{"id":17150,"date":"2018-03-09T09:05:05","date_gmt":"2018-03-09T09:05:05","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-del-valor-de-los-marcadores-biologicos-en-el-la%c2%adquido-pleural-como-predictores-de-la-evolucion-de-un-derrame-pleural-maligno\/"},"modified":"2018-03-09T09:05:05","modified_gmt":"2018-03-09T09:05:05","slug":"estudio-del-valor-de-los-marcadores-biologicos-en-el-la%c2%adquido-pleural-como-predictores-de-la-evolucion-de-un-derrame-pleural-maligno","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-del-valor-de-los-marcadores-biologicos-en-el-la%c2%adquido-pleural-como-predictores-de-la-evolucion-de-un-derrame-pleural-maligno\/","title":{"rendered":"Estudio del valor de los marcadores biol\u00f3gicos en el l\u00edquido pleural como predictores de la evoluci\u00f3n de un derrame pleural maligno"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Beatriz Romero Romero <\/strong><\/h2>\n<p>La evoluci\u00f3n de los derrames pleurales malignos no sigue un comportamiento uniforme en todos los casos. Ante este hecho nos planteamos la cuesti\u00f3n de si existe alg\u00fan factor cuyo estudio en el l\u00edquido pleural que nos queda se\u00f1alar a priori el comportamiento posterior del derrame, y por tanto la actitud a tomar ante el mismo (pleurodesis como aproximaci\u00f3n inicial o no).  durante el per\u00edodo de siete a\u00f1os (a\u00f1o 1993 &#8211; 2000), hemos realizado un estudio prospectivo longitudinal, en el que han sido incluidos 100 pacientes con diagn\u00f3stico confirmado de derrame pleural neopl\u00e1sico y con volumen de derrame inferior a 2\/3 de un hemit\u00f3rax. En todos los pacientes se realizaron toracocentesis evacuadores (en funci\u00f3n de la cl\u00ednica del paciente) con determinaciones de rutina en las muestras de l\u00edquido pleural extra\u00eddas: ph, glucosa, ldh, recuento celular total, prote\u00ednas totales, d\u00edmero d y citolog\u00eda. La pleurodesis se indic\u00f3 en los pacientes con significativa recurrencia del derrame. La pleurodesis fue realizada con talco (10 cc, aproximadamente 6 g de talco seco) mediante toracoscopia con anestesia local y analgesia parenteral.  de los 100 pacientes incluidos en el estudio, 60 requirieron pleurodesis con talco en su evoluci\u00f3n para controlar el derrame, los 40 pacientes restantes no fueron sometidos a esta t\u00e9cnica (26 de ellos por control del derrame de forma conservadora y los restantes 12 por su situaci\u00f3n cl\u00ednica terminal). los pacientes que requirieron pleurodesis presentaron una disminuci\u00f3n de las cifras de ph en las sucesivas toracocentesis realizadas (c\u00e1ida de 0,002\/d\u00eda) y un aumento en las cifras de d\u00edmero d tambi\u00e9n en las toracocentesis realizadas (0,09\/d\u00eda). En los pacientes en los que no se requiri\u00f3 pleurodesis para el control del derame, sucedi\u00f3 lo contrario (aumento de 0,003\/d\u00eda en las cifras de ph y ca\u00edda de \/d\u00eda en las cifras de d\u00edmero d). En el resto de par\u00e1metros estudiados no encontramos diferencias s<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio del valor de los marcadores biol\u00f3gicos en el l\u00edquido pleural como predictores de la evoluci\u00f3n de un derrame pleural maligno<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio del valor de los marcadores biol\u00f3gicos en el l\u00edquido pleural como predictores de la evoluci\u00f3n de un derrame pleural maligno <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Beatriz Romero Romero <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Sevilla<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 31\/05\/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>Francisco Rodr\u00edguez Panadero<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: pedro S\u00e1nchez guijo <\/li>\n<li>Manuel Porcel jose (vocal)<\/li>\n<li>remedios Otero candelera (vocal)<\/li>\n<li>Fernando Garc\u00eda d\u00edaz (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Beatriz Romero Romero La evoluci\u00f3n de los derrames pleurales malignos no sigue un comportamiento uniforme en todos [&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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