Examinando por Materia "Clinical management"

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    Results of care in severe preeclampsia in two clinical cases treated at the Hospital San Juan de Lurigancho 2017 and 2019
    (Universidad Privada Norbert Wiener, 2021-10-10) Huamaní De la Cruz, Rosa Elena; Tapia Nuñez, Walter Enrique
    This study analyzes two clinical cases of severe preeclampsia attended at the San Juan de Lurigancho Hospital. The cases involve two patients treated in the emergency department, intensive care unit, and high-risk obstetric hospitalization unit, both presenting similar risk factors for severe preeclampsia but with different outcomes at discharge. The first case is a 24-year-old primigravida at 35 weeks of pregnancy with insufficient prenatal care, hypertension, headache, blurred vision, and thrombocytopenia. Despite the absence of clinical signs of placental abruption, a gynecological ultrasound revealed a villous lake, leading to surgery due to fetal bradycardia, which resulted in fetal demise. The second case is a 17-year-old primigravida at 33 4/7 weeks of pregnancy with no prenatal care, presenting with hypertension, vulvar edema, thrombocytopenia, hypoalbuminemia, and hypocalcemia, resulting in a live birth. Both cases ended in cesarean sections, with hospital stays of 10 and 7 days, respectively, before discharge. This study aims to compare the outcomes of severe preeclampsia management in these two clinical cases and includes a review of national and international literature on the subject.