<?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>1028-4818</journal-id>
<journal-title><![CDATA[Multimed]]></journal-title>
<abbrev-journal-title><![CDATA[Multimed]]></abbrev-journal-title>
<issn>1028-4818</issn>
<publisher>
<publisher-name><![CDATA[Centro Provincial de Información de Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1028-48182020000100154</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Variables clínicas, humorales e imagenológicas útiles para el diagnóstico de las peritonitis persistentes]]></article-title>
<article-title xml:lang="en"><![CDATA[Clinical, humoral and imaging variables useful for the diagnosis of persistent peritonitis]]></article-title>
<article-title xml:lang="pt"><![CDATA[Variáveis clínicas, humorais e de imagem úteis para o diagnóstico de peritonite persistente]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vargas Oliva.]]></surname>
<given-names><![CDATA[Juan Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arias Aliaga.]]></surname>
<given-names><![CDATA[Arlene]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alcantú Reyes.]]></surname>
<given-names><![CDATA[Antonio Lázaro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Granma Hospital Provincial Universitario Carlos Manuel de Céspedes ]]></institution>
<addr-line><![CDATA[Bayamo Granma]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>02</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2020</year>
</pub-date>
<volume>24</volume>
<numero>1</numero>
<fpage>154</fpage>
<lpage>168</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1028-48182020000100154&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1028-48182020000100154&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1028-48182020000100154&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  las peritonitis, proceso inflamatorio general o localizado de la membrana peritoneal; traen consigo una serie de trastornos locales intraabdominales y generales que amenaza la vida del paciente de manera potencial, dejada sin tratamiento más del 90 % de los pacientes mueren.  Objetivo:  evaluar la utilidad de variables clínicas, humorales e imaginológicas postoperatorios, vitales para el diagnóstico precoz de la infección intraabdominal persistente.  Método: se realizó un estudio observacional analítico, de cohorte, prospectivo y longitudinal en 45 pacientes mayores de 15 años intervenidos quirúrgicamente por peritonitis secundaria supurada difusa (PSSD) y que fueron reintervenidos con la impresión diagnóstica de peritonitis persistente de los cuales unos la desarrollaron y otros no, en el período comprendido de septiembre del 2014 hasta abril del 2018.  Resultados: para el diagnóstico precoz de las peritonitis persistentes en pacientes operados de peritonitis supuradas; la frecuencia cardiaca prereintervención, el dolor abdominal espontáneo posoperatorio mantenido en las primeras 48 horas y el dolor posoperatorio a la descompresión del abdomen fueron los hallazgos más significativos.  Conclusiones:  el dolor posoperatorio a la descompresión del abdomen adquirió valor predictivo de reintervención para las primeras 48 horas de operado y su aparición incrementó en 6 veces el riesgo de presentar una peritonitis persistente.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  peritonitis, general or localized inflammatory process of the peritoneal membrane; they bring with them a series of local intra-abdominal and general disorders that threatens the patient's life in a potential way, left untreated more than 90% of patients die.  Objective:  to evaluate the usefulness of postoperative clinical, humoral and imaginological variables, vital for the early diagnosis of persistent intra-abdominal infection.  Method:  An analytical, cohort, prospective and longitudinal observational study was carried out in 45 patients older than 15 years undergoing surgery for diffuse suppurative secondary peritonitis (PSSD) and who were reoperated with the diagnostic impression of persistent peritonitis of which some developed and others do not, in the period from September 2014 to April 2018.  Results:  For the early diagnosis of persistent peritonitis in patients operated with suppurative peritonitis, prereintervention heart rate, postoperative spontaneous abdominal pain maintained in the first 48 hours and post-operative pain after abdominal decompression were the most significant findings.  Conclusions:  the postoperative pain to decompression of the abdomen acquired a predictive value of reoperation for the first 48 hours of surgery and its appearance increased by 6 times the risk of presenting a persistent peritonitis.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  Introdução:  peritonite, processo inflamatório geral ou localizado da membrana peritoneal; eles trazem consigo uma série de distúrbios intra-abdominais e gerais locais que ameaçam a vida do paciente de uma maneira potencial, deixando sem tratamento mais de 90% dos pacientes morrem.  Objetivo:  avaliar a utilidade de variáveis &#8203;&#8203;clínicas, humorais e imaginológicas no pós-operatório, vitais para o diagnóstico precoce de infecção intra-abdominal persistente.  Método:  Foi realizado um estudo observacional analítico, de coorte, prospectivo e longitudinal em 45 pacientes com idade superior a 15 anos submetidos à cirurgia para peritonite difusa supurativa difusa (DSPD) e que foram reoperados com a impressão diagnóstica de peritonite persistente da qual alguns desenvolveram e outros não, no período de setembro de 2014 a abril de 2018.  Resultados:  para o diagnóstico precoce de peritonite persistente em pacientes operados com peritonite supurativa; Frequência cardíaca pré-intervenção, dor abdominal espontânea pós-operatória mantida nas primeiras 48 horas e dor pós-operatória após descompressão abdominal foram os achados mais significativos.  Conclusões:  a dor pós-operatória à descompressão do abdome adquiriu um valor preditivo de reoperação nas primeiras 48 horas de cirurgia e sua aparência aumentou 6 vezes o risco de apresentar peritonite persistente.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Peritonitis persistente]]></kwd>
<kwd lng="es"><![CDATA[Cirugía]]></kwd>
<kwd lng="en"><![CDATA[Persistent peritonitis]]></kwd>
<kwd lng="en"><![CDATA[Surgery]]></kwd>
<kwd lng="pt"><![CDATA[Peritonite persistente]]></kwd>
<kwd lng="pt"><![CDATA[Cirurgia]]></kwd>
</kwd-group>
</article-meta>
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