manejo del tec en pediatria (pptminimizer)
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8/17/2019 Manejo Del Tec en Pediatria (Pptminimizer)
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MANEJO DELMANEJO DELTEC ENTEC EN
PEDIATRIA PEDIATRIA ABELARDO CAVERO GARAY ABELARDO CAVERO GARAY
NEUROCIRUJANONEUROCIRUJANO ABRIL, 2007 ABRIL, 2007
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ESCALA DE COMA DE GLASGOW (NiñosESCALA DE COMA DE GLASGOW (Niñosgrandes)grandes)
APERTURA OCULAR APERTURA OCULAR Espon!neaEspon!nea "" A# ##a$ado % A# ##a$ado % A# A#
do#ordo#or &&Ning'na Ning'na
RESPUESTA ER*AL +a,#a orienadoRESPUESTA ER*AL +a,#a orienado
-- +a,#a desorienado " +a,#a desorienado " er,a#i.a er,a#i.a % % Ge$idos Ge$idos & & Ning'na Ning'na
RESPUESTA MOTORA O,ede/e 0rdenes 1RESPUESTA MOTORA O,ede/e 0rdenes 1 Lo/a#i.a e# do#or -Lo/a#i.a e# do#or -
Reira de# do#or "Reira de# do#or " 2#e3i0n anor$a#2#e3i0n anor$a#%% E3ensi0n anor$a# &E3ensi0n anor$a# &
Ning'na Ning'na
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TEC LEETEC LEE
Glasgow: 14 – 15 !"#os$Glasgow: 14 – 15 !"#os$ E%a&'" "'!(ol)g*+o &"*&o$E%a&'" "'!(ol)g*+o &"*&o$ -ala( la +a.'/a$-ala( la +a.'/a$
E%a&'" g'"'(al$E%a&'" g'"'(al$ D's+a(#a( a#ologa o#'"+*al&'"#' g(a'$D's+a(#a( a#ologa o#'"+*al&'"#' g(a'$ R% ' +("'o o 3AC +'('.(al +o"*+*o"al$R% ' +("'o o 3AC +'('.(al +o"*+*o"al$
Al#a +o" *"*+a+*o"'s$ Al#a +o" *"*+a+*o"'s$ os*#al*/a+*)" .('' +o" a EV +o"*+*o"al$os*#al*/a+*)" .('' +o" a EV +o"*+*o"al$ I"*+*a( *'#a ('+o/&'"#'$I"*+*a( *'#a ('+o/&'"#'$
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TEC MODERADOTEC MODERADO
Glasgow: 61 !"#osGlasgow: 61 !"#os A B C ' la ('a"*&a+*)"$ A B C ' la ('a"*&a+*)"$ E%a&'" "'!(ol)g*+o &"*&o$E%a&'" "'!(ol)g*+o &"*&o$ E%a&'" g'"'(al$E%a&'" g'"'(al$ Colo+a( a EV, 8*(a#a+*)", a"alg9s*+os$Colo+a( a EV, 8*(a#a+*)", a"alg9s*+os$ ol*+*#a( 3AC +'('.(al +o" '"#a"a )s'a$ol*+*#a( 3AC +'('.(al +o" '"#a"a )s'a$ R% ' +ol!&"a, #)(a%, a.o&'"$R% ' +ol!&"a, #)(a%, a.o&'"$ ' 8os*#al*/a +o" *"*+a+*o"'s$' 8os*#al*/a +o" *"*+a+*o"'s$
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TEC GRAETEC GRAE
Glasgow: 6 ; !"#osGlasgow: 6 ; !"#os A B C ' la ('a"*&a+*)"$ A B C ' la ('a"*&a+*)"$ E%a&'" "'!(ol)g*+o &"*&o$E%a&'" "'!(ol)g*+o &"*&o$
