Shock hipovolémico por fractura expuesta de tibia y peroné, complicaciones

Abstract

The following investigation's objective was to analyze the clinical case of a 17-year-old male patient, from the city of Loreto, without significant personal pathological background, athlete, suffers a traffic accident, resulting in a fracture of the left femur. and an exposed fracture of the right tibia and fibula, with the presence of hemorrhage, at 3 o'clock is transferred to the nearest competent unit, however in its evaluation by the clinical signs of hypovolemic shock, massive blood loss is observed resulting in a state of hypovolemic shock class III with severity indexes plus acute renal injury, hypoalbuminemia, normocytic acute normochromic anemia severe, requiring multidisciplinary management with replacement of blood components, resuscitation with crystalloids, pharmacological management of pain and subsequent surgical intervention for the stabilization of fractures 2 occasions Hospital stay of 12 days, satisfactory recovery, at the moment in physical therapy. It is documented that this clinical entity begins with the loss of circulating effective volume, which produces an imbalance in the transport and consumption of oxygen to the tissues. It is responsible for the deaths of approximately 1,900,000 people a year around the world, in Ecuador, the death of 8.4% is attributed to traffic accidents, with the main cause of death being trauma, affecting mainly young people and children 44 years, undoubtedly is a preventable entity. It is important to emphasize that the timely use of each of the links in the survival chain, the adequate initial, secondary and reassessment evaluation plus the application of appropriate management of both the trauma and the clinical cause facilitates recovery, prevents the appearance of complications sequelae or death, and improves the prognosis and therefore the quality of life.