{"id":140766,"date":"2026-01-12T17:57:18","date_gmt":"2026-01-12T17:57:18","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/paracentesis-evacuadora-total-asociada-a-infusion-intravenosa-de-dextrano-40-en-el-tratamiento-de-la-ascitis-tensa-del-enfermo-con-cirrosis-hepatica\/"},"modified":"2026-01-12T17:57:18","modified_gmt":"2026-01-12T17:57:18","slug":"paracentesis-evacuadora-total-asociada-a-infusion-intravenosa-de-dextrano-40-en-el-tratamiento-de-la-ascitis-tensa-del-enfermo-con-cirrosis-hepatica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/paracentesis-evacuadora-total-asociada-a-infusion-intravenosa-de-dextrano-40-en-el-tratamiento-de-la-ascitis-tensa-del-enfermo-con-cirrosis-hepatica\/","title":{"rendered":"Paracentesis evacuadora total asociada a infusion intravenosa de dextrano 40 en el tratamiento de la ascitis tensa del enfermo con cirrosis hepatica."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Ricardo Sol\u00c1\u00a0 Lamoglia <\/strong><\/h2>\n<p>Con el objetivo de investigar la eficacia y seguridad de las paracentesis evacuadoras totales asociadas a la infusion de dextrano 40 se han estudiado 49 enfermos cirroticos a los que se evalua funcion hepatica y renal, arp, aldosterona y volumen plasmatico antes, 48 horas y 6 dias despues de la paracentesis. La paracentesis total resulto efectiva obteniendose en 48 pacientes un total de 8.4  4.2 litros. No hemos observado variaciones significativas en los niveles de bilirrubina, albumina, protombina, creatinina, filtrado glomerular y volumen plasmatico. Sin embargo los niveles de bun, sodio plasmatico, arp y aldosterona variaron significativamente tras la paracentesis. Ademas, un total de 7 pacientes presentaron complicaciones durante el ingresos hospitalario (hiponatremia e insuficiencia renal).  se concluye que las paracentesis totales son un metodo eficaz de tratamiento de la ascitis tensa del enfermo con cirrosis hepatica, aunque la infusion intravenosa de dextrano 40 no consigue prevenir de forma satisfactoria los efectos adversos de las paracentesis sobre la hemodinamia sistemica.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Paracentesis evacuadora total asociada a infusion intravenosa de dextrano 40 en el tratamiento de la ascitis tensa del enfermo con cirrosis hepatica.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Paracentesis evacuadora total asociada a infusion intravenosa de dextrano 40 en el tratamiento de la ascitis tensa del enfermo con cirrosis hepatica. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Ricardo Sol\u00c1\u00a0 Lamoglia <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1992<\/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>Antoni Sitges Serra<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Juan Rubies Prat <\/li>\n<li>Jordi Cami Morell (vocal)<\/li>\n<li>Vicente Arroyo Perez (vocal)<\/li>\n<li> Gri\u00f1o Boira Josep M. (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Ricardo Sol\u00c1\u00a0 Lamoglia Con el objetivo de investigar la eficacia y seguridad de las paracentesis evacuadoras totales [&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":[9,491,139],"tags":[71079,1238,13665,8442,176772,19655],"class_list":["post-140766","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-gastroenterologia","category-medicina-interna","tag-antoni-sitges-serra","tag-grino-boira-josep-m","tag-jordi-cami-morell","tag-juan-rubies-prat","tag-ricardo-sola-lamoglia","tag-vicente-arroyo-perez"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/140766","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=140766"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/140766\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=140766"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=140766"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=140766"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}