{"id":144726,"date":"1993-01-01T00:00:00","date_gmt":"1993-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/el-coma-en-la-lesion-encefalica-difusa-postraumatica-infantil\/"},"modified":"1993-01-01T00:00:00","modified_gmt":"1993-01-01T00:00:00","slug":"el-coma-en-la-lesion-encefalica-difusa-postraumatica-infantil","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/el-coma-en-la-lesion-encefalica-difusa-postraumatica-infantil\/","title":{"rendered":"El coma en la lesion encefalica difusa postraumatica infantil."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Josep Bosch Blancafort <\/strong><\/h2>\n<p>Se ha analizado en este estudio, los factores pronostico de 48 pacientes en edad pediatrica consecutivos y no seleccionados, afectos de una lesion encefalica difusa a raiz de un traumatismo craneoencefalico grave; en cuya produccion intervinieron mecanismos dinamicos de aceleracion desaceleracion. Todos los pacientes presentaron un estado de coma de impacto, valorado con una puntuacion inferior o igual a 8 en la escala de glasgow y no se observo en la tomografia computerizada cerebral (tc cerebral) ninguna lesion intracraneal traumatica aguda ocupante de espacio. Se establecio un protocolo de estudio que incluia los datos obtenidos de la exploracion clinica y neurologica; la radiolog\u00eda simple y la tomografia computerizada; la monitorizacion de la presion intracraneal; y los potenciales evocados auditivos del tronco del encefalo. Los resultados fueron evaluados al alta y a los seis meses, no pudiendo ser valorados dos pacientes supervivientes en este ultimo periodo. Los pacientes sobrevivientes fueron 37 (77.1%) y 11 (22.9%) fallecieron. De los que sobrevivieron, solo 35 pudieron ser evaluados a los seis meses presentados los siguientes resultados clinicos: 29 (63.1%) presentaron una buena recuperacion y 6 (13.0%) una moderada incapacidad, es decir que todos los pacientes presentaron un buen resultado a los seis meses. Los datos clinicos obtenidos con mayor capacidad pronostica fueron: la puntuacion inicial global de la escala de glasgow; la puntuacion inicial aislada de la respuesta motora, tambien segun la valoracion de la escala de glasgow; la presencia de midriasis y anisocoria y la respuesta alterada de los reflejos fotomotor y corneal. La ausencia de cisternas basales y\/o del iii ventriculo y la observacion de hemorragia subaracnoidea han sido los factores pronostico que ha proporcionado la tc cerebral inicial. En los pacientes supervivientes, la presencia de signos de atrofia cerebral ha sido un indicador de un menor grado d<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>El coma en la lesion encefalica difusa postraumatica infantil.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 El coma en la lesion encefalica difusa postraumatica infantil. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Josep Bosch Blancafort <\/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\/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>Enrique Rubio Garc\u00eda<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jos\u00e9 Antonio Salva Miquel <\/li>\n<li>Jos\u00e9 Boix Ochoa (vocal)<\/li>\n<li>Pedro Quesada Marin (vocal)<\/li>\n<li>Juan Sahuquillo Barris (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Josep Bosch Blancafort Se ha analizado en este estudio, los factores pronostico de 48 pacientes en edad [&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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