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NEUMONITIS POR ASPIRACION

(SINDROME DE MENDELSON)

TTE FRAG SSN MCN R2

BRISA RESENDIZ MOLINA 

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HISTORIA

• 475 a.C; Anacreón.

• 171; !"#n $%n&er.

• 157; S'r !a(e) S'(*)"n.

• 1+4,; Men-e)"n.

E-%ar-" N%c#e/Ca0rera. Sn-r"(e -e Men-e)"n. Re')&a (e3'cana -e ane)&e)'""'a. ". 2+. S%*. 16 A0r'/!%n'" 2,. **S241/S245

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INCIDENCIA

• 89 re%r'&ac'ón a :rea *er'arnea.

• 1 a 28 (%er&e) *"r ane)&e)'a. 89 ce):rea -e %renc'a rea.

• Inc'-enc'a .58 / 18.

• 25 (9 *$ < 2.5.

E-%ar-" N%c#e/Ca0rera. Sn-r"(e -e Men-e)"n. Re')&a (e3'cana -e ane)&e)'""'a. ". 2+. S%*. 16 A0r'/!%n'" 2,. **S241/S245

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SISTEMA DIGESTIVO

• E)&ó(a"6 c""n = c'e" en -'recc'ón ce>:'ca.

• E?e 45@ #ac'a a -erec#a.

• E)>n&er a)&r"e)">:'c".

• $ern'a #'a&a9 E-a-6 "0e)'-a-6 (&'*e)6 *"'#'-ra(n'").

a% e. Mar'. A)*'ra&'"n *ne%("n'&') an- a)*'ra&'"n *ne%("n'a. N en ! (e-6 ". 446 n". + (arc# 16 21

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SISTEMA DIGESTIVO

• 2-" &r'(e)&re9 &"n" = *er')&a&')(" -')('n%=e.

• re)'"n -e 0arrera

• A&r"*'na6 &'"*en&a6 "*'"-e)6 0enH"-'ace*'na).

• Me&"c"*ra('-a6 c')a*r'-a6 an&':c'-")6ne")&'('na = er"(e&r'na.

ESOFAGO

a% e. Mar'. A)*'ra&'"n *ne%("n'&') an- a)*'ra&'"n *ne%("n'a. N en ! (e-6 ". 446 n". + (arc# 16 21

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RIESGO

• Se-ac'ón. Se-ac'"n re)'-%a.

• $'*""e('a.

• D')('n%c'ón -e a TA.

Da'- . M'er. Tare&'n A)*'ra&'"n ne%("n'&'). Ane)e)'""=6 Oc&"0er 21; 11+ • N" 4

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FISIOPATOLOGIA

Da'- . M'er. Tare&'n A)*'ra&'"n ne%("n'&'). Ane)e)'""=6 Oc&"0er 21; 11+ • N" 4

TNF / α

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CUADRO CLINICO

%("nar= a)*'ra&'"n )=n-r"(e). a% E. Mar'. C%rren& O*'n'"n 'n %("nar= Me-'c'ne 2116 17914J154.

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TRATAMIENTO

• en&'ac'ón (ec:n'ca.

• T 0a?").

• EE a&a.• F'O2 0a?a.

• Me&'*re-n')""na K15 (-'a *"r -'a)

%("nar= a)*'ra&'"n )=n-r"(e). a% E. Mar'. C%rren& O*'n'"n 'n %("nar= Me-'c'ne 2116 17914J154.

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PREVENCION

• B"%ea-"re) $2. 45 ('n J 1 #r.

•  A%(en&" &"n" EEI. Me&"c"*ra('-a.

•  A=%n".

• ISR/// O2 *re'".

• Se'c9 / 4.5 .

a% e. Mar'. A)*'ra&'"n *ne%("n'&') an- a)*'ra&'"n *ne%("n'a. N en ! (e-6 ". 446 n". + (arc# 16 21

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•  An&r"9 *an" *ara)a'&a6 -erec#a -e nea (e-'a.

•  An&er'"r(en&e r"-ea-" -e ó0%" 'H%'er-" =

ca%-a-".

• ")&er'"r(en&e *"r ca0eHa " c%e" -e *ancrea).

•  CI *"r -e&r:) -e *ancrea).

•  An&r"9 *are- (%&'ca*a.

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• L%'-"9 %(en en-"ca'&ar'" c"n c"n&en'-"#'*"ec"'c" an *are- -')&en-'-a.

• Só'-"9 -')&en-'-" a*ar'enc'a '-r'"e)carc#a-".

• A*ar'enc'a )'('ar a *arPn%'(a #e*:&'c".

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• Gra-" 9 ac'" en )%*'n" = DLD.

• Gra-" 19 >%'-" e) ')'0e en DLD K('n'(".

• Gra-" 29 >%'-" en an&r" en )%*'n" = DLD.