Frecuencia de abdomen agudo en pacientes hospitalizados en el Hospital del Norte IESS Los Ceibos.

Abstract

The acute abdomen is a medical term that refers to a clinical picture of sudden and intense abdominal pain, which can be caused by various pathologies that require immediate evaluation and treatment. Objective: To determine the frequency of acute abdomen in patients treated in a general hospital in the city of Guayaquil. Methodological design: descriptive, quantitative, retrospective and cross-sectional. Technique: Indirect observation. Population: 367 patients with acute abdomen. Instrument: Matrix of indirect observation by reviewing medical records. Results: sex according to age, the women presented a frequency of 198 cases (54%), where the mean age was 45.88. Unlike men with 169 cases (46%), the mean age being 48.08. Regarding the clinical manifestations of the patients, abdominal pain is the frequent symptom in patients with acute abdomen, pain was present in 75.7%, followed by fever 62.1%; diaphoresis 46.6%; vomiting 42.2%; diarrhea 22.6%; constipation 17.7%; jaundice 17.2%; anorexia 8.2% and globular abdomen 7.6%. The types of acute abdomen were inflammatory, 59.4% followed by vascular 22.1%, hemorrhagic 9.8% and obstructive 8.7%. Among the complications, 22.1% presented sepsis, followed by peritonitis 16.4%; necrosis 10.1%; organic failure; 5.4%; hypovolemia 3.3%, paralytic ileus 1.6% and electrolyte imbalance 0.8%. Conclusions: The frequency of acute abdomen with more cases was in 2019 with 36%.