{"id":15814,"date":"2018-03-09T09:03:08","date_gmt":"2018-03-09T09:03:08","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/efecto-de-la-administracion-de-somatostatina-y-octreotido-sobre-la-hemodinamica-esplacnico-portal-estudio-en-pacientes-cirroticos-mediante-ecografa%c2%ada-doppler\/"},"modified":"2018-03-09T09:03:08","modified_gmt":"2018-03-09T09:03:08","slug":"efecto-de-la-administracion-de-somatostatina-y-octreotido-sobre-la-hemodinamica-esplacnico-portal-estudio-en-pacientes-cirroticos-mediante-ecografa%c2%ada-doppler","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/efecto-de-la-administracion-de-somatostatina-y-octreotido-sobre-la-hemodinamica-esplacnico-portal-estudio-en-pacientes-cirroticos-mediante-ecografa%c2%ada-doppler\/","title":{"rendered":"Efecto de la administraci\u00f3n de somatostatina y octre\u00f3tido sobre la hemodin\u00e1mica espl\u00e1cnico-portal. estudio en pacientes cirr\u00f3ticos mediante ecograf\u00edadoppler."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Francisco Jos\u00e9 Fern\u00e1ndez P\u00e9rez <\/strong><\/h2>\n<p>Introducci\u00f3n  tras a\u00f1os de utilizaci\u00f3n cl\u00ednica de ss (ss) y oct (oct) en el control de la hemorragia aguda varicosa y pese a numerosos trabajos sobre eficacia cl\u00ednica y valoraci\u00f3n hemodin\u00e1mica empleando manometr\u00eda de suprahep\u00e1ticas, seguimos todav\u00eda hoy sin conocer con exactitud como act\u00faan estas sustancias a nivel espl\u00e1cnico. A\u00fan si cabe menos informaci\u00f3n es la que hay disponible sobre de qu\u00e9 manera y en qu\u00e9 medida estas sustancias alteran los par\u00e1metros de valoraci\u00f3n hemodin\u00e1mica habitualmente empleados en el estudio doppler espl\u00e1cnico.  objetivos  1,- describir el efecto espl\u00e1cnico de la administraci\u00f3n intravenosa de ss y oct a las dosis y posolog\u00eda habituales en la pr\u00e1ctica cl\u00ednica diaria, empleando la ultrasonograf\u00eda doppler como m\u00e9todo de estudio vascular no invasivo.  2,- determinar si vip y bradicinina juegan alg\u00fan papel en el mecanismo de acci\u00f3n vascular de estas sustancias.  material y m\u00e9todo  de forma consecutiva y aleatoria un total de 45 cirr\u00f3ticos con hipertensi\u00f3n portal demostrada mediante la existencia de varices esofagog\u00e1stricas por endoscopia fueron asignados a recibir una infusi\u00f3n basal, a los 15, 30, 45 y 60 minutos de infusi\u00f3n el di\u00e1metro de la vena porta (vp), velocidad media de la sangre (vm), \u00edndice de congesti\u00f3n (ic) y volumen de flujo (vf) en la vena porta, el \u00edndice de resistencia en la arteria mesent\u00e9rica superior (ir-ams) as\u00ed como tensi\u00f3n arterial media (tam), frecuencia card\u00edaca (fc) y glucemia plasm\u00e1tica. Adicionalmente medimos, en situaci\u00f3n basal y a los 30 y 60 minutos de infusi\u00f3n, las concentraciones plasm\u00e1ticas de vip y bradicinina. los valores obtenidos mediante ultrasonograf\u00eda doppler fueron la resultante de establecer la media de tres determinaciones consecutivas, siendo todo el estudio practicado por un \u00fanico explorador.  resultados  la administraci\u00f3n de placebo (salino 0,9%) no se sigui\u00f3 de cambio significativo alguno en los valores de ta<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Efecto de la administraci\u00f3n de somatostatina y octre\u00f3tido sobre la hemodin\u00e1mica espl\u00e1cnico-portal. estudio en pacientes cirr\u00f3ticos mediante ecograf\u00edadoppler.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Efecto de la administraci\u00f3n de somatostatina y octre\u00f3tido sobre la hemodin\u00e1mica espl\u00e1cnico-portal. estudio en pacientes cirr\u00f3ticos mediante ecograf\u00edadoppler. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Francisco Jos\u00e9 Fern\u00e1ndez P\u00e9rez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Sevilla<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 27\/02\/2002<\/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>Manuel Jim\u00e9nez S\u00e1enz<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: manuel Diaz rubio garcia <\/li>\n<li> Muniain ezcurra Miguel \u00e1ngel (vocal)<\/li>\n<li>Jos\u00e9 Mar\u00eda Esteban carretero (vocal)<\/li>\n<li>m. mercedes Acebal blanco (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Francisco Jos\u00e9 Fern\u00e1ndez P\u00e9rez Introducci\u00f3n tras a\u00f1os de utilizaci\u00f3n cl\u00ednica de ss (ss) y oct (oct) en [&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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