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MANEJO MEDICO DE LAS COMPLICACIONES HEMORRAGICAS EN CUIDADOS PALIATIVOS ONCOLOGICOS

(especial para SIIC © Derechos reservados)
Las neoplasias pueden alterar el equilibrio hemostásico predisponiendo a la trombosis o a fenómenos hemorrágicos. Se describen las medidas terapéuticas para estos pacientes, así como sus indicaciones, complicaciones y aspectos prácticos.
ucedatorres9.jpg Autor:
María elena Uceda torres
Columnista Experto de SIIC

Institución:
U.G.C Molino de la Vega

Artículos publicados por María elena Uceda torres
Coautores
Juan Nicolás Rodríguez Rodríguez* Ana Cristina Rodríguez Rodríguez** 
Doctor en Medicina, Especialista en Hematología y Hemoterapia, U.G.C. Hematología. Hospital "Juan Ramón Jiménez", Huelva, España*
Licenciada en Medicina y Cirugía, Especialista en Medicina Familiar y Comunitaria, Centro de Salud de Arriondas, Asturias, España**
Recepción del artículo
9 de Abril, 2010 		Aprobación
15 de Abril, 2010
Primera edición
30 de Junio, 2010 		Segunda edición, ampliada y corregida
7 de Junio, 2021

MANEJO MEDICO DE LAS COMPLICACIONES HEMORRAGICAS EN CUIDADOS PALIATIVOS ONCOLOGICOS

Resumen
Las neoplasias son ampliamente reconocidas como entidades capaces de alterar el equilibrio hemostásico del organismo predisponiendo fundamentalmente a la trombosis, aunque también pueden generarse fenómenos hemorrágicos. Este hecho obliga a los equipos de cuidados paliativos a realizar en ocasiones el diagnóstico y tratamiento de estas últimas eventualidades. El presente trabajo realiza primeramente una revisión de la fisiopatología de los fenómenos hemorrágicos en relación con los procesos tumorales y, posteriormente, de las medidas médicas disponibles destinadas al tratamiento de dichos fenómenos y que incluyen: antifibrinolíticos, transfusión de plaquetas, vitamina K, transfusión de plasma fresco congelado, factores específicos, concentrado de factores del complejo protrombínico o factor VII recombinante activado, con especial énfasis en sus indicaciones, complicaciones, problemas en el manejo y aspectos prácticos en este tipo de pacientes.

Palabras clave
hemorragia, hemorragia, cáncer, cáncer, neoplasias, neoplasias, cuidados paliativos, cuidados paliativos, tratamiento, tratamiento


Artículo completo
(castellano)
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Exclusivo para suscriptores/assinantes

Medical Management of Hemorrhagic Complications in Palliative Care of Cancer Patients

Abstract
Neoplasms are widely recognized as circumstances that can produce an imbalance in the hemostatic equilibrium of the organism leading mainly to thrombosis, although a hemorrhagic process can also be produced. This latter circumstance means that palliative care units must face an eventual diagnosis and treatment of these hemorrhagic episodes. This paper performs both a review of the physiopathology of hemorrhages in cancer patients, and a review of which currently available medical measures can be used to treat these complications. These:include: antifibrinolytic agents, platelet transfusion, vitamin K, fresh frozen plasma transfusion, administration of specific clotting factors, prothrombin complex concentrates, and recombinant activated factor VII, with special emphasis on their indications, related complications, problems in application and practical aspects in this type of patients.

Key words
hemorrhage, hemorrhage, cancer, cancer, neoplasms, neoplasms, palliative care, palliative care treatment, treatment

Clasificación en siicsalud
Artículos originales > Expertos de Iberoamérica >
página   www.siicsalud.com/des/expertocompleto.php/

Especialidades
Principal: Hematología, Oncología
Relacionadas: Atención Primaria, Bioética, Bioquímica, Cirugía, Diagnóstico por Laboratorio, Educación Médica, Emergentología, Enfermería, Farmacología, Geriatría, Medicina Familiar, Medicina Farmacéutica, Medicina Interna



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Enviar correspondencia a:
María Elena Uceda Torres, U.G.C Molino de la Vega, 21003, Paseo de Santa Fe nº 8, 5º A, Huelva, España
Bibliografía del artículo


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