{"id":17333,"date":"2002-10-06T00:00:00","date_gmt":"2002-10-06T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-de-las-alteraciones-de-la-coagulacion-en-el-paciente-cra%c2%adtico-con-lesion-encefalica-aguda\/"},"modified":"2002-10-06T00:00:00","modified_gmt":"2002-10-06T00:00:00","slug":"estudio-de-las-alteraciones-de-la-coagulacion-en-el-paciente-cra%c2%adtico-con-lesion-encefalica-aguda","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-de-las-alteraciones-de-la-coagulacion-en-el-paciente-cra%c2%adtico-con-lesion-encefalica-aguda\/","title":{"rendered":"Estudio de las alteraciones de la coagulacion en el paciente cr\u00edtico con lesion encef\u00e1lica aguda"},"content":{"rendered":"<h2>Tesis doctoral de <strong> C. Miguel Sanchez Polo <\/strong><\/h2>\n<p>La lesi\u00f3n encef\u00e1lica aguda representa la lesi\u00f3n de las estructuras encef\u00e1licas de car\u00e1cter agudo con presencia de hemorragia primaria, que produce un aumento brusco del volumen intracraneal. Compartiendo esta base fisiopatol\u00f3gica se encuentra el traumatismo craneoencef\u00e1lico (tce) y la hemorragia parenquimatosa encef\u00e1lica (hpe).  desde los estudios de goodnight el al., Se conoce la relaci\u00f3n entre la lesi\u00f3n encef\u00e1lica aguda y la activaci\u00f3n del sistema de la coagulaci\u00f3n. a pesar de que esta base fisiopatol\u00f3gica es admitida, los estudios sobre este tema presentan problemas de comparaci\u00f3n principalmente por su dise\u00f1o lo que implica que las conclusiones son divergentes. As\u00ed, ante esta situaci\u00f3n nos planteamos como objetivo avanzar en el conocimiento de la activaci\u00f3n de la coagulaci\u00f3n y fibrinol\u00edsis asociada a esta patolog\u00eda.  para conseguir nuestro objetivo, hemos realizado un estudio prospectivo en el servicio de medicina intensiva del hospital cl\u00ednico universitario de zaragoza, constituido por un grupo control constituido por 40 personas sanas y por 117 pcientes con lesi\u00f3n encef\u00e1lica aguda, de los cuales 67 ten\u00edan un tce aislado y 50 una hpe. Se les realiz\u00f3 dos extracciones de vena perif\u00e9rica, la inicial en las primeras 6 horas de evoluci\u00f3n, y una segunda a las 24 horas de evoluci\u00f3n. Realizamos un estudio de coagulaci\u00f3n para determinar los par\u00e1metros de la coagulaci\u00f3n (tp, ttpa, plaquetas y fibrin\u00f3geno), par\u00e1metros de activaci\u00f3n de la coagulaci\u00f3n (fragmento f1+2 y complejo tat) y de la fibrinol\u00edsis (d-d\u00edmeros). Adem\u00e1s de realizar un estudio descriptivo, hemos realizado una estad\u00edstica inferencial relacionando los niveles de par\u00e1metros entre los grupos a estudio, la influencia de la evoluci\u00f3n y respecto al pron\u00f3stico a corto y largo plazo.  nuestras conclusiones, de forma general, muestran que tras la lesi\u00f3n encef\u00e1lica aguda independientemente de su mecanismo causal produce una activaci\u00f3n precoz<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio de las alteraciones de la coagulacion en el paciente cr\u00edtico con lesion encef\u00e1lica aguda<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio de las alteraciones de la coagulacion en el paciente cr\u00edtico con lesion encef\u00e1lica aguda <\/li>\n<li><strong>Autor:<\/strong>\u00a0 C. Miguel Sanchez Polo <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Zaragoza<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 10\/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>Miguel Angel Suarez Pinilla<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Antonio Millastre benito <\/li>\n<li>angel Rodr\u00edguez pozo (vocal)<\/li>\n<li>Francisco Javier Villagrasa compaired (vocal)<\/li>\n<li>Miguel Leon valles (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de C. Miguel Sanchez Polo La lesi\u00f3n encef\u00e1lica aguda representa la lesi\u00f3n de las estructuras encef\u00e1licas de car\u00e1cter [&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":[9,12132,13610],"tags":[54330,28818,54328,54331,54329,54332],"class_list":["post-17333","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-cuidados-intensivos","category-zaragoza","tag-angel-rodriguez-pozo","tag-antonio-millastre-benito","tag-c-miguel-sanchez-polo","tag-francisco-javier-villagrasa-compaired","tag-miguel-angel-suarez-pinilla","tag-miguel-leon-valles"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/17333","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=17333"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/17333\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=17333"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=17333"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=17333"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}