E%a&'" g'"'(al$E%a&'" g'"'(al$ Colo+a( a EV, 8*(a#a+*)", a"alg9s*+os,Colo+a( a EV, 8*(a#a+*)", a"alg9s*+os,
*!(9#*+o, a"#*!l+'(oso, so"a "asogs#(*+a
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TIPOS DE TRAUMATIPOS DE TRAUMA
00: 3(a!&a#*s&o s!'(=+*al ' la 00: 3(a!&a#*s&o s!'(=+*al ' la+a.'/a$+a.'/a$
01: '(*a ' la +a.'/a$ 01: '(*a ' la +a.'/a$ 02: >(a+#!(a ' 8!'sos 'l +("'o < la 02: >(a+#!(a ' 8!'sos 'l +("'o < la
+a(a$+a(a$ 0: L!%a+*)", 'sg!*"+' < #o(+'!(a ' 0: L!%a+*)", 'sg!*"+' < #o(+'!(a '
a(#*+!la+*o"'s < ' l*ga&'"#os ' laa(#*+!la+*o"'s < ' l*ga&'"#os ' la+a.'/a$+a.'/a$
04: 3(a!&a#*s&o ' "'(*os +(a"'al's$ 04: 3(a!&a#*s&o ' "'(*os +(a"'al's$
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TIPOS DE TRAUMATIPOS DE TRAUMA
05: 3(a!&a#*s&o 'l o?o < la )(.*#a$ 05: 3(a!&a#*s&o 'l o?o < la )(.*#a$ 0@: 3(a!&a#*s&o *"#(a+(a"'al$ 0@: 3(a!&a#*s&o *"#(a+(a"'al$
07: 3(a!&a#*s&o o( alas#a&*'"#o 07: 3(a!&a#*s&o o( alas#a&*'"#o' la +a.'/a$' la +a.'/a$ 0;: A&!#a+*)" #(a!&#*+a ' 0;: A&!#a+*)" #(a!&#*+a '
a(#' ' la +a.'/a$a(#' ' la +a.'/a$ 0: O#(os #(a!&a#*s&os < los "o 0: O#(os #(a!&a#*s&os < los "o
's'+*=+aos ' la +a.'/a$'s'+*=+aos ' la +a.'/a$
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2RACTURAS2RACTURAS
D'.*o a !" gol' !'(#' '" la +a.'/aD'.*o a !" gol' !'(#' '" la +a.'/as' !'' (a+#!(a( 'l +("'o, a '+'ss' !'' (a+#!(a( 'l +("'o, a '+'ss' ('!*'(' +o(('++*)" !*((g*+a,s' ('!*'(' +o(('++*)" !*((g*+a,
+o&o '" alg!"as (a+#!(as '(*&*as$+o&o '" alg!"as (a+#!(as '(*&*as$ La (a+#!(a +(a"'a"a 's 'l aoLa (a+#!(a +(a"'a"a 's 'l ao
(*&a(*o, s* #*'"' !" 8'&a#o&a(*&a(*o, s* #*'"' !" 8'&a#o&a
'*!(al !'' ll'a( a !" ao'*!(al !'' ll'a( a !" aos'+!"a(*o +o&o !"a 8'("*a +'('.(al$s'+!"a(*o +o&o !"a 8'("*a +'('.(al$
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2RACTURAS2RACTURAS
Las (a+#!(as ' +("'o, aLas (a+#!(as ' +("'o, a '+'s ('!*'('" +o(('++*)" '+'s ('!*'('" +o(('++*)"!*((g*+a, +o&o alg!"as!*((g*+a, +o&o alg!"as(a+#!(as '(*&*as$(a+#!(as '(*&*as$
La (a+#!(a, 'l 8'&a#o&aLa (a+#!(a, 'l 8'&a#o&a'*!(al o 'l ''&a'*!(al o 'l ''&a+'('.(al so" aos+'('.(al so" aos(*&a(*os, !' !''(*&a(*os, !' !''ll'a( a !" aoll'a( a !" aos'+!"a(*o +o&o !"as'+!"a(*o +o&o !"a8'("*a +'('.(al$8'("*a +'('.(al$
