{"id":18853,"date":"2002-06-09T00:00:00","date_gmt":"2002-06-09T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-cla%c2%adnico-hemodinamico-del-sa%c2%adndrome-hepatorrenal-en-la-cirrosis-hepatica\/"},"modified":"2002-06-09T00:00:00","modified_gmt":"2002-06-09T00:00:00","slug":"estudio-cla%c2%adnico-hemodinamico-del-sa%c2%adndrome-hepatorrenal-en-la-cirrosis-hepatica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-cla%c2%adnico-hemodinamico-del-sa%c2%adndrome-hepatorrenal-en-la-cirrosis-hepatica\/","title":{"rendered":"Estudio cl\u00ednico-hemodin\u00e1mico del s\u00edndrome hepatorrenal en la cirrosis hep\u00e1tica"},"content":{"rendered":"<h2>Tesis doctoral de <strong> M\u00f3nica Gonz\u00e1lez Garc\u00eda <\/strong><\/h2>\n<p>1,- el shr es complicaci\u00f3n muy frecuente en los pacientes con cirrosis y ascitis a tensi\u00f3n que afecta a m\u00e1s del 40% de los mismos durante la progresi\u00f3n de su enfermedad. La incidencia de cada uno de los tipos de shr estable y progresivo es similar en estos enfermos.  2,- los pacientes con ascitis a tensi\u00f3n no constituyen un grupo homog\u00e9neo, siendo posible la identificaci\u00f3n de variables cl\u00ednicas que diferencian a los pacientes que desarrollar\u00e1n ambos tipos de shr:  a,- el grupo con shr tipo ii se caracteriza por presentar a la inclusi\u00f3n un aumento moderado de las cifras de urea plasm\u00e1tica y de la actividad de los sistemas vasoconstrictores end\u00f3genos en comparaci\u00f3n con el grupo que no desarrolla shr.  b,- el grupo con shr tipo i presenta adem\u00e1s del aumento de la urea un moderado incremento de las cifras de cratinina plasm\u00e1tica, disminuci\u00f3n de la excrecci\u00f3n urinaria de sodio y un mayor porcentaje de pacientes en estadio c de la clasificaci\u00f3n de child-pugh. El aumento de la actividad de los sistemas vasoconstrictores es m\u00e1s intenso siendo la actividad de renina plasm\u00e1tica superior al grupo con shr estable.  3,- no existen diferencias hemodin\u00e1micas sist\u00e9micas ni espl\u00e1cnicas en los pacientes con ascitis a tensi\u00f3n que permitan predecir el desarrollo de shr.  4,- el desarrollo de los dos tipos de shr se asocia a diferentes patrones hemodin\u00e1micos sist\u00e9micos, indicando la posible existencia de diferentes mecanismos patog\u00e9nicos para cada uno de ellos.  5,- el shr tipo ii se caracteriza por una acentuaci\u00f3n de la vasodilataci\u00f3n preexistente en los pacientes con cirrosis y ascitis a tensi\u00f3n, expresada por un descenso de la presi\u00f3n arterial y por un aumento de la activaci\u00f3n de los sistemas vasoactivos end\u00f3genos.  6,- el desarrollo de shr tipo i conlleva la existencia de un mayor grado de vasodilataci\u00f3n, lo que se refleja en un descenso m\u00e1s importante de la presi\u00f3n arterial y una mayor elevaci\u00f3n de los sistema<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio cl\u00ednico-hemodin\u00e1mico del s\u00edndrome hepatorrenal en la cirrosis hep\u00e1tica<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio cl\u00ednico-hemodin\u00e1mico del s\u00edndrome hepatorrenal en la cirrosis hep\u00e1tica <\/li>\n<li><strong>Autor:<\/strong>\u00a0 M\u00f3nica Gonz\u00e1lez Garc\u00eda <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Alcal\u00e1<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 06\/09\/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>Agust\u00edn Albillos Mart\u00ednez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: melchor Alvarez de mon soto <\/li>\n<li>agustin Caro paton gomez (vocal)<\/li>\n<li>Rafael Ba\u00f1ares ca\u00f1izares (vocal)<\/li>\n<li>ram\u00f3n Planas (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de M\u00f3nica Gonz\u00e1lez Garc\u00eda 1,- el shr es complicaci\u00f3n muy frecuente en los pacientes con cirrosis y ascitis [&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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