{"id":32820,"date":"2025-01-06T08:49:56","date_gmt":"2025-01-06T11:49:56","guid":{"rendered":"https:\/\/www.grupomedcof.com.br\/blog\/?p=32820"},"modified":"2026-04-24T17:30:38","modified_gmt":"2026-04-24T20:30:38","slug":"hepatologista-na-emergencia-pediatrica","status":"publish","type":"post","link":"https:\/\/www.grupomedcof.com.br\/blog\/hepatologista-na-emergencia-pediatrica\/","title":{"rendered":"Hepatologista na Emerg\u00eancia Pedi\u00e1trica: principais casos"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_74 counter-hierarchy ez-toc-counter ez-toc-transparent ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Sum\u00e1rio<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Alternar tabela de conte\u00fado\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/hepatologista-na-emergencia-pediatrica\/#Peritonite_Bacteriana_Espontanea_PBE\" >Peritonite Bacteriana Espont\u00e2nea (PBE)<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/hepatologista-na-emergencia-pediatrica\/#Diagnostico\" >Diagn\u00f3stico<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/hepatologista-na-emergencia-pediatrica\/#Tratamento\" >Tratamento<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/hepatologista-na-emergencia-pediatrica\/#Hemorragia_Digestiva_Alta_HDA\" >Hemorragia Digestiva Alta (HDA)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/hepatologista-na-emergencia-pediatrica\/#Diagnostico_e_Abordagem_Inicial\" >Diagn\u00f3stico e Abordagem Inicial<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/hepatologista-na-emergencia-pediatrica\/#Tratamento-2\" >Tratamento<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/hepatologista-na-emergencia-pediatrica\/#Ascite_e_Complicacoes_Associadas\" >Ascite e Complica\u00e7\u00f5es Associadas<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/hepatologista-na-emergencia-pediatrica\/#Classificacao_da_Ascite\" >Classifica\u00e7\u00e3o da Ascite<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/hepatologista-na-emergencia-pediatrica\/#Manejo\" >Manejo<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/hepatologista-na-emergencia-pediatrica\/#Seja_um_MedCoffer\" >Seja um MedCoffer<\/a><\/li><\/ul><\/nav><\/div>\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/01\/Blog-MedCof-45-1024x576.jpg\" alt=\"\" class=\"wp-image-32822\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/01\/Blog-MedCof-45-1024x576.jpg 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/01\/Blog-MedCof-45-300x169.jpg 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/01\/Blog-MedCof-45-768x432.jpg 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/01\/Blog-MedCof-45-1536x864.jpg 1536w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/01\/Blog-MedCof-45-2048x1152.jpg 2048w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/01\/Blog-MedCof-45-747x420.jpg 747w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/01\/Blog-MedCof-45-150x84.jpg 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/01\/Blog-MedCof-45-696x392.jpg 696w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/01\/Blog-MedCof-45-1068x601.jpg 1068w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/01\/Blog-MedCof-45-1920x1080.jpg 1920w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p>Durante a resid\u00eancia m\u00e9dica, o <strong>manejo de complica\u00e7\u00f5es hep\u00e1ticas<\/strong>, como a peritonite bacteriana espont\u00e2nea (PBE) e a hemorragia digestiva alta (HDA), \u00e9 frequentemente desafiador, principalmente quando vemos essas manifesta\u00e7\u00f5es na cl\u00ednica pedi\u00e1trica de emerg\u00eancia. Nesse contexto, entendemos o porqu\u00ea dessa tem\u00e1tica ser t\u00e3o presente nas provas de resid\u00eancia m\u00e9dica. Ent\u00e3o, vamos discutir alguns pontos chaves sobre este tema, como diagn\u00f3sticos, tratamentos e considera\u00e7\u00f5es importantes para essas condi\u00e7\u00f5es.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-peritonite-bacteriana-espontanea-pbe\"><span class=\"ez-toc-section\" id=\"Peritonite_Bacteriana_Espontanea_PBE\"><\/span><strong>Peritonite Bacteriana Espont\u00e2nea (PBE)<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>A PBE \u00e9 uma infec\u00e7\u00e3o comum e grave em pacientes cirr\u00f3ticos com ascite. Ela ocorre devido ao supercrescimento bacteriano e altera\u00e7\u00f5es na permeabilidade intestinal, frequentemente associadas \u00e0 hipertens\u00e3o portal e imunodefici\u00eancia.