{"id":54194,"date":"2023-04-29T23:31:41","date_gmt":"2023-04-30T04:31:41","guid":{"rendered":"http:\/\/toroestoro.com\/?p=54194"},"modified":"2023-04-30T09:36:24","modified_gmt":"2023-04-30T14:36:24","slug":"parte-medico-de-arturo-saldivar","status":"publish","type":"post","link":"http:\/\/toroestoro.com\/?p=54194","title":{"rendered":"Parte M\u00e9dico de Arturo Mac\u00edas"},"content":{"rendered":"

<\/h2>

PACIENTE:<\/span> MAC\u00cdAS LOPEZ<\/span> ARTURO<\/span>
EDAD:<\/span> 40<\/span> A\u00d1OS<\/span><\/p>\n


Torero el cual en el tercer tercio del primer toro de la lidia ordinaria sufre Herida penetrante de T\u00f3rax a<\/span> nivel<\/span>
sub<\/span>axilar derecha en<\/span> l\u00ednea<\/span> axilar<\/span> posterior por cuerno de toro, Neumot\u00f3rax derecho secundario a contusi\u00f3n<\/span>
pulmonar derecha.<\/span><\/p>\n

Paciente el cual es valorado, estabilizado en la enfermer\u00eda y trasladado al Hospital Mac Sur de<\/span>
Aguascalientes.<\/span><\/p>\n

En urgencia<\/span>s del Hospital se realiza TAC de T\u00f3rax donde se demuestra neumot\u00f3rax, as\u00ed como contusi\u00f3n<\/span>
pulmonar derecha, por lo que es ingresado a quir\u00f3fano.<\/span><\/p>\n


Bajo anestesia general se realiza exploraci\u00f3n, encontr\u00e1ndose<\/span> herida<\/span> a nivel<\/span> sub<\/span>axilar<\/span> derecho<\/span> de 8cm de <\/span>longitud con<\/span> 3<\/span> cm de<\/span> ancho que<\/span> involucra tres trayectos el primero hacia<\/span> la regi\u00f3n<\/span> anterior<\/span> disecando <\/span>m\u00fasculos pectorales mayor y menor de10 cm<\/span> de lon<\/span>gitud, el<\/span> segundo<\/span> trayecto<\/span> hacia regi\u00f3n posterior<\/span> con <\/span>disecci\u00f3n<\/span> del<\/span> m\u00fasculo dorsal<\/span> de<\/span> 8cm y<\/span> la 3a directa<\/span> hacia<\/span> la cavidad tor\u00e1cica a nivel de 2<\/span> y<\/span> 3er<\/span> arcos<\/span> costales <\/span>ocasionando ruptura pleural<\/span> y laceraci\u00f3n del segmento anterior<\/span> del l\u00f3bulo<\/span> superior<\/span> derecho<\/span>.<\/span><\/p>\n

Se realiza lavado <\/span>exhaustivo<\/span> de la<\/span> zona afectada<\/span> con<\/span> soluci\u00f3n<\/span> de microdacyn, se repara laceraci\u00f3n<\/span> su<\/span> surgete<\/span> continuo<\/span> de <\/span>monocryl 4<\/span>–<\/span>0.<\/span> Se verifica<\/span> hemostasia,<\/span> as\u00ed<\/span> como ausencia<\/span> de<\/span> fugas.<\/span> Se<\/span> realiza<\/span> lavado<\/span> de<\/span> cavidad<\/span> tor\u00e1cica.<\/span><\/p>\n

