{"id":22054,"date":"2018-03-09T09:12:05","date_gmt":"2018-03-09T09:12:05","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/metabolismo-calcio-fosforo-en-la-sepsis-y-el-shock-endotoxico-secunddarios-a-enfermedad-meningococica\/"},"modified":"2018-03-09T09:12:05","modified_gmt":"2018-03-09T09:12:05","slug":"metabolismo-calcio-fosforo-en-la-sepsis-y-el-shock-endotoxico-secunddarios-a-enfermedad-meningococica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/metabolismo-calcio-fosforo-en-la-sepsis-y-el-shock-endotoxico-secunddarios-a-enfermedad-meningococica\/","title":{"rendered":"Metabolismo calcio &#8211; f\u00f3sforo en la sepsis y el shock endot\u00f3xico secunddarios a enfermedad meningoc\u00f3cica"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Alberto Valdivielso Serna <\/strong><\/h2>\n<p>Objetivos  1,- averiguar la incidencia y la intensidad de la hipocalcemia en la sepsis y el shock endot\u00f3xico secundarios a meningococemia.  2,- establecer si la hipocalcemia influye, sobre la evoluci\u00f3n cl\u00ednica, la hemdin\u00e1mica y el pron\u00f3stico de la enfermedad.  3,- investigar el mecanismo patog\u00e9nico de la hipocalcemia.  presentes  se seleccionaron un conjunto de 64 ni\u00f1os entre 6 meses y 14 a\u00f1os de edad con enfermedad meningoc\u00f3cica invasiva. El grupo control lo constituyen 112 ni\u00f1os sanos no medicados entre 8 meses y 14 a\u00f1os de edad.  m\u00e9todos  sangre  calcio i\u00f3nico, f\u00f3sforo, magnesio, pth mol\u00e9cula media (ria), pth mol\u00e9cula intacta (irma), 25 hidroxivitamina d (b\u00ed\u00bclhman &#8211; hplc y ria &#8211; instar) y calcitriol (ria &#8211; nichol).  orina  muestras aisladas para ca2+ u y piu y en diuresis de 24 horas. Para el diagn\u00f3stico y tratamiento de la enfermedad meningoc\u00f3cica se realizaron los pertinentes estudios bacteriol\u00f3gicos, bioqu\u00edmicos, hematol\u00f3gicos y de coagulaci\u00f3n.  resultados  calcio s\u00e9rico  la hipocalcemia se manifest\u00f3 en el 69% de los ni\u00f1os con meningococemia siendo de intensidad leve en el 89%, y grave en el 11%. Ning\u00fan ni\u00f1o con meningitis meningoc\u00f3cica manifest\u00f3 hipocalcemia.  solo en los ni\u00f1os con hipocalcemia grave, el descenso del calcio i\u00f3nico condicion\u00f3 mayores necesidades de f\u00e1rmacos inotr\u00f3picos y m\u00e1s tiempo de tratamiento. El 71% de los pacientes con hipocalcemia leve normalizaron espont\u00e1neamente en 24 horas. Aunque en los ni\u00f1os con hipocalcemia la morbilidad y la mortalidad significativamente mayores, esta asociaci\u00f3n desapareci\u00f3 cuando se analizaron selectivamente los pacientes con shock o sdmo.  pth  la respuesta paratiroidea fue fisiopatol\u00f3gicamente correcta. En los ni\u00f1os sin shock s\u00e9ptico tard\u00edo, el hiperparatiroidismo mantuvo la calcemia normal en un n\u00famero significativamente mayor (p&lt;0.05). En los ni\u00f1os con shock, el tiempo necesario para normalizar el ca2+, fue sup<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Metabolismo calcio &#8211; f\u00f3sforo en la sepsis y el shock endot\u00f3xico secunddarios a enfermedad meningoc\u00f3cica<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Metabolismo calcio &#8211; f\u00f3sforo en la sepsis y el shock endot\u00f3xico secunddarios a enfermedad meningoc\u00f3cica <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Alberto Valdivielso Serna <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 13\/03\/2003<\/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>Manuel Hern\u00e1ndez Rodr\u00edguez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: alfredo Blanco quiros <\/li>\n<li>Juan Casado flores (vocal)<\/li>\n<li>Francisco Ruzatarrio (vocal)<\/li>\n<li>pilar Gonz\u00e1lez candedo (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Alberto Valdivielso Serna Objetivos 1,- averiguar la incidencia y la intensidad de la hipocalcemia en la sepsis [&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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