<?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>1028-9933</journal-id>
<journal-title><![CDATA[Revista Información Científica]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. inf. cient.]]></abbrev-journal-title>
<issn>1028-9933</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas Guantánamo]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1028-99332018000601076</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Abdomen agudo quirúrgico en el embarazo]]></article-title>
<article-title xml:lang="en"><![CDATA[Acute surgical abdomen in pregnancy]]></article-title>
<article-title xml:lang="pt"><![CDATA[Abdômen cirúrgico agudo na gravidez]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Laffita Labañino]]></surname>
<given-names><![CDATA[Wilson]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Terrero]]></surname>
<given-names><![CDATA[Iván]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jiménez Reyes]]></surname>
<given-names><![CDATA[William]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jeremías Fernández]]></surname>
<given-names><![CDATA[Emanuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro de Investigaciones Médico-Quirúrgicas  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Angola</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital General Docente &#8220;Octavio de la Concepción y de la Pedraja&#8221;  ]]></institution>
<addr-line><![CDATA[Baracoa Guantánamo]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Docente Universitario &#8220;Dr. Darío Contreras&#8221;  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>República Dominicana</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<volume>97</volume>
<numero>6</numero>
<fpage>1076</fpage>
<lpage>1087</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1028-99332018000601076&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1028-99332018000601076&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1028-99332018000601076&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  el abdomen agudo quirúrgico es una entidad que de no resolverse quirúrgicamente causa la muerte en la mayoría de los casos y, en la mujer embarazada, resulta de especial interés ya que los síntomas y signos no se presentan de una manera típica.  Objetivo:  caracterizar el comportamiento del abdomen agudo quirúrgico en embarazadas en el servicio de Ginecobstetricia del Hospital General Docente &#8220;Octavio de la Concepción y de la Pedraja&#8221; del municipio Baracoa, Guantánamo.  Método:  se realizó un estudio descriptivo transversal retrospectivo de 25 historias clínicas de pacientes embarazadas que presentaron un abdomen agudo quirúrgico en el período comprendido desde noviembre de 1996 hasta noviembre de 2005.  Resultados:  el grupo de 20-29 años de edad tuvo un 64 % de frecuencia seguido del grupo de 15-19 años, con el 36 %. La apendicitis fue la causa más frecuente de abdomen agudo quirúrgico con 10 casos, seguido de colecistitis aguda y quiste de ovario complicado, ambas con 5 pacientes. Esta entidad apareció en el 68 % de las pacientes que cursaban su segundo trimestre de embarazo, seguido por las gestantes del tercer trimestre, con el 28 %. Hubo síntomas de dolor abdominal y taquicardia en el 100 % de los casos; náuseas en el 60 %, y contractura y reacción peritoneal en el 80 %. La urosepsis se notó como complicación en el 12 %, sepsis de la herida quirúrgica en el 4 %, para un índice de morbilidad del 20 %, con un índice de mortalidad materna del 4 %.  Conclusiones:  el abdomen agudo quirúrgico se presentó con una incidencia de 1,9 por cada 1 000 embarazadas y más frecuente en las edades entre 20-29 años. La apendicitis aguda, la colecistitis aguda y quiste de ovario complicado son las enfermedades que más se presentaron en el abdomen agudo quirúrgico durante el segundo trimestre del embarazo. Los síntomas más frecuentes fueron: dolor abdominal, contractura y reacción peritoneal. El mayor porcentaje de los casos resultó positivo en el diagnóstico clínico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  acute surgical abdomen is an entity that, if not resolved surgically, causes death in most cases and, in pregnant women, it is of special interest since the symptoms and signs do not appear in a typical manner.  