Se <\/span>coloca sonda<\/span> endopleural<\/span> tipo<\/span> kardispira de<\/span> 24Fr<\/span> a nivel<\/span> de<\/span> 5t<\/span>o<\/span>.<\/span> espacio<\/span> intercostal<\/span> l\u00ednea<\/span> axilar anterior el <\/span>cual<\/span> se extrae por<\/span> contra abertura<\/span>.<\/span> Cierre<\/span> por<\/span> planos<\/span> de<\/span> cavidad<\/span> tor\u00e1cica<\/span> con<\/span> vicryl<\/span> del<\/span> 1<\/span> y<\/span> 3<\/span> O.<\/span> Cierre<\/span> de<\/span> piel<\/span>
con<\/span> monocryl<\/span> 3<\/span>–<\/span>0.<\/span> Se<\/span> conec<\/span>ta<\/span> sonda<\/span> endopleural<\/span> a<\/span> succi\u00f3n verificando adecuado funcionamiento<\/span>.<\/span> Se cubre<\/span>
herida<\/span> y<\/span> se<\/span> da por<\/span> terminado el<\/span> p<\/span>rocedimiento quir\u00fargico<\/span>.<\/span><\/p>\n

OBSERVACIONES:<\/span> Sale<\/span> p<\/span>acie<\/span>nte estable,<\/span> extubado de quir\u00f3fano<\/span> a<\/span> terapia<\/span> intensiva.<\/span> Se<\/span> coloca cat\u00e9ter <\/span>epidural<\/span> tor\u00e1cico<\/span> a<\/span> niv<\/span>e<\/span>l de<\/span> T5<\/span>–<\/span>T6.<\/span><\/p>\n

Se realiza el presente informe el d\u00eda 29 de Abril del 2023<\/span><\/p>\n

DX.:<\/span> HERIDA PENETRANTE<\/span> DE T\u00d3RAX A NIVEL SUBAXILAR<\/span> DERECHO POR CUERNO<\/span> DE<\/span> TORO<\/span>
HEMONEUMOTORAX<\/span> DERECHO<\/span> SECUNDARIO<\/span>,<\/span> CONTUSI\u00d3N<\/span> PULMONAR<\/span> DERECHA<\/span>,<\/span> LACERACI\u00d3N<\/span>
PULMONAR DERECHA<\/span> A<\/span> NIVEL DEL SEGMENO ANTERIOR<\/span> DE<\/span> LOBULO SUPERIOR DE 2CM<\/span>,<\/span>
HEMOTORAX DE lSOCC NEUMOTORAX<\/span> DERECHO.<\/span><\/p>\n

Dra. Issadora Marmolejo Hern\u00e1ndez<\/span> Cirujano cardiovascular<\/span>
Dr. Emilio Ruiz Esparza<\/span> Ayudante<\/span>
Dr.<\/span> Jos\u00e9<\/span> de<\/span> Jes\u00fa<\/span>s<\/span> Villalobos<\/span> Anestesi\u00f3logo<\/span>
Dr. Juan Carlos<\/span> Guti\u00e9rrez<\/span> Mart\u00ednez<\/span> Anestesi\u00f3logo<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

PACIENTE: MAC\u00cdAS LOPEZ ARTUROEDAD: 40 A\u00d1OS Torero el cual en el tercer tercio del primer toro de la lidia ordinaria sufre Herida penetrante de T\u00f3rax a nivelsubaxilar derecha en l\u00ednea axilar posterior por cuerno de toro, Neumot\u00f3rax derecho secundario a contusi\u00f3npulmonar derecha. Paciente el cual…<\/p>\n","protected":false},"author":9,"featured_media":54195,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0,"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[111,8],"tags":[],"class_list":["post-54194","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-111","category-aguascalientes"],"yoast_head":"\nParte M\u00e9dico de Arturo Mac\u00edas - toroestoro<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"http:\/\/toroestoro.com\/?p=54194\" \/>\n<meta property=\"og:locale\" content=\"es_MX\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Parte M\u00e9dico de Arturo Mac\u00edas - toroestoro\" \/>\n<meta property=\"og:description\" content=\"PACIENTE: MAC\u00cdAS LOPEZ ARTUROEDAD: 40 A\u00d1OS Torero el cual en el tercer tercio del primer toro de la lidia ordinaria sufre Herida penetrante de T\u00f3rax a nivelsubaxilar derecha en l\u00ednea axilar posterior por cuerno de toro, Neumot\u00f3rax derecho secundario a contusi\u00f3npulmonar derecha. 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