{"id":136063,"date":"1997-01-01T00:00:00","date_gmt":"1997-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/alteraciones-endocrinas-perioperatorias-en-cirugia-toracica\/"},"modified":"1997-01-01T00:00:00","modified_gmt":"1997-01-01T00:00:00","slug":"alteraciones-endocrinas-perioperatorias-en-cirugia-toracica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/alteraciones-endocrinas-perioperatorias-en-cirugia-toracica\/","title":{"rendered":"Alteraciones endocrinas perioperatorias en cirugia toracica."},"content":{"rendered":"

Tesis doctoral de Pernia Moran Jes\u00fas Ventura <\/strong><\/h2>\n

Introduccion existen pocos estudios sobre el comportamiento perioperatorio de las hormonas adenohipofisarias (acth, fsh, lh, prolactina, tsh, asi como de las hormonas de los organos diana (cortisol y h. tiroideas) y ninguno sobre su comportamiento en cirugia toracica (c.T.), Por lo que nos propusimos un estudio de las hormonas antedichas ante este tipo de cirugia, en un amplio periodo perioperatorio. material y metodo se realiza un estudio sobre 40 enfermos sometidos a c.T., divididos en funcion de su sexo, edad (mayor o menor de 50 a\u00f1os), tiempo de intervencion (menos de 140 minutos o mas), existencia o no de incidencias perioperatorias cardiovasculares, diagnostico, tipo de intervencion, administracion o no de premedicacion y finalmente una mayor o menor estancia en las unidades de vigilancia postoperatoria. Las tomas se estudiaron mediante r.I.A., y se recogieron a la entrada en quirofano, a los 30 minutos y final de la intervencion, asi como a las 24, 48 horas y semana tras la intervencion. resultados y discusion existe una disminucion serica en las hormonas metabolicamente activadoras (t3 y t4) incluso de la tsh, siendo el descenso mas acusado con la presencia de incidencias perioperatorias, edad mayor de 50 a\u00f1os e intervenciones mas agresivas. Asi mismo se observa un \u00bb hipotiroidismo relativo\u00bb a las 24 horas de la intervencion. El cortisol esta mas elevado en mayores de 50 a\u00f1os y enfermos con incidencias cisculatorias. Hay mayor nivel de acth y cortisol al final de la intervencion. el retrocontrol tiroideo y suprarrenal esta roto. existe un comportamiento ascendente de lh a lo largo de la evolucion del estudio y descendente de fsh en el mismo periodo, teniendo mayores valores los de mas de 50 a\u00f1os. los niveles de prolactina son mas altos de los normales en el introperatorio, retornando a la normalidad en el postoperatorio, con mayores niveles en funcion de mayor tiempo operatorio y en las mujeres.<\/p>\n

 <\/p>\n

Datos acad\u00e9micos de la tesis doctoral \u00abAlteraciones endocrinas perioperatorias en cirugia toracica.<\/strong>\u00ab<\/h3>\n
    \n
  • T\u00edtulo de la tesis:<\/strong>\u00a0 Alteraciones endocrinas perioperatorias en cirugia toracica. <\/li>\n
  • Autor:<\/strong>\u00a0 Pernia Moran Jes\u00fas Ventura <\/li>\n
  • Universidad:<\/strong>\u00a0 Valladolid<\/li>\n
  • Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1997<\/li>\n<\/ul>\n

     <\/p>\n

    Direcci\u00f3n y tribunal<\/h3>\n
      \n
    • Director de la tesis<\/strong>\n
        \n
      • Mar\u00eda no Garcia Yuste Martin<\/li>\n<\/ul>\n<\/li>\n
      • Tribunal<\/strong>\n
          \n
        • Presidente del tribunal: Francisco Javier Casta\u00f1eda Casado <\/li>\n
        • Clemente Muriel Viloria (vocal)<\/li>\n
        • Guillermo Ramos Seisdedos (vocal)<\/li>\n
        • Emilio Canalis Arrayas (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n

           <\/p>\n","protected":false},"excerpt":{"rendered":"

          Tesis doctoral de Pernia Moran Jes\u00fas Ventura Introduccion existen pocos estudios sobre el comportamiento perioperatorio de las hormonas adenohipofisarias (acth, […]<\/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":[1569,35,9,141,2135,817,12451],"tags":[53189,37693,9211,12541,12542,250382],"class_list":["post-136063","post","type-post","status-publish","format-standard","hentry","category-anestesiologia-quirurgica","category-ciencias-de-la-vida","category-ciencias-medicas","category-cirugia","category-fisiologia-endocrina","category-fisiologia-humana","category-valladolid","tag-clemente-muriel-viloria","tag-emilio-canalis-arrayas","tag-francisco-javier-castaneda-casado","tag-guillermo-ramos-seisdedos","tag-maria-no-garcia-yuste-martin","tag-pernia-moran-jesus-ventura"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/136063","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=136063"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/136063\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=136063"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=136063"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=136063"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}