<?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>0034-7493</journal-id>
<journal-title><![CDATA[Revista Cubana de Cirugía]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Cir]]></abbrev-journal-title>
<issn>0034-7493</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0034-74932020000200005</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Efectividad del tratamiento con ácido tranexámico en la hemorragia digestiva alta]]></article-title>
<article-title xml:lang="en"><![CDATA[Effectiveness of Tranexamic Acid Treatment for Upper Gastrointestinal Bleeding]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mato Ramos]]></surname>
<given-names><![CDATA[Yem Agustín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramos Rodríguez]]></surname>
<given-names><![CDATA[Ana Olivia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández Delgado]]></surname>
<given-names><![CDATA[Sailyn]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández Arzola]]></surname>
<given-names><![CDATA[Yoalbys]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Crespo]]></surname>
<given-names><![CDATA[Nélida]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General Docente &#8220;Comandante Pinares&#8221;  ]]></institution>
<addr-line><![CDATA[San Cristóbal, Artemisa ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<volume>59</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-74932020000200005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-74932020000200005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-74932020000200005&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La hemorragia digestiva alta es una entidad de elevada incidencia, de etiología múltiple y de difícil manejo.  Objetivo: Evaluar la efectividad del tratamiento con ácido tranexámico en sangramiento digestivo alto.  Métodos: Se realizó un estudio experimental, partiéndose de un ensayo clínico realizado en Cuba en el año 2012, que incluyó el universo de pacientes con hemorragia digestiva alta que ingresaron en el servicio de cirugía general del Hospital General Docente &#8220;Comandante Pinares&#8221; en el período comprendido entre junio del 2016 y mayo del 2018. Fueron divididos en dos grupos de estudio: a un primer grupo se les realizó el tratamiento convencional según el algoritmo establecido, y a un segundo, a los que además de los tratamientos propuestos en el algoritmo se les administró el ácido tranexámico, según protocolo para dar salida a los objetivos proyectados. Se analizaron e interpretaron las variables utilizándose números, por cientos y la técnica estadística chi cuadrado, con un 95 % de confiabilidad.  Resultados: Los pacientes tratados con el ácido tranexámico adicionado al protocolo de tratamiento evolucionaron satisfactoriamente; con menor estadía hospitalaria, mejor evolución de los parámetros clínicos, menor número de transfusiones e intervenciones quirúrgicas, aclaramiento de los enemas evacuantes y controles de sangramiento en 48 horas.  Conclusiones: El uso del ácido tranexámico reportó mayores beneficios que el tratamiento convencional en pacientes con hemorragia digestiva alta.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Upper gastrointestinal bleeding is an entity with a high incidence, multiple etiology and difficult to manage.  Objective:  To evaluate the effectiveness of treatment with tranexamic acid in upper digestive bleeding.  Methods:  An experimental study was carried out, starting from a clinical trial carried out in Cuba in 2012, which included the universe of patients with upper gastrointestinal bleeding who were admitted to the general surgery service of the General Teaching Hospital "Comandante Pinares" in the period between June 2016 and May 2018. They were divided into two study groups: a first group underwent conventional treatment according to the established algorithm, and a second, which, in addition to the treatments proposed in the algorithm, were given administered tranexamic acid, according to the protocol to achieve the projected objectives. The variables were analyzed and interpreted using numbers, per hundred and the chi square statistical technique, with 95% reliability.  Results:  The patients treated with tranexamic acid added to the treatment protocol evolved satisfactorily; with shorter hospital stay, better evolution of clinical parameters, fewer transfusions and surgical interventions, clearance of evacuating enemas and bleeding controls in 48 hours.  Conclusions:  The use of tranexamic acid reported greater benefits than conventional treatment in patients with upper gastrointestinal bleeding.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[hemorragia]]></kwd>
<kwd lng="es"><![CDATA[digestiva]]></kwd>
<kwd lng="es"><![CDATA[alta]]></kwd>
<kwd lng="es"><![CDATA[ácido]]></kwd>
<kwd lng="es"><![CDATA[tranexámico]]></kwd>
<kwd lng="en"><![CDATA[hemorrhage]]></kwd>
<kwd lng="en"><![CDATA[digestive]]></kwd>
<kwd lng="en"><![CDATA[high]]></kwd>
<kwd lng="en"><![CDATA[acid]]></kwd>
<kwd lng="en"><![CDATA[tranexamic]]></kwd>
</kwd-group>
</article-meta>
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