Afección de órgano blanco en preeclampsia – eclampsia en pacientes gestantes del Hospital Vicente Corral Moscoso. Periodo enero – diciembre 2017. Cuenca - 2018

Abstract

INTRODUCTION: arterial hypertension (AHT) is the most frequent medical complication during pregnancy; they cover a wide spectrum of conditions, preeclampsia and eclampsia being the first causes of maternal death in our country from 2006 to 2014; producing multiple organ dysfunction that includes cardiovascular, renal, hepatic, hematological and neurovascular alterations.

OBJECTIVE: to determine the frequency of white organ involvement due to preeclampsia and eclampsia, at the Hospital Vicente Corral Moscoso. 2017.

METHODOLOGY: this is a descriptive and retrospective study that collects the information of 195 patients diagnosed with preeclampsia and eclampsia at the Hospital Vicente Corral Moscoso in 2017; using a previously prepared form and the data analysis was performed in the SPSS v19 program. The data is presented in simple and crossed tables with their respective graphs.

RESULTS: Of a total of 6356 patients, 189 presented preeclampsia and 6 eclampsia. 46%, of the population was between 20 and 29 years old. Of the patients with preeclampsia, 67.2% were considered without signs of severity and 32.8% with signs of severity; It was also found that 69.8% had a positive proteinuria / creatinuria index and 84.1% had uric acid with values higher than 4.5 mg/dL; proteinuria being greater in patients with eclampsia.

CONCLUSION: laboratory tests have determined that the main organ affected by preeclampsia and eclampsia are the kidneys; which entails a high risk of long-term morbidity and mortality in these patients.