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DA7O PRIMARIODA7O PRIMARIO
O+!((' '" 'l &o&'"#o *"*+*al 'lO+!((' '" 'l &o&'"#o *"*+*al 'l3EC$3EC$
No s' !'' '*#a($No s' !'' '*#a($
>(a+#!(a ' +("'o$>(a+#!(a ' +("'o$ '&a#o&a '*!(al$'&a#o&a '*!(al$
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+EMATOMAS+EMATOMAS Dao (*&a(*o:Dao (*&a(*o:
'&a#o&a'&a#o&a'*!(al$'*!(al$
Dao s'+!"a(*o:Dao s'+!"a(*o:'("*a +'('.(al'("*a +'('.(al
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DA7O SECUNDARIODA7O SECUNDARIO
O+!((' +o&o +o"s'+!'"+*a 'l aoO+!((' +o&o +o"s'+!'"+*a 'l ao(*&a(*o$(*&a(*o$
' !'' '*#a( o &*"*&*/a( +o"' !'' '*#a( o &*"*&*/a( +o"#(a#a&*'"#o a'+!ao$#(a#a&*'"#o a'+!ao$
3*os ' 8'("*a+*)" +'('.(al$3*os ' 8'("*a+*)" +'('.(al$
I"a(#o &'s'"+'l*+o$I"a(#o &'s'"+'l*+o$
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+ERNIAS CERE*RALES+ERNIAS CERE*RALES 88 '("*a ' la'("*a ' la
+*(+o"ol!+*)" 'l+*(+o"ol!+*)" 'l+*"g!lo$+*"g!lo$
2$ '("*a ' la2$ '("*a ' la+*(+!"ol!+*)"+*(+!"ol!+*)"a(a8*o+a&al$a(a8*o+a&al$
$ '("*a ' las$ '("*a ' lasa&galasa&galas
+'('.'losas$+'('.'losas$ '("*a+*)" #(a"sala('("*a+*)" #(a"sala(
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RANGOS DE PICRANGOS DE PIC
Re/i9n na/idos:Re/i9n na/idos: 10 a 20 && '10 a 20 && '
2O2O
0$7 6 1$5 && gF0$7 6 1$5 && gF
La/anes:La/anes: 20 a ;0 && ' 2O20 a ;0 && ' 2O1$5 6 @ && gF1$5 6 @ && gF
Niños $a5ores:Niños $a5ores: 40 a 100 && '40 a 100 && '2O2O 6 7$5 && gF 6 7$5 && gF
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EDEA CEREBRALEDEA CEREBRAL
asog9ni/o: asog9ni/o: O+!((' '" #!&o('s, o(O+!((' '" #!&o('s, o(a!&'"#o ' la '(&'a.*l*a +a*la(,a!&'"#o ' la '(&'a.*l*a +a*la(,
+o&(o&'#' *"*+*al&'"#' la s!s#a"+*a+o&(o&'#' *"*+*al&'"#' la s!s#a"+*a.la"+a$.la"+a$ Cio03i/o:Cio03i/o: ' ('s'"#a '" 3EC o(' ('s'"#a '" 3EC o(
al#'(a+*)" ' la .o&.a NaHH A3-asa,al#'(a+*)" ' la .o&.a NaHH A3-asa,a'+#a la s!s#a"+*a .la"+a < la s!s#a"+*a g(*s$a'+#a la s!s#a"+*a .la"+a < la s!s#a"+*a g(*s$
Inersi/ia#:Inersi/ia#: -o( &*g(a+*)" ' LCR a #(a9s-o( &*g(a+*)" ' LCR a #(a9s'l '9"*&o '" 8*(o+'al*a$'l '9"*&o '" 8*(o+'al*a$
