos inespecíficos en la Rx de TX
• Derrame pleural
• Atelectasias
• Elevación del hemidiafragma
• Infiltrados Pulmonares
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Hallazgos Específicos
• Joroba de Hampton
• Signo de Westermark
• Signo de Palla
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Centellograma V/Q
• Sensible pero poco especifico
• Solo 1/3 de pactes con defectos de la perfusión tienen TEP
• Utiliza radio fármacos Tc99
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MIS MATCHED!
+ TEP: VENTILACION ES NORMAL
PERFUSION ES PATOLOGICA
1 MIS MATCHED: prevalencia TEP mayor al 80%
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ANGIO RM
• Requiere de tiempo de examen mas largos
• No es pacte ideal para RM
• No evalúa alteración en el parénquima pulmonar
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ANGIOGRAFIA
• Fue el Gold Standard
• Hoy esa fx la cumple la AngioTC x TCMS
• Solo de reserva en pactes en los cuales los métodos no invasivos no llegan al Dx.
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TCMD
• 1er modalidad Dx
• Evalúa: estructura vascular, parénquima pulmonar, dx de patologías no TEP (disección Aortica, Neumonìas..)
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CRITERIOS DIAGNOSTICOS
Hallazgos vasculares: visualizar el embolo( defecto de relleno, oclusión completa, ligero aumento del diámetro)
Hallazgos parenquimatosos: Infarto Pulmonar( J de Hampton 10%) hemorragia pulmonar (rodea al infarto, y desaparece rápidamente)
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