{"id":144069,"date":"1993-01-01T00:00:00","date_gmt":"1993-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-de-un-protocolo-diagnostico-pronostico-con-vistas-al-tratamiento-en-pacientes-diabeticos-con-trastornos-troficos-en-los-pies\/"},"modified":"1993-01-01T00:00:00","modified_gmt":"1993-01-01T00:00:00","slug":"estudio-de-un-protocolo-diagnostico-pronostico-con-vistas-al-tratamiento-en-pacientes-diabeticos-con-trastornos-troficos-en-los-pies","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-de-un-protocolo-diagnostico-pronostico-con-vistas-al-tratamiento-en-pacientes-diabeticos-con-trastornos-troficos-en-los-pies\/","title":{"rendered":"Estudio de un protocolo diagnostico-pronostico con vistas al tratamiento en pacientes diabeticos con trastornos troficos en los pies."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Ignacio Blanes Mompo <\/strong><\/h2>\n<p>Dada la alta preValencia de la diabetes mellitus -5% en espa\u00f1a-, y dada la alta tasa de trastornos troficos en los pies que presentan- 10% en mayores de 65 a\u00f1os- con la posibilidad de requerir una amputacion mator que presentan, nos planteamos la realizacion de un estudio prospectivo para intenta encontrar un parametro de viabilidad o inviabilidad del miembro. Para ello, aplicabamos un protocolo a un grupo de 50 pacientes diabeticos con trastornos troficos complicados en los pies, sin posibilidad de revascularizacion quirurgica desde el punto de vista clinico, comparandolo a otro grupo de diabeticos sin trastornos troficos. En dicho protocolo realizabamos una exploracion clinica, radiografia simple de pie, estudio microbiologico, estudio oftalmologico, velocidad de conduccion nerviosa, doppler y fotopletismografia. Segun los resultados obtenidos, son factores de mal pronostico para la aparicion de las lesiones un fondo de ojo patologico y una velocidad de conduccion nerviosa disminuida, de buen pronostico para la conservacion de la extremidad un indice doppler distal mayor a 0.8, una curva doppler distal trifasica y una curva de fotopletismografia normal o aplanada. Son factores de mal pronostico para la viabilidad del miembro la ausencia de pulsos distales, un indice doppler distal menor a 0.5 y sobre todo una onda fotopletismografica plana.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio de un protocolo diagnostico-pronostico con vistas al tratamiento en pacientes diabeticos con trastornos troficos en los pies.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio de un protocolo diagnostico-pronostico con vistas al tratamiento en pacientes diabeticos con trastornos troficos en los pies. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Ignacio Blanes Mompo <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Universitat de val\u00e9ncia (estudi general)<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1993<\/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>Carlos Carbonell Canti<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Carlos Carbonell Antoli <\/li>\n<li>Marc Cairols Castellote (vocal)<\/li>\n<li> Martinez Valls Jos\u00e9 Francisco (vocal)<\/li>\n<li> Garcia De La Torre Aurelio (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Ignacio Blanes Mompo Dada la alta preValencia de la diabetes mellitus -5% en espa\u00f1a-, y dada la [&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 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