{"id":34187,"date":"1998-01-01T00:00:00","date_gmt":"1998-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/encefalopatia-hipoxico-isquemica-del-recien-nacido-a-termino-estudio-de-los-factores-relacionados-con-el-pronostico\/"},"modified":"1998-01-01T00:00:00","modified_gmt":"1998-01-01T00:00:00","slug":"encefalopatia-hipoxico-isquemica-del-recien-nacido-a-termino-estudio-de-los-factores-relacionados-con-el-pronostico","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/encefalopatia-hipoxico-isquemica-del-recien-nacido-a-termino-estudio-de-los-factores-relacionados-con-el-pronostico\/","title":{"rendered":"Encefalopatia hipoxico &#8211; isquemica del recien nacido a termino. estudio de los factores relacionados con el pronostico."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Castro Fernandez JavierDe <\/strong><\/h2>\n<p>La asfixia perinatal es una de las causas que m\u00e1s influyen en la morbimortalidad en el periodo neonatal y fuera de \u00e9l. Sin embargo, y por distintas razones, hay una gran controversia con respecto a su frecuencia, los factores involucrados en el d\u00e9ficil de ox\u00edgeno as\u00ed como en el pron\u00f3stico.  la poblaci\u00f3n estudiada comprende a 131 neonatos de 37 o m\u00e1s semanas gestacionales o cl\u00ednicas. El grupo de estudio est\u00e1 formado por una cohorte de 77 pacientes que habiendo padecido asfixia (dos o m\u00e1s criterios: frecuencia cardiaca fetal, ph arteria umbilical inferior a 7,2, apgar inferior a 7 en el primer minuto), presentan encefalopat\u00eda &#8211; hip\u00f3xico &#8211; isqu\u00e9mica seg\u00fan los criterios de sarnat y sarnat, y el grupo control por 54. Hemos observado una tasa de encefalopat\u00eda hip\u00f3xico &#8211; isqu\u00e9mica del 2,39 por mil reci\u00e9n nacidos a t\u00e9rmino, que se reduce al 1,18 por mil para la forma moderada y grave de la enfermedad.  en el an\u00e1lisis de la univarianza hay diferentes variables obst\u00e9tricas y neonatales que se comportan como origen o concausas de la encefalopat\u00eda hip\u00f3xico &#8211; isqu\u00e9mica, si bien en la multivarianza se reducen a problemas en los anejos (placenta y cord\u00f3n) y sexo del paciente (masculino).  fallecieron en el periodo neonatal 8 enfermos (10,3%), y otro a los 5 meses, afecto de par\u00e1lisis cerebral. Nueve de los supervivientes revisados tuvieron secuelas motoras (9\/63 = 14,2%). A medio plazo, el magn\u00edfico pron\u00f3stico de la forma leve de la enfermedad (sin complicaciones), se ensombrece en la moderada (6,9 % de fallecidos y 25 % de par\u00e1lisis cerebral) y se torna p\u00e9simo en la grave (66,7 % y 100 % respectivamente). Hemos observado que diferentes par\u00e1metros se relacionan con la posibilidad de fallecimiento en el periodo neonatal, existencia de par\u00e1lisis cerebral y \u00abmala evoluci\u00f3n\u00bb (\u00f3bito o secuelas motoras).<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Encefalopatia hipoxico &#8211; isquemica del recien nacido a termino. estudio de los factores relacionados con el pronostico.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Encefalopatia hipoxico &#8211; isquemica del recien nacido a termino. estudio de los factores relacionados con el pronostico. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Castro Fernandez JavierDe <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1998<\/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>Angel Nogales Espert<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal:  Fuente P\u00e9rez Pedro De La <\/li>\n<li>Antonio Bela\u00fastegui Cueto (vocal)<\/li>\n<li>Pedro Puyol Buil (vocal)<\/li>\n<li>Isabel Polanco Allue (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Castro Fernandez JavierDe La asfixia perinatal es una de las causas que m\u00e1s influyen en la morbimortalidad [&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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