<\/p>\n\n\n\n<figure class=\"wp-block-image is-resized\"><img decoding=\"async\" src=\"https:\/\/lh7-rt.googleusercontent.com\/docsz\/AD_4nXf5dDvzEumdH2AdAKtqsZeIoTZ0rrZg-feZpauUN8swj9Kqph8I2UTR21lNiPo7WDGedzhZQv7owT6bzh3hYrNNxhPpik7HNqXx3cl4fcfsyA3CkSGcrYiAQ_rJft4fl0swlpyW?key=1puZUq5GDqWYxnxkTYZFqJK0\" alt=\"Hepatologista na Emerg\u00eancia Pedi\u00e1trica\u00a0\" style=\"width:601px;height:auto\"\/><figcaption class=\"wp-element-caption\">Fonte: <a href=\"https:\/\/images.app.goo.gl\/kVuyQPm4sFBuUZwEA\">https:\/\/images.app.goo.gl\/kVuyQPm4sFBuUZwEA<\/a><\/figcaption><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-diagnostico\"><span class=\"ez-toc-section\" id=\"Diagnostico\"><\/span><strong>Diagn\u00f3stico<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Ele pode ser feito por Paracentese (realizada em todos os pacientes cirr\u00f3ticos com ascite admitidos no hospital ou com ascite de grau \u2265 2. A presen\u00e7a de mais de 250 polimorfonucleares (PMN)\/mm\u00b3 no l\u00edquido asc\u00edtico, com ou sem cultura positiva, confirma o diagn\u00f3stico de PBE) ou Bacterascite (Caracterizada por menos de 250 PMN\/mm\u00b3, mas com cultura positiva. O m\u00e9dico <strong>deve indicar o tratamento<\/strong> se o paciente apresentar sinais de infec\u00e7\u00e3o sist\u00eamica ou se a cultura permanecer positiva ap\u00f3s 48 horas.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-tratamento\"><span class=\"ez-toc-section\" id=\"Tratamento\"><\/span><strong>Tratamento<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Como bact\u00e9rias <strong>causam<\/strong> a condi\u00e7\u00e3o, a primeira via de tratamento <strong>utiliza<\/strong> antibi\u00f3ticos, como cefalosporinas de terceira gera\u00e7\u00e3o (cefotaxima e piperacilina-tazobactam). Especialistas <strong>recomendam<\/strong> o uso desses f\u00e1rmacos por 5 dias. Posteriormente partimos para albumina ( Administrar 1,5 g\/kg no diagn\u00f3stico e 1 g\/kg no terceiro dia) para prevenir a s\u00edndrome hepatorrenal e, ent\u00e3o. Ajustes de medicamentos, como diur\u00e9ticos e beta-bloqueadores, que devem ser descontinuados devido ao risco aumentado de s\u00edndrome hepatorrenal e mortalidade.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-hemorragia-digestiva-alta-hda\"><span class=\"ez-toc-section\" id=\"Hemorragia_Digestiva_Alta_HDA\"><\/span><strong>Hemorragia Digestiva Alta (HDA)<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>A HDA \u00e9 uma complica\u00e7\u00e3o cr\u00edtica em pacientes com doen\u00e7a hep\u00e1tica avan\u00e7ada, frequentemente causada por varizes esof\u00e1gicas ou g\u00e1stricas. Como abordamos crian\u00e7as, a causa da complica\u00e7\u00e3o est\u00e1 bastante associada \u00e0 obstru\u00e7\u00e3o de objetos pequenos.&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/lh7-rt.googleusercontent.com\/docsz\/AD_4nXfLeXdXCdzKm6bxDAl51jVynMZQP3fIAzUQBEXo63hOadl12jsujj2R3D5kOAIb3Wx-7ApUXKD-PO3At8qTSD5boUcOkIV3OZM4x5tHc2lufFUBeSVfnJQEVK_VG4cl-6IKZ1ps8g?key=1puZUq5GDqWYxnxkTYZFqJK0\" alt=\"Hepatologista na Emerg\u00eancia Pedi\u00e1trica\u00a0\"\/><figcaption class=\"wp-element-caption\">Radiologia de ingest\u00e3o de bateria. Case courtesy of Ashmitha Kumar, Radiopaedia.org, rID:164310<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-diagnostico-e-abordagem-inicial\"><span class=\"ez-toc-section\" id=\"Diagnostico_e_Abordagem_Inicial\"><\/span><strong>Diagn\u00f3stico e Abordagem Inicial<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Os primeiros sintomas cl\u00ednicos s\u00e3o hemat\u00eamese, melena e, em casos graves, hematoquezia. Depois que conseguimos proteger e estabilizar as vias a\u00e9reas, procedemos com reposi\u00e7\u00e3o vol\u00eamica com soro fisiol\u00f3gico ou transfus\u00e3o sangu\u00ednea, se necess\u00e1rio. Os exames laboratoriais primordiais nessa abordagem inicial que podem nos guiar quanto ao prosseguimento s\u00e3o tipagem sangu\u00ednea, hemograma, coagulograma, e fun\u00e7\u00e3o hep\u00e1tica.