{"id":156013,"date":"2026-01-12T17:25:18","date_gmt":"2026-01-12T17:25:18","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/derrames-pleurales-estudio-de-marcadores-su-correlacion-con-la-histopatologia-a-traves-de-la-toracoscopia\/"},"modified":"2026-01-12T17:25:18","modified_gmt":"2026-01-12T17:25:18","slug":"derrames-pleurales-estudio-de-marcadores-su-correlacion-con-la-histopatologia-a-traves-de-la-toracoscopia","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/derrames-pleurales-estudio-de-marcadores-su-correlacion-con-la-histopatologia-a-traves-de-la-toracoscopia\/","title":{"rendered":"Derrames pleurales: estudio de marcadores. su correlacion con la histopatolog\u00eda a traves de la toracoscopia."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Damaso Escribano Sevillano <\/strong><\/h2>\n<p>Algunos parametros considerados, han mostrado buena rentabilidad diagnnostica, cultivo de bk en l.  pleural:49.2%, en cambio fue moderada para citolog\u00eda 20%, y broncoscopia 27%: la ayuda diagnostica ha sido escasa con otros parametros habituales.  la rentabilidad de las pruebas habituales y no cruentas permitio valorar etiologicamente aproximadamente a la mitad de los pacientes.  la biopsia pleural con aguja ciega diagnostica el 50% de los derrames que por razones diversas se plantea una incognita etiologica.  la toracoscopia y biopsia dirigida diagnostican con seguridad mas del 85% de los derrames pleurales.  existe un importante numero de diagnosticos histopatologicos compatibles con la inespecificidad (18.9%).  la asociacion de ada por encima de 29 u. Y el cociente lisozima liquido pleural\/lisozima suero (llp\/ls)mayor de 1 permite un diagnostico proximo al 90% en derrames pleurales tuberculosos.  la asociacion ada mayor de 29, cociente llp\/ls mayor de 1, y fibronectina mayor de 135 ng\/ml, permite (con una sensibilidad del 100%) diagnosticar los derrames de causa tuberculosa.  desde el punto de vista de la rentabilidad diagnostica y teniendo presente otras posibilidades tecnicas, economicas etc.  parece razonable empezar por la determinacion de ada y lisozima, con ello diagnosticaremos casi el 90% de derrames tuberculosos y excluiremos a casi el 80% con un alto poder de prediccion positivo.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Derrames pleurales: estudio de marcadores. su correlacion con la histopatolog\u00eda a traves de la toracoscopia.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Derrames pleurales: estudio de marcadores. su correlacion con la histopatolog\u00eda a traves de la toracoscopia. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Damaso Escribano Sevillano <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Oviedo<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1991<\/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> Arribas Castrillo Jos\u00e9 Manuel<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Bernardo Mar\u00edn Fern\u00e1ndez <\/li>\n<li>J. Villamor Leon (vocal)<\/li>\n<li>Simarro Simarro Ambrosio (vocal)<\/li>\n<li>Jos\u00e9 Ramon Rodriguez  Suarez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Damaso Escribano Sevillano Algunos parametros considerados, han mostrado buena rentabilidad diagnnostica, cultivo de bk en l. pleural:49.2%, [&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":[9,69,52,139,8846,156],"tags":[8877,677,25480,270115,3294,270116],"class_list":["post-156013","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-enfermedades-pulmonares","category-histopatologia","category-medicina-interna","category-oviedo","category-patologia","tag-arribas-castrillo-jose-manuel","tag-bernardo-marin-fernandez","tag-damaso-escribano-sevillano","tag-j-villamor-leon","tag-jose-ramon-rodriguez-suarez","tag-simarro-simarro-ambrosio"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/156013","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=156013"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/156013\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=156013"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=156013"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=156013"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}