{"id":17208,"date":"2002-04-06T00:00:00","date_gmt":"2002-04-06T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/alteraciones-de-la-funcion-hepatica-en-el-postoperatorio-de-ciruga%c2%ada-cardiaca-en-ninos\/"},"modified":"2002-04-06T00:00:00","modified_gmt":"2002-04-06T00:00:00","slug":"alteraciones-de-la-funcion-hepatica-en-el-postoperatorio-de-ciruga%c2%ada-cardiaca-en-ninos","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/alteraciones-de-la-funcion-hepatica-en-el-postoperatorio-de-ciruga%c2%ada-cardiaca-en-ninos\/","title":{"rendered":"Alteraciones de la funci\u00f3n hep\u00e1tica en el postoperatorio de cirugia cardiaca en ni\u00f1os"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Paula V\u00e1zquez L\u00f3pez <\/strong><\/h2>\n<p>Las alteraciones que ocurren durante la cirug\u00eda cardiaca y en el postoperatorio pueden afectar a la funci\u00f3n hep\u00e1tica. Sin embargo, no existen estudios previos que hayan analizado la incidencia, factores de riesgo y repercusi\u00f3n de la alteraci\u00f3n hep\u00e1tica en el postoperatorio de cirug\u00eda cardiaca en ni\u00f1os. este fue el objetivo de nuestro estudio.  se realiz\u00f3 un estudio prospectivo en ni\u00f1os sometidos a cirug\u00eda cardiaca entre noviembre de 1993 y diciembre de 1995. Se consider\u00f3 disfunci\u00f3n hep\u00e1tica si la alt era mayor o igual de 100 ui\/l, y se determin\u00f3 una puntuaci\u00f3n de da\u00f1o hep\u00e1tico (pdh), a partir de los valores de alt, bilirrubina total y actividad de protrombina. El estudio estad\u00edstico incluy\u00f3 an\u00e1lisis bivariante y regresi\u00f3n log\u00edstica multivariante para el estudio de factores de riesgo de disfunci\u00f3n hep\u00e1tica y mortalidad. Se estudiaron 232 pacientes, sin enfermedad hep\u00e1tica previa, de edades entre reci\u00e9n nacidos y 17 a\u00f1os. 21 pacientes (9,3%) presentaron una alt mayor de 100 ui\/l y 68 (un 29,3%) presentaron una puntuaci\u00f3n de da\u00f1o hep\u00e1tico moderado o severo (&gt;2).  concluimos que la hepatitis isqu\u00e9mica es una complicaci\u00f3n importante de la cirug\u00eda cardiaca en ni\u00f1os, siendo el shock el factor patog\u00e9nico fundamental. la aparici\u00f3n de alteraci\u00f3n hep\u00e1tica se asocia con un aumento de la mortalidad por lo que es necesario controlar peri\u00f3dicamente su funci\u00f3n del postoperatorio de cirug\u00eda y actuar sobre los factores de riesgo.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Alteraciones de la funci\u00f3n hep\u00e1tica en el postoperatorio de cirugia cardiaca en ni\u00f1os<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Alteraciones de la funci\u00f3n hep\u00e1tica en el postoperatorio de cirugia cardiaca en ni\u00f1os <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Paula V\u00e1zquez L\u00f3pez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 04\/06\/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>herce Cid L\u00f3pez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jos\u00e9 Luis Vallejo ruiz <\/li>\n<li>corsino Rey galan (vocal)<\/li>\n<li>Jos\u00e9 Mar\u00eda Martinon sanchez (vocal)<\/li>\n<li>Antonio Rodr\u00edguez n\u00fa\u00f1ez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Paula V\u00e1zquez L\u00f3pez Las alteraciones que ocurren durante la cirug\u00eda cardiaca y en el postoperatorio pueden afectar [&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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