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-tratamento-0\"><span class=\"ez-toc-section\" id=\"Tratamento-2\"><\/span><strong>Tratamento<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>A terapia farmacol\u00f3gica deve ter in\u00edcio imediato, com&nbsp; inibidores da bomba de pr\u00f3tons (IBP) e, se a etiologia for varicosa, associando com octreotide, vitamina K e cefalosporina de terceira gera\u00e7\u00e3o. A endoscopia deve ser realizada em at\u00e9 24 horas ap\u00f3s a estabiliza\u00e7\u00e3o para interven\u00e7\u00e3o diagn\u00f3stica e\/ou terap\u00eautica. Por fim, a profilaxia deve incluir a restri\u00e7\u00e3o de s\u00f3dio e uso de diur\u00e9ticos, como espironolactona e furosemida, para manejo da ascite associada.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-ascite-e-complicacoes-associadas\"><span class=\"ez-toc-section\" id=\"Ascite_e_Complicacoes_Associadas\"><\/span><strong>Ascite e Complica\u00e7\u00f5es Associadas<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>A ascite \u00e9 uma complica\u00e7\u00e3o comum da cirrose e est\u00e1 intimamente ligada \u00e0 hipertens\u00e3o portal e reten\u00e7\u00e3o de s\u00f3dio e \u00e1gua.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/lh7-rt.googleusercontent.com\/docsz\/AD_4nXcyyeKPUm9tQyw-h0i4Ci2aUXPx30OXnNIOHOvmIbgMimyiotD3JyECCFrxg44yg8PCmw4aJQxs6SlMQQpTVA2RYufSJad-HtftiZIs3tcxgvdXlB7PokDJCeVtf54WsCm5u83SDw?key=1puZUq5GDqWYxnxkTYZFqJK0\" alt=\"Hepatologista na Emerg\u00eancia Pedi\u00e1trica\u00a0\"\/><figcaption class=\"wp-element-caption\">Caso de ascite. Fonte: Case courtesy of Dr Bruno Di Muzio,Radiopaedia.org, rID: 79127<\/figcaption><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-classificacao-da-ascite\"><span class=\"ez-toc-section\" id=\"Classificacao_da_Ascite\"><\/span><strong>Classifica\u00e7\u00e3o da Ascite<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Grau 1 (Leve): Detectada apenas por ultrassonografia.<\/li>\n\n\n\n<li>Grau 2 (Moderada): Distens\u00e3o abdominal detect\u00e1vel ao exame f\u00edsico.<\/li>\n\n\n\n<li>Grau 3 (Tensa): Distens\u00e3o volumosa e tensa, requerendo paracentese terap\u00eautica.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-manejo\"><span class=\"ez-toc-section\" id=\"Manejo\"><\/span><strong>Manejo<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>A Paracentese \u00e9 indicada para todos os pacientes com ascite de grau \u2265 2 admitidos no hospital. No caso da terapia diur\u00e9tica, podemos escolher o Espironolactona como o diur\u00e9tico principal, com adi\u00e7\u00e3o de furosemida em casos de refratariedade. Por fim, podemos recorrer da infus\u00e3o de Albumina, que \u00e9 necess\u00e1ria em casos de paracentese de grande volume para prevenir complica\u00e7\u00f5es hemodin\u00e2micas.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"seja-um-medcoffer\"><span class=\"ez-toc-section\" id=\"Seja_um_MedCoffer\"><\/span><strong>Seja um MedCoffer<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Para conquistar a aprova\u00e7\u00e3o nas provas de resid\u00eancia, seja um&nbsp;<strong>MedCoffer<\/strong>! Aqui te ajudaremos na busca da aprova\u00e7\u00e3o com conte\u00fados de qualidade e uma&nbsp;<a href=\"https:\/\/www.grupomedcof.com.br\/blog\/presenca-da-medcof-nas-aprovacoes-em-residencia-medica-no-brasil\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>metodologia que j\u00e1 aprovou mais de 10 mil residentes no pa\u00eds<\/strong><\/a>!<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<div class=\"youtube-embed\" data-video_id=\"4NhT3hxEl6g\"><iframe loading=\"lazy\" title=\"COFEXPRESS - Emerg\u00eancia Pedi\u00e1trica: Diarreia Aguda. Com Dra. Roberta Andrade\" width=\"696\" height=\"392\" src=\"https:\/\/www.youtube.com\/embed\/4NhT3hxEl6g?feature=oembed&#038;enablejsapi=1\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/div>\n<\/div><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Vamos discutir alguns pontos chaves sobre complica\u00e7\u00f5es hep\u00e1ticas como diagn\u00f3sticos e tratamentos! 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