{"id":15918,"date":"2002-06-03T00:00:00","date_gmt":"2002-06-03T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-prospectivo-del-sindrome-de-debilidad-muscular-aguda-de-la-enfermedad-critica\/"},"modified":"2002-06-03T00:00:00","modified_gmt":"2002-06-03T00:00:00","slug":"estudio-prospectivo-del-sindrome-de-debilidad-muscular-aguda-de-la-enfermedad-critica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-prospectivo-del-sindrome-de-debilidad-muscular-aguda-de-la-enfermedad-critica\/","title":{"rendered":"Estudio prospectivo del sindrome de debilidad muscular aguda de la enfermedad critica"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Celedonio Marquez Infante <\/strong><\/h2>\n<p>Fundamento: durante la enfermedad critica puede aparecer un sindrome de debilidad muscular causado por una degeneraci\u00f3n axonal de los nervios perifericos, un bloqueo neuromuscular farmacol\u00f3gico o una miopatia.  objetivos. 1)determinar la incidencia de debilidad muscular en los enfermos criticos. 2) detectar que factores estan relacionados con el desarrollo de la misma. 3)estudiar la influencia del estado de gravedad en la funci\u00f3n neuromuscular.4)delimitar el s\u00edndrome de debilidad muscular en sus caracter\u00edsticas clinicas, neurofisiol\u00f3gicas e histopatol\u00f3gicas.  pacientes y metodo: estudio prospectivo y consecutivo de una serie de pacientes con puntuaci\u00f3n en la escala apache ii de 10 o m\u00e1s el dia del ingreso en la uci y 6 dias despues. Se estudiaron la exploraci\u00f3n neurol\u00f3gica, examen neurofisiol\u00f3gico de nervio y musculo y determinaciones anal\u00edticas en 3 momentos del ingreso, y estudio histopatol\u00f3gico de nervio y m\u00fasculo.  resultados: de los 67 enfermos estudiados 33(49,25%) presentaron debilidad muscular. La incidencia aument\u00f3 al 66,6% en los enfermos con fracaso en la funci\u00f3n de 3 o m\u00e1s organos o sistemas. En 15 enfermos (22,4%) se detect\u00f3 una mononeuropat\u00eda peroneal. En el 91% de los enfermos las alteraciones aparecieron antes del decimo dia de ingreso. Los enfermos con debilidad muscular tuvieron una puntuaci\u00f3n mayor en la escala apache ii, mayor proporci\u00f3n de fallo multiorg\u00e1nico, de dependencia de la ventilaci\u00f3n mecanica y de fracaso en el destete y mayor mortalidad. Dos biopsias de nervio mostraron degeneraci\u00f3n axonal y 4 fueron normales. En las biopsias musculares encontramos atrofia neurogena en 3 pacientes y signos de miopatia en 8, en 2 pacientes coincidieron ambos patrones. Los enfermos con miop\u00e1t\u00eda y los enfermos con neuropat\u00eda no se diferenciaron en sus caracteristicas clinicas ni neurofisiologicas.  conclusiones: la debilidad muscular en la enfermedad critica aparece de forma precoz, afecta a la mit<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio prospectivo del sindrome de debilidad muscular aguda de la enfermedad critica<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio prospectivo del sindrome de debilidad muscular aguda de la enfermedad critica <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Celedonio Marquez Infante <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Sevilla<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 06\/03\/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>Santiago Dur\u00e1n Garc\u00eda<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: eduardo Lissen otero <\/li>\n<li>hugo Lia\u00f1o Martinez (vocal)<\/li>\n<li>eduardo Gutierrez rivas (vocal)<\/li>\n<li>isabel Illa sendra (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Celedonio Marquez Infante Fundamento: durante la enfermedad critica puede aparecer un sindrome de debilidad muscular causado por 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