{"id":18346,"date":"2002-11-07T00:00:00","date_gmt":"2002-11-07T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/disfuncion-primaria-del-injerto-en-el-trasplante-hepatico-humano-factores-pronosticos-y-consecuencias\/"},"modified":"2002-11-07T00:00:00","modified_gmt":"2002-11-07T00:00:00","slug":"disfuncion-primaria-del-injerto-en-el-trasplante-hepatico-humano-factores-pronosticos-y-consecuencias","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/disfuncion-primaria-del-injerto-en-el-trasplante-hepatico-humano-factores-pronosticos-y-consecuencias\/","title":{"rendered":"Disfunci\u00f3n primaria del injerto en el trasplante hep\u00e1tico humano. factores pron\u00f3sticos y consecuencias."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Fern\u00e1ndez Merino Francisco Javier <\/strong><\/h2>\n<p>Introducci\u00f3n  la disfunci\u00f3n primaria (dp) del injerto es uno de los problemas actuales que puede surgir en el postoperatorio de todo paciente sometido a un trasplante hep\u00e1tico, y cuya etiolog\u00eda es desconocida.  objetivos  1\u00c2\u00ba,- conocer la incidencia de la disfunci\u00f3n primaria del injerto, tanto en su modalidad de fallo primario como en la de funci\u00f3n primaria inadecuada.  2\u00c2\u00ba,- conocer la influencia de 52 factores pron\u00f3sticos en el desarrollo de la dp.  3\u00c2\u00ba,- identificar las consecuencias que este cuadro pueda originar en la evoluci\u00f3n del injerto y del paciente.  pacientes y m\u00e9todo  se han estudiado de forma prospectiva 248 trasplantes hep\u00e1ticos realizados consecutivamente en 206 pacientes durante 79 meses en la unidad de transplantes del hospital universitario ram\u00f3n y cajal. La funci\u00f3n del \u00f3rgano trasplantado fue clasificado en:  1,- normofunci\u00f3n primaria (np); aquellos pacientes cuyas cifras de transaminasas (got o gpt) fueron &lt; 2000 ui o su actividad de protrombina fue &gt; 50% en todo momento entre los d\u00edas 2\u00c2\u00ba a 7\u00c2\u00ba tras el trasplante.  2,- funci\u00f3n primaria inadecuada (fpi); aquellos cuyas transaminasas fueron &gt; 2000 y su actividad de protrombina, al menos 14 d\u00edas.  3,- fallo primario (fp); aquellos pacientes con criterios de funci\u00f3n primaria inadecuada, que fallecieron o fueron retrasplantados en los primeros 14 d\u00edas tas el trasplante por insuficiencia hep\u00e1tica de etiolog\u00eda intr\u00ednseca al propio injerto. Las dos \u00faltimas se agruparon bajo el t\u00e9rmino  4,- disfunci\u00f3n primario (dp); se estudian 15 factores pron\u00f3sticos del donante, 10 rasgos anatomopatol\u00f3gicos del injero, 14 del receptor, 4 de la compatibilidad donante-receptor y 9 tiempos quir\u00fargicos y de isquemia.  las consecuencias estudiadas fueron la incidencia de rechazo agudo, trombosis y estenosis vasculares, complicaciones de la v\u00eda biliar y la supervivencia del injerto y del paciente. El an\u00e1lisis estad\u00edstico de los factores de ri<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Disfunci\u00f3n primaria del injerto en el trasplante hep\u00e1tico humano. factores pron\u00f3sticos y consecuencias.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Disfunci\u00f3n primaria del injerto en el trasplante hep\u00e1tico humano. factores pron\u00f3sticos y consecuencias. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Fern\u00e1ndez Merino Francisco Javier <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Alcal\u00e1<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 11\/07\/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> Vicente L\u00f3pez Emilio De<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: augusto Garcia villanueva <\/li>\n<li>v\u00edctor S\u00e1nchez turri\u00f3n (vocal)<\/li>\n<li>valent\u00edn Cuervas mons (vocal)<\/li>\n<li>gerardo Clemente ricote (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Fern\u00e1ndez Merino Francisco Javier Introducci\u00f3n la disfunci\u00f3n primaria (dp) del injerto es uno de los problemas actuales 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