{"id":24592,"date":"2003-11-07T00:00:00","date_gmt":"2003-11-07T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/factores-pronosticos-de-complicaciones-tras-el-trasplante-hepatico\/"},"modified":"2003-11-07T00:00:00","modified_gmt":"2003-11-07T00:00:00","slug":"factores-pronosticos-de-complicaciones-tras-el-trasplante-hepatico","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/factores-pronosticos-de-complicaciones-tras-el-trasplante-hepatico\/","title":{"rendered":"Factores pron\u00f3sticos de complicaciones tras el trasplante hep\u00e1tico"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Monrobel Lancho Ana M. <\/strong><\/h2>\n<p>El objetivo de la tesis es la determinaci\u00f3n de marcadores pron\u00f3sticos cl\u00ednicos y bioqu\u00edmicos de complicaciones tras el trasplante hep\u00e1tico (disfunci\u00f3n renal, rechazo agudo, infecciones y complicaciones neurol\u00f3gicas) que ayuden a un diagn\u00f3stico precoz de las mismas y que se traduzcan en una disminuci\u00f3n de la morbilidad y en aumento de la supervivencia.  se han estudiado 32 pacientes, 25 varones y 7 mujeres sometidos a trasplante hep\u00e1tico entre el 1-10-1996 y 22-02-1998.  previamente al trasplante se extrajeron 20 ml de sangre para estudio de hematimetr\u00eda, bioqu\u00edmica (glucosa, urea, creatinina, sodio, ast, atl, fosfatasa alcalina, ggt, actividad de protrombina) y 30 ml para estudio de citoquinas mediante elisa (tnf-*, il1, il6, tiorredoxina y glutarredoxina), para estudio de \u00f3xido n\u00edtrico y de productos de estr\u00e9s oxidativo como malondialdehido y glutation.  estos an\u00e1lisis se repitieron diariamente tras el trasplante. Se realiz\u00f3 un estudio de regresi\u00f3n log\u00edstica de las variables bioqu\u00edmicas mencionadas adem\u00e1s de la edad, sexo, enfermedad pretrasplante, presencia de hepatocarcinoma, estado de nutrici\u00f3n, tiempo de cirug\u00eda y de isquemia del \u00f3rgano, lesi\u00f3n de preservaci\u00f3n, esteatosis del injerto, hemoderivados transfundidos en la intervenci\u00f3n e inmunosupresi\u00f3n recibida.  un 68,8% de los enfermos desarroll\u00f3 disfunci\u00f3n renal, 40,6% infecci\u00f3n, un 37,5% desarrollaron rechazo agudo del injerto y 21,9% tuvieron complicaciones nuerol\u00f3gicas. Tras realizar el an\u00e1lisis multivariante las variables pron\u00f3sticas, con car\u00e1cter independiente, de disfunci\u00f3n renal fueron la creatinina y el mda pretrasplante, de infecci\u00f3n los varones de hb &gt;10 g\/dl antes del trasplante y el consumo intraopeatorio de plaquetas &gt;8 unidades.  resultaron factores predictivos de rechazo agudo los valores de ggt y bilirrubina pretrasplante y las variables pron\u00f3sticas de las complicaciones neurol\u00f3gicas del sodio y la glutaredoxina pretrasp<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Factores pron\u00f3sticos de complicaciones tras el trasplante hep\u00e1tico<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Factores pron\u00f3sticos de complicaciones tras el trasplante hep\u00e1tico <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Monrobel Lancho Ana M. <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 C\u00f3rdoba<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 11\/07\/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 De La Mata Garcia<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Carlos Pera madrazo <\/li>\n<li>Manuel Romero g\u00f3mez (vocal)<\/li>\n<li>guadalupe Costan rodero (vocal)<\/li>\n<li>Rafael Mart\u00edn vivaldi (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Monrobel Lancho Ana M. El objetivo de la tesis es la determinaci\u00f3n de marcadores pron\u00f3sticos cl\u00ednicos y [&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":[9,141,10,973,491,139],"tags":[2043,72167,2045,72166,72165,72168],"class_list":["post-24592","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-cirugia","category-cirugia-de-trasplantes","category-cordoba","category-gastroenterologia","category-medicina-interna","tag-carlos-pera-madrazo","tag-guadalupe-costan-rodero","tag-manuel-de-la-mata-garcia","tag-manuel-romero-gomez","tag-monrobel-lancho-ana-m","tag-rafael-martin-vivaldi"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/24592","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=24592"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/24592\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=24592"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=24592"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=24592"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}