<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1025-0255</journal-id>
<journal-title><![CDATA[Revista Archivo Médico de Camagüey]]></journal-title>
<abbrev-journal-title><![CDATA[AMC]]></abbrev-journal-title>
<issn>1025-0255</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Camagüey]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1025-02552021000100006</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Factores diferenciales entre las etapas evolutivas de la isquemia mesentérica aguda]]></article-title>
<article-title xml:lang="en"><![CDATA[Differential factors between the acute mesenteric ischemia evolutive stages]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández-Sanz]]></surname>
<given-names><![CDATA[Pedro Lázaro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sanz-Pupo]]></surname>
<given-names><![CDATA[Nitza Julia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez-Pascual]]></surname>
<given-names><![CDATA[Yasmín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González-Pérez]]></surname>
<given-names><![CDATA[Bárbara]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Holguín Hospital General Universitario Vladimir Ilich Lenin Servicio de Cirugía Oncológica]]></institution>
<addr-line><![CDATA[Holguín ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Ciencias Médicas de Holguín Hospital General Universitario Vladimir Ilich Lenin Servicio de Anatomía Patológica]]></institution>
<addr-line><![CDATA[Holguín ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Ciencias Médicas de Holguín Hospital General Universitario Vladimir Ilich Lenin Servicio de Cirugía General]]></institution>
<addr-line><![CDATA[Holguín ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>02</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2021</year>
</pub-date>
<volume>25</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1025-02552021000100006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1025-02552021000100006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1025-02552021000100006&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Fundamento:  la isquemia mesentérica aguda tiene una elevada letalidad debido a la rápida evolución de su etapa temprana a la tardía, la larvada sintomatología en su fase inicial y por la complejidad del tratamiento.  Objetivo: determinar las diferencias clínicas, de laboratorio, imagenológicas y evolutivas entre las etapas de la isquemia mesentérica aguda.  Métodos:  se realizó un estudio observacional, analítico transversal que incluyó un universo de 32 pacientes con isquemia mesentérica aguda, desde diciembre de 2015 a marzo de 2018, en el Hospital General Universitario Vladimir Ilich Lenin.  Resultados:  la reacción peritoneal se asoció de forma muy significativa a la etapa avanzada. La mayor parte de los pacientes con isquemia intestinal no presentaron niveles hidroaéreos, al contrario de los diagnosticados con necrosis. Todos los afectados con fibrilación auricular se encontraron en la etapa tardía. El valor medio del pH fue mayor en la etapa inicial, mientras que el valor del lactato en la fase tardía duplicó el valor medio de los casos isquémicos. La diferencia de medias de estos valores entre ambas fases de la enfermedad fue estadísticamente muy significativa. Fallecieron todos los casos con necrosis intestinal y más de dos tercios de los afectados con isquemia intestinal.  Conclusiones: el retardo en el diagnóstico se asoció a una elevada mortalidad. La sospecha clínica temprana de abdomen agudo, la valoración de parámetros hemodinámicos y la identificación de factores de riesgo como la fibrilación auricular, favorecen el tratamiento oportuno en etapa isquémica y la posibilidad de supervivencia.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Background: the acute mesenteric ischemia is a highly lethal disease, mainly due to the rapid evolution from its premature stage to the late one, the symptomatology in its start-up period and for the complexity of its management.  Objective:  to determine the clinical, laboratory, imagenological and evolutionary differences between the stages of the disease.  Methods:  an analytical transversal study was carried out. The universe was composed by 32 patients with acute mesenteric ischemia positive diagnosis in the period from December 2015 to March 2018, in Vladimir Ilich Lenin General Hospital.  Results:  peritoneal reaction is linked to the advanced stage in a highly significant way. There were no air-fluid levels in most of the ischemic patients, unlike the nechrosis stage, where levels were present in most of the patients. The difference between the pH and lactate average values in both of disease phases were statistically highly significant. All the cases with atrial fibrillation were dianosed in the late stage. All the patients with intestinal necrosis and more than 2/3 of the affected with intestinal ischemia perished.  Conclusions:  the delay in diagnosis was associated with high mortality. The early clinical suspicion of an acute abdomen, the assessment of hemodynamic parameters and the identification of risk factors such as atrial fibrillation, favor timely treatment in the ischemic stage and the possibility of survival.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[ISQUEMIA MESENTÉRICA/diagnóstico]]></kwd>
<kwd lng="es"><![CDATA[ISQUEMIA MESENTÉRICA/mortalidad]]></kwd>
<kwd lng="es"><![CDATA[ISQUEMIA MESETÉRICA/terapia]]></kwd>
<kwd lng="es"><![CDATA[FACTORES DE RIESGO]]></kwd>
<kwd lng="es"><![CDATA[ESTUDIO OBSERVACIONAL]]></kwd>
<kwd lng="en"><![CDATA[MESENTERIC ISCHEMIA/diagnosis]]></kwd>
<kwd lng="en"><![CDATA[MESENTERIC ISCHEMIA/mortality]]></kwd>
<kwd lng="en"><![CDATA[MESENTERIC ISCHEMIA/therapy]]></kwd>
<kwd lng="en"><![CDATA[FACTORES DE RIESGO]]></kwd>
<kwd lng="en"><![CDATA[OBSERVATIONAL STUDY]]></kwd>
</kwd-group>
</article-meta>
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