Objective:  to characterize the behavior of acute surgical abdomen in pregnant women in the gynecology service of the General Teaching Hospital "Octavio de la Concepción y de la Pedraja" in the municipality of Baracoa, Guantánamo.  Method:  a retrospective cross-sectional descriptive study of 25 clinical histories of pregnant patients who presented an acute surgical abdomen in the period from November 1996 to November 2005.  Results:  the group of 20-29 years of age had 64% of frequency followed by the group of 15-19 years, with 36%. Appendicitis was the most frequent cause of acute surgical abdomen with 10 cases, followed by acute cholecystitis and complicated ovarian cyst, both with 5 patients. This entity appeared in 68% of the patients who were in their second trimester of pregnancy, followed by the pregnant women of the third trimester, with 28%. There were symptoms of abdominal pain and tachycardia in 100% of the cases; nausea in 60%, and contracture and peritoneal reaction in 80%. Urosepsis was noted as a complication in 12%, sepsis of the surgical wound in 4%, for a morbidity rate of 20%, with a maternal mortality rate of 4%.  Conclusions:  the acute surgical abdomen presented with an incidence of 1.9 per 1000 pregnant women and more frequent in the ages between 20-29 years. Acute appendicitis, acute cholecystitis and complicated ovarian cyst are the diseases that most occurred in the acute surgical abdomen during the second trimester of pregnancy. The most frequent symptoms were: abdominal pain, contracture and peritoneal reaction. The highest percentage of cases was positive in the clinical diagnosis.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  Introdução:  o abdome cirúrgico agudo é uma entidade que, se não resolvida cirurgicamente, causa a morte na maioria dos casos e, em gestantes, é de especial interesse, uma vez que os sintomas e sinais não aparecem de maneira típica.  Objetivo:  caracterizar o comportamento do abdome cirúrgico agudo em gestantes do serviço de ginecologia do Hospital Universitário "Octavio de la Concepción y de la Pedraja" no município de Baracoa, Guantánamo.  Método:  estudo retrospectivo transversal, descritivo, com 25 histórias clínicas de gestantes que apresentaram abdome cirúrgico agudo no período de novembro de 1996 a novembro de 2005.  Resultados:  o grupo de 20-29 anos de idade apresentou 64% de freqüência seguido pelo grupo de 15-19 anos, com 36%. Apendicite foi a causa mais freqüente de abdome cirúrgico agudo com 10 casos, seguido de colecistite aguda e cisto ovariano complicado, ambos com 5 pacientes. Essa entidade apareceu em 68% dos pacientes que estavam no segundo trimestre de gestação, seguidos pelas gestantes do terceiro trimestre, com 28%. Houve sintomas de dor abdominal e taquicardia em 100% dos casos; náusea em 60% e contratura e reação peritoneal em 80%. A urosepse foi notada como uma complicação em 12%, sepse da ferida cirúrgica em 4%, para uma taxa de morbidade de 20%, com uma taxa de mortalidade materna de 4%.  Conclusões:  o abdome cirúrgico agudo apresentou uma incidência de 1,9 por 1000 gestantes e mais frequente nas idades entre 20 a 29 anos. Apendicite aguda, colecistite aguda e cisto ovariano complicado são as doenças que mais ocorreram no abdome cirúrgico agudo durante o segundo trimestre da gravidez. Os sintomas mais frequentes foram: dor abdominal, contratura e reação peritoneal. O maior percentual de casos foi positivo no diagnóstico clínico.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[abdomen agudo]]></kwd>
<kwd lng="es"><![CDATA[complicaciones del embarazo]]></kwd>
<kwd lng="es"><![CDATA[cirugía]]></kwd>
<kwd lng="en"><![CDATA[acute abdomen]]></kwd>
<kwd lng="en"><![CDATA[complications of pregnancy]]></kwd>
<kwd lng="en"><![CDATA[surgery]]></kwd>
<kwd lng="pt"><![CDATA[abdome agudo]]></kwd>
<kwd lng="pt"><![CDATA[complicações da gravidez]]></kwd>
<kwd lng="pt"><![CDATA[cirurgia]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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