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+IPERTENSION+IPERTENSIONENDOCRANEANA ENDOCRANEANA
Ca!sa ' la 8*'(#'"s*)" '"o+(a"'a"aCa!sa ' la 8*'(#'"s*)" '"o+(a"'a"aI"'++*)", #!&o('s, 3(a!&aFI"'++*)", #!&o('s, 3(a!&aF
3*'&o ' *"s#ala+*)" 'l +!a(o3*'&o ' *"s#ala+*)" 'l +!a(o
Ag!o, s!.ag!o, +()"*+oFAg!o, s!.ag!o, +()"*+oF Es#ao ('*o 'l '"+9aloEs#ao ('*o 'l '"+9alo
Vol!&'", 'las#*+*a,Vol!&'", 'las#*+*a,aa#a.*l*a, a"a#o&aFaa#a.*l*a, a"a#o&aF
E%*s#'"+*a ' o#(as s*#!a+*o"'s ag(aa"#'sE%*s#'"+*a ' o#(as s*#!a+*o"'s ag(aa"#'s*o%*a o *s!'&*a, o#(os*o%*a o *s!'&*a, o#(os
a+#o('sF$a+#o('sF$
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CURA DE AUMENTO DE PICCURA DE AUMENTO DE PIC
-('s*)"-('s*)" 40 40
00
2020
1010 10 20 0 40 5010 20 0 40 50 Vol!&'" Vol!&'"
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LE; DE MONRO < =ELL; LE; DE MONRO < =ELL;
CON3INEN3E: C("'oCON3INEN3E: C("'o
CON3ENIDO:CON3ENIDO:
1$1$ E"+9alo: ;0 KE"+9alo: ;0 K
2$2$ L!*o +9alo (a!'o: 10 KL!*o +9alo (a!'o: 10 K
$ a"g(': 10 K$ a"g(': 10 K
L'< ' o"(o – 'll
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TRATAMIENTO MEDICOTRATAMIENTO MEDICOGENERALGENERAL
-os*+*)" 'l a+*'"#'-os*+*)" 'l a+*'"#' V'"#*la+*)" V'"#*la+*)"
Vol'&*a Vol'&*a a"*#ol: 0$25 g( g os*sa"*#ol: 0$25 g( g os*s Co(#*+o*'s "o s' '.'" !sa($Co(#*+o*'s "o s' '.'" !sa($
Ba(.*#(*+osBa(.*#(*+os O%g'"o$O%g'"o$
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TRATAMIENTOTRATAMIENTO>UIR?RGICO>UIR?RGICO
El #(a#a&*'"#o &9*+o !'' s'(El #(a#a&*'"#o &9*+o !'' s'(s!=+*'"#' a(a ('!+*( la 8*'(#'"s*)"s!=+*'"#' a(a ('!+*( la 8*'(#'"s*)"*"#(a+(a"'a"a o 'l ''&a +'('.(al$*"#(a+(a"'a"a o 'l ''&a +'('.(al$
' o'(a" las l's*o"'s !' (o!+'"' o'(a" las l's*o"'s !' (o!+'"''+#o ' &asa, g'"'(al&'"#' los''+#o ' &asa, g'"'(al&'"#' los8'&a#o&as ' &s ' 0 ++$ ' ol!&'"$8'&a#o&as ' &s ' 0 ++$ ' ol!&'"$
* "o 8a< 8'&a#o&a, s' !'' !sa( la* "o 8a< 8'&a#o&a, s' !'' !sa( la
+*(!ga a(a ('!+*( la -IC, +o&o !"a+*(!ga a(a ('!+*( la -IC, +o&o !"a+ala('+#o&a, o +olo+a( !" ('"a?' '+ala('+#o&a, o +olo+a( !" ('"a?' 'LCR$LCR$
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Co$enario @na#Co$enario @na#
Los "*os +o" 3EC g(a' #*'"'" &a
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