INCIDENCIA DE ISQUEMIA CEREBRAL TARDÍA SECUNDARIA A HEMORRAGIA SUBARACNOIDEA ANEURISMÁTICA EN EL ÁREA DE CUIDADOS INTENSIVOS DEL HOSPITAL LUIS VERNAZA DE LA CIUDAD DE GUAYAQUIL DURANTE EL PERIODO ENERO– SEPTIEMBRE 2016.

Abstract

Subarachnoid hemorrhage is produced when a blood vessel with a defect in the structure of the wall called the aneurysm ruptures producing blood flow in the subarachnoid space, from which the name of the clinical picture is obtained, the presence of blood in the areas of the brain Causes the onset of an inflammatory cascade that can cause ischemia and cerebral infarctions. It was proposed as a general objective: To determine the incidence of late cerebral ischemia secondary to aneurysmal subarachnoid hemorrhage in the Intensive Care area of the Luis Vernaza Hospital of the City of Guayaquil Ecuador during the January - September 2016 period. The present investigation is a type study Prosective and longitudinal observational study, and a field investigation was carried out in the area of Intensive Care of the Luis Vernaza Hospital located in Loja No. 700 and Escobedo for people who presented with subarachnoid hemorrhage being studied during their stay in the hospital especially during the first 72 Hours after the initial break. A total of 31 patients were studied, of whom 12 developed late cerebral ischemia of which there was a mortality of 25% equivalent to a total of 3 deceased patients. The study did not establish a direct relationship between late cerebral ischemia and vasospasm. A very important dimension is that 75% of the patients who were given tranexamic acid developed CBT. In this way it is concluded that the antifibronilitic studied is a possible risk factor for the development of the Late Cerebral Ischemia in patients with subarachnoid hemorrhage, and it could be studied later in other papers.