Trauma vascular y depuración de lactato como predictor determinante de mortalidad. Reporte de caso

Abstract

lesión vascular, una medición de lactato sérico, control de y Poste-riormente se diagnosticó una lesión vascular, y fue llevado a exploración vascular de vasos subclavios más arteriotomía por hallazgo de vasoespasmo en la arteria axilar con trombo in situ y rafia de la arteria subclavia. Conclusiones: La medición seriada del lactato sérico y su rápida depuración en las primeras horas del evento predice exitosamente una baja probabilidad de morbimortalidad a pesar de las características y la gravedad del trauma. Palabras clave: Trauma. Depuración de lactato. Lactato. Lesión vascular. Abstract Introduction: The serial measurement of serum lactate is essential for monitoring the therapeutic response of initial resuscitation and damage control in patients with vascular trauma, as well as a predictor of morbidity and mortality. Case report: We present a 25-year-old male patient who suffers trauma due to knife wound in the thorax with vascular injury, in whom a serial measurement of serum lactate, damage control and resuscitation was performed; subsequently, a vascular lesion was diag-nosed, and vascular exploration of the subclavian vessels + arteriotomy was carried out due to the finding of vasospasm in the axillary artery with in situ thrombus and subclavian artery raffia. Conclusions: The serial measurement of serum lactate and its rapid clearance in the first hours of the event successfully predicts a low probability of morbidity and mortality despite the characteristics and severity of the trauma.