{"id":133005,"date":"1997-01-01T00:00:00","date_gmt":"1997-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/trastorno-circulatorio-post-paracentesis-incidencia-implicaciones-pronosticas-y-prevencion-con-expansores-plasmaticos\/"},"modified":"1997-01-01T00:00:00","modified_gmt":"1997-01-01T00:00:00","slug":"trastorno-circulatorio-post-paracentesis-incidencia-implicaciones-pronosticas-y-prevencion-con-expansores-plasmaticos","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/trastorno-circulatorio-post-paracentesis-incidencia-implicaciones-pronosticas-y-prevencion-con-expansores-plasmaticos\/","title":{"rendered":"Trastorno circulatorio post-paracentesis. incidencia, implicaciones pronosticas y prevencion con expansores plasmaticos."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Fernandez Esparrach M. Gloria <\/strong><\/h2>\n<p>En 289 cirroticos con ascitis a tension tratados con paracentesis total se ha comparado la eficacia de tres expansores plasmaticos (albumina, dextrano-70 y gelatina polimerizada) en la prevencion del trastorno circulatorio post-paracentesis y se ha investigado si este trastorno esta en relacion con una disminucion del volumen plasmatico. Los resultados muestran que la activacion de los sistemas vasoconstrictores despues de la paracentesis no es debida a una reduccion real del volumen plasmatico sino que la paracentesis origina una reduccion del volumen plasmatico efectivo. Esta reduccion no es reversible de forma espontanea y se asocia a una mayor probabilidad de recurrencia de la ascitis y a una menor supervivencia. La albumina es mas efectiva que el dextrano-70 y la gelatina en la prevencion de esta hipovolemia efectiva cuando el volumen de liquido ascitico eliminado es superior a 5 litros. Por tanto, la albumina debe considerarse el expansor plasmatico de eleccion en los pacientes cirroticos tratados con una paracentesis evacuadora de mas de 5 litros.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Trastorno circulatorio post-paracentesis. incidencia, implicaciones pronosticas y prevencion con expansores plasmaticos.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Trastorno circulatorio post-paracentesis. incidencia, implicaciones pronosticas y prevencion con expansores plasmaticos. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Fernandez Esparrach M. Gloria <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1997<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Pere Gines Gibert<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Josep Ter\u00e9s Quiles <\/li>\n<li>Juan Balasch Cortina (vocal)<\/li>\n<li>Xavier Xiol Quingles (vocal)<\/li>\n<li>Antoni Sitges Serra (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Fernandez Esparrach M. Gloria En 289 cirroticos con ascitis a tension tratados con paracentesis total se ha [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[951,9,491,139],"tags":[71079,246936,19787,11992,118653,1490],"class_list":["post-133005","post","type-post","status-publish","format-standard","hentry","category-barcelona","category-ciencias-medicas","category-gastroenterologia","category-medicina-interna","tag-antoni-sitges-serra","tag-fernandez-esparrach-m-gloria","tag-josep-teres-quiles","tag-juan-balasch-cortina","tag-pere-gines-gibert","tag-xavier-xiol-quingles"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/133005","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=133005"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/133005\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=133005"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=133005"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=133005"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}