dra. lidia maria da silva-15-6-final colio.doc

7/26/2019 Dra. Lidia Maria Da Silva-15-6-Final colio.doc

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UNIVERSIDAD AUTONOMA DEL BENI JOS BALLIVIAN VICERRECTORADO

DIRECCION DE POST GRADO

RELEVANCIA DEL DIAGNSTICO ECOGRFICO EN EMBARAZO

ECTPICO EN LA CLNICA ITLIA EN SANTA CRUZ DE LA SIERRA-

BOLIVIA EN EL PERIODO DE JUNIO DEL 2014 A ABRIL DEL 2015

Autor (a): LIDIA MARIA DA SILVA AMARO

MONOGRA!A PRESENTADA EN OPCI"N AL DIPLOMADO EN ECOGRA!A B#SICA

ABDOMINAL $ GINECOBSTETRICA

Sa%ta Cru& Bo'*a

+,-.


2/64

CESI"N DE DEREC/OS

Y L!"!# M#$%# "# S!&'# A(#$) *#$# +!,. #/#"(!/.) /" &. "$/. " #3$

"& 3$## " M,6$#+%# *$.,3#" *$ (! *$.,# *#$# *3#$ *$ & 3%3& "7

DIPLOMADO EN ECOGRAIA BASICA ABDOMINAL $ GINECO0OBSTETRICA

A LA UNIVERSIDAD AUTONOMA DEL BENI JOS BALLIVIAN1

E. /#,3 "/$ *#$# +!,. #/#"(!/. /,.!6!,3.8

S#,3# C$9) A$!& "& 2015


3/64

DEDICATORIA

A (! .*. E.3#:! N,. A(#$ *$ . #($) #*; ;

/,+!#,9# !,/,"!/!,#& ; # (!. !. V#6,$) L3!/!# ; L#,"$

*$ . /(*$,.!


4/64

AGRADECIMIENTO

U, *$+," #6$#"/!(!,3 # D!. *$ .3#$ .!(*$ # (!" , /#"# *#. " '!"# *$ #$( *$(!3!" &&6#$ #.3#

.3 *,3 ; #$( "#" .#&") .$ & (#,#,3!#& " '!"# ;

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A C&%,!/# I3#&!# *$ /,/"$( *$3,!"#" " $#&!9#$

*.:!.#) ; 3#(!, . *#/!,3. : " #&6,# +$(#

/,3$!!$=, /, .3# $#&!9#/!


5/64

INDICE

Pa21

INTRODUCCION88888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888881ANTECEDENTE Y JUSTIFICACION888888888888888888888888888888888888888888888888888888888888888888888888>

SITUACION PROBLEMATICA88888888888888888888888888888888888888888888888888888888888888888888888888888888884

FORMULACIN DEL PROBLEMA O PREGUNTA CIENTFICA8888888888888888888888888888885

OBJETO DE ESTUDIO88888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888885

CAMPO DE ACCIN88888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888885

OBJETIVOS8888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888885

O3!' G,$#&888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888885O3!'. .*/%+!/.8888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888?

DISE@O METODOLGICO88888888888888888888888888888888888888888888888888888888888888888888888888888888888888?

T!* " !,'.3!6#/!


6/64

>828 FACTORES LOCALES88888888888888888888888888888888888888888888888888888888888888888888888888888888888888888881

>8>8 FACTORES UE DIFICULTAN EL TRANSPORTE OVULAR8888888888888888888888888888888881

48 FACTORES DE RIESGO8888888888888888888888888888888888888888888888888888888888888888888888888888888888881

4818 CLASIFICACIN8888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888 1

58 DIAGNOSTIO Y CUADRO CLINICO88888888888888888888888888888888888888888888888888888888888888888881

5818 CLNICA888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888881

5828 METRORRAGIAS IRREGULARES7888888888888888888888888888888888888888888888888888888888888888888888881

58>8 DOLOR ABDOMINAL788888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888 1

5848 DIAGNOSTICO DIFERENCIAL88888888888888888888888888888888888888888888888888888888888888888888888888888821

?8 DIAGNOSTICO888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888821

?818 G,#"3$*!,# C$!

?828 ULTRASONOGRAFA78888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888 2>?8>8 L#*#$./*!#7888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888 2>

?848 !.3*#3&6%#788888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888 2>

8 DIAGNOSTICO DIFERENCIAL8888888888888888888888888888888888888888888888888888888888888888888888888882>

8 TRATAMIENTO888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888824

8 PROGNOSTICO8888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888825

CAPITULO II888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888882?

28 A,=&!.!. " &. R.&3#".888888888888888888888888888888888888888888888888888888888888888888888888888888888882?2818- C#.. C&%,!/.8888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888>2

28288- D!./.!5

28>8S%,3(#. /(,. *$.,3#". , &. /#.. /&%,!/.888888888888888888888888888888888888>5

28>818 E#(, F%.!/88888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888 >5

28>828 P$#. D L#$#3$!888888888888888888888888888888888888888888888888888888888888888888888888888888888888888>?

28>8>8 O3$. M"!. D!#6,?

CONCLUSIONES8888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888>

RECOMENDACIONES88888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888>

REFERENCIAS BIBLIOGRAFICAS8888888888888888888888888888888888888888888888888888888888888888888888840

ANEOS88888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888845


7/64


8/64

RESUMEN

PROBLEM#TICA:

E& (#$#9 /3


9/64

: &. .!6,. ; .%,3(#.) 3.3 " CG *.!3!' "!#6,.3!/ /6$=+!/ '!3# (/

. /(*&!/#/!,. "& (#$#9 /3


10/64

INTRODUCCI"N

P$3,"$ $#&!9#$ ,# !,'.3!6#/!


