<?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>1405-0099</journal-id>
<journal-title><![CDATA[Cirujano general]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. gen]]></abbrev-journal-title>
<issn>1405-0099</issn>
<publisher>
<publisher-name><![CDATA[Asociación Mexicana de Cirugía General A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1405-00992017000400214</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Factores demográficos y signos clínicos de pacientes con trauma penetrante abdominal en Yucatán]]></article-title>
<article-title xml:lang="en"><![CDATA[Demographic factors and clinical signs of patients with penetrating abdominal injury in Yucatán]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gamboa Hoil]]></surname>
<given-names><![CDATA[Sergio Isidro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cárdenas Marrufo]]></surname>
<given-names><![CDATA[María Fidelia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Secretaría de Salud de Yucatán Hospital General Agustín O&#8217;Horán ]]></institution>
<addr-line><![CDATA[ Yucatán]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Autónoma de Yucatán Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Mérida Yucatán]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<volume>39</volume>
<numero>4</numero>
<fpage>214</fpage>
<lpage>220</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992017000400214&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992017000400214&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992017000400214&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Antecedentes:  La tasa de trauma penetrante de abdomen (TPA) con arma blanca en el estado de Yucatán es de 57%; es una de las principales causas de morbilidad y la principal causa de discapacidad en personas en edad productiva. Hasta la fecha se han descrito laparotomías no terapéuticas en un 40%. Es difícil considerar alguna herramienta única para descartar una conducta quirúrgica; ante ello, ha aumentado el interés en identificar las características de los pacientes y el papel de los signos clínicos para establecer el tratamiento de esta patología.  Objetivo:  Conocer los factores demográficos y signos clínicos de los pacientes con trauma penetrante abdominal ingresados en el Hospital Agustín O&#8217;Horán del estado de Yucatán.  Material y métodos:  Estudio retrospectivo de 105 pacientes con trauma penetrante en el abdomen anterior intervenidos quirúrgicamente en un lapso de cinco años (de enero de 2010 a diciembre de 2014) en el Hospital General Agustín O&#8217;Horán. Se compararon las laparotomías terapéuticas y las no terapéuticas. Se analizó la edad, género, estado civil, residencia, índice de masa corporal, causa de la lesión, número de lesiones, área y órgano lesionados, y los signos vitales.  Resultados:  De 105 pacientes, 99 fueron hombres (94%), solteros, con edad promedio de 31.3 años, que habitaban en el interior del estado. La causa más frecuente fue agresión por terceras personas con arma punzocortante en el epigastrio, con una única herida, asociada al consumo de alcohol. Resultaron con laparotomía no terapéutica 41 pacientes (39%). Encontramos asociación estadística (p &lt; 0.05) en cuanto al lugar de residencia y en los signos vitales (frecuencia cardiaca mayor a 80 latidos por minuto, frecuencia respiratoria mayor a 16 respiraciones por minuto), irritación peritoneal y el resultado de laparotomías terapéuticas.  Conclusión:  En pacientes que presentan heridas en el abdomen anterior, en condiciones estables y asintomáticos, no se puede descartar un manejo quirúrgico; sin embargo, la inestabilidad hemodinámica y la irritación peritoneal son factores para considerar un procedimiento terapéutico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Background:  The rate of penetrating abdominal injury (PAI) with stab wounds in the state of Yucatán is 57%; it is the leading cause of morbidity and disability in people in productive age. To date, nontherapeutic laparotomies have been described in 40%. It is difficult to consider a unique tool to predict the need for laparotomies, which has increased the interest to determine the characteristics of patients and the role of the clinical signs to establish the treatment of this pathology.  Objective:  To determine the demographic factors and clinical signs of penetrating abdominal injuries in patients admitted in the General Hospital Agustín O&#8217;Horán of the state of Yucatán.  Material and methods:  This is a retrospective study of 105 records of patients with penetrating anterior abdomen injuries who underwent surgery in a five-year period (January 2010 to December 2014) in the General Hospital Agustín O&#8217;Horán. Therapeutic and nontherapeutic laparotomies were compared. Gender, marital status, residence, body mass index, cause of injury, number of injuries, injured body area, age and clinical signs were analyzed.  Results:  Of 105 patients, 99 were male (94%), single, with an average age of 31.3 years, who lived in the interior of the state. The most frequent cause was personal violence, with a knife, in the epigastric zone, with a single wound associated with alcohol abuse. Forty-one patients (39%) had non-therapeutic laparotomy. We found a statistical association (p &lt; 0.05) regarding the place of residence, the clinical signs (heart rate higher than 80 beats per minute, breathing rate greater than 16 breaths per minute), peritonitis, and the result of therapeutic laparotomies.  Conclusion:  Surgical management cannot be discarded in patients with penetrating abdominal injury in asymptomatic and hemodynamic stability conditions; however hemodynamic instability and peritonitis are factors that should be considered for a therapeutic procedure.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Trauma abdominal penetrante]]></kwd>
<kwd lng="es"><![CDATA[signos clínicos]]></kwd>
<kwd lng="es"><![CDATA[arma blanca]]></kwd>
<kwd lng="es"><![CDATA[laparotomía terapéutica]]></kwd>
<kwd lng="es"><![CDATA[laparotomía no terapéutica]]></kwd>
<kwd lng="en"><![CDATA[Penetrating abdominal injury]]></kwd>
<kwd lng="en"><![CDATA[clinical signs]]></kwd>
<kwd lng="en"><![CDATA[stab wounds]]></kwd>
<kwd lng="en"><![CDATA[therapeutic laparotomy]]></kwd>
<kwd lng="en"><![CDATA[non-therapeutic laparotomy]]></kwd>
</kwd-group>
</article-meta>
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