11/64

*#3&6%# Q,!6,# *. "!#6,.3!/#"# ; 3$#3#"# # 3!(* . '!3#, . /(*&!/#/!,. ;

($3 " ($8 MATORRAS R) ERNANDEZ JK 200

L. *$/"!(!,3. " "!#6,4)4 ; . : #, 3,!" 1-2 !.

& 2>)?8 LPEZ-LUUE PR) ET AL 20148

L# /6$#+%# . # /,'$3!" , , &(,3 " (/# 3!&!"#" , & "!#6,


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#&6,. #3$.) #& (!.( 3!(* : . *", "3/3#$ *#3&6%#. #./!#"#.

/(*&!/#/!,. !,$,3. # & CARDIOLOGA OY 20108

ANTECEDENTES $ JUSTIICACION

L# *$!($# "./$!*/!


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"!#$!#8ORMULACI"N DEL PROBLEMA O PREGUNTA CIENT!ICA

WP$ : . !(*$3#,3 *$=/3!/# " /6$#+%# #"(!,#& , & "!#6,


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17/64

-1 RESEA /ISTORICA DE LA ECOGRAIA1

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*$'/#" *$ & ($8 S!(*$ .3' *$.,3) .


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$.3#,3. /$!3$!. *#$# & (!.(8 ARNAUD FAUCONNIER ET AL 2008

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8 L. (3". , !,'#.!'.) "!#6,.3!/#, & EE , , 0 " &. /#..) &&. ;# .

#, *,3#"7 6,#"3$*!,# /$!8

-11 EPIDEMIOLOGIA

L# !,/!",/!# "& (#$#9 /38 S!," : &. .!3!. " !(*,3#/!8>) & !.3( 1285) +!($!# 118? ; # ,!'& !,3$.3!/!#&

28? TULANDI T8 2008

L#. 3$(*#. *", /(,9#$ # *&.#$ *#$3 " &. 3!". # .#,6$#$ #&6,.

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24/64

3$#($!,#$!8 S 3#(# ("! . " 5 ((8 A& *$!,/!*! . (#;$ : & ($! - 4

((8 L. ('!(!,3. "& ($!


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VESICULA VITELINA

N . ' #.3#7 SG ^ >8(() _-CG ^100) ^ 581 .(

D636 6r46 5o%: SG H1K 77 B0/CG

.,, .1. 467

LATIDO CARDIACOP" '$. "."7 CRL ^ 2 > (() SG ^8> (() B-CG ^ 200) 58? .( #(,$$#

D636 6r46 5o%: CRL .77 SG -77B0/CG +,,H1 4671

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1 ACTORES DE RIESGO

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1-1 CLASIICACI"N

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.1-1 CL!NICA

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CAPITULO II

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39/64

Ta3'a .1 D*a2%84t*5o E5o2r;


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Ta3'a H1 Trata7*6%to A'ta /o49*ta'ar*a1

Trata7*6%to A'ta /o491 N P5t641 Q

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Ca4o 5'%*5o III

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+110 DISCUSI"N

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I7a26% 65o2r;


47/64

CONCLUSIONES

C( . # *.3 /, #,3$!$!"#") 6.3#/!


48/64

RECOMENDACIONES

E. ,/.#$! /#*#/!3#/!


49/64

REERENCIAS BIBLIOGR#ICAS

A;#9 A) E(#( S) F#$6 MU Cur4o 5'%*5o ?6 65to9*59r62%a%5 : U%a

696r*6%5*a ?6 u% 4o'o 56%tro 1 J /u7 R69ro? S/!8201>K?70--->88 N#(# V)

M#$;,"#

A$,#" F#/,,!$ A) M#$ A) S#&(, LJ) B$,#$" JP) V!&& Y8 Ea'ua5*8%

65o2r;8

B#$,#$3) T) S#((&) MD) R!,#") PF) 3 #&8Lo4 9a5*6%t64 4*%to7;t*5o4 5o%

u% 673ara&o *%traut6r*%o *a3'6 t679ra%a : 5ura4 ?6 /CG r6?6


50/64

C& LA8 D64*a5*o%64 *%?**?ua'64 6% 'a4 5o%56%tra5*o%64 ?6 2o%a?otro9*%a

5or*8%*5a u7a%a ?ura%t6 6' 673ara&o8A( J O.33 G;,/&8 2011K2047>481-

>488

C#$., S#,"$# A,,8 D*a2%84t*5o Trata7*6%to ?6' E73ara&o 65t89*5o8

C&%,!/#. O.38 ; G!,8 V&8 1) 18

C3! B$..&$ ML) F!6$# M,"9# M) L.3#; D$3# C) C$ M,,"9 O8

E73ara&o E5t89*5o1 Su 5o79orta7*6%to 6% 'o4 a@o4 -0- 8 R' C

O.33 G!,/&8 2001K217 5-118

C$.. RL) C$.. SR) J,.3, SE Pro 15

F;&.3$#) DL8 E73ara&o 65t89*5o: u%a r6*4*8% ?6' ?*a2%84t*5o trata7*6%to

a5tua'1 O34t6t G%65o' Sur 1K 5>7>208

F&!./$ A8C) Pauta4 ?6 D*a2%o4t*5o 6% 65o2ra


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trata7*6%to 6% o34t6tr*5*a 2*%65o'o2a1S#&'#3) 108

," R8 I7a2*%2 R68

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2008P=685-8 D!.*,!& ,7 33*7,'8.+$3!&!"#"8/("./#$6#.S$,-

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54/64

ANEOS

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/$!,!/8

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