{"id":37008,"date":"1998-01-01T00:00:00","date_gmt":"1998-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/utilidad-de-la-ultrasonografia-en-el-diagnostico-de-perforacion-visceral\/"},"modified":"1998-01-01T00:00:00","modified_gmt":"1998-01-01T00:00:00","slug":"utilidad-de-la-ultrasonografia-en-el-diagnostico-de-perforacion-visceral","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/utilidad-de-la-ultrasonografia-en-el-diagnostico-de-perforacion-visceral\/","title":{"rendered":"Utilidad de la ultrasonografia en el diagnostico de perforacion visceral."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Rafael Fuentes Pavon <\/strong><\/h2>\n<p>Ante la sospecha cl\u00ednica de perforaci\u00f3n visceral, la primera t\u00e9cnica de exploraci\u00f3n por imagen que se realiza suele ser la radiograf\u00eda simple de abdomen en dec\u00fabito supino, a veces acompa\u00f1ada por una proyecci\u00f3n en dec\u00fabito lateral izquierdo con rayo horizontal, y la de t\u00f3rax en bipedestaci\u00f3n para intentar demostrar el neumoperitoneo.  existe sin embargo, un porcentaje de pacientes, en ocasiones considerable, en los que no es posible demostrar el aire libre mediante la exploraci\u00f3n radiol\u00f3gica convencional, consider\u00e1ndose que la prueba m\u00e1s sensible para su detecci\u00f3n la constituye en la actualidad la tc. Sin embargo, su uso no est\u00e1 generalizado por lo costoso en tiempo y dinero del procedimiento y para evitar sobrecargar en exceso las unidades de tc.  el ultrasonido presenta una sensibilidad similar a la de la radiograf\u00eda simple en la detecci\u00f3n del neumoperitoneo, consider\u00e1ndose como hallazgo m\u00e1s espec\u00edfico la demostraci\u00f3n de una banda ecog\u00e9nica m\u00f3vil que tiende a localizarse en las zonas m\u00e1s elevadas de la pared abdominal, en funci\u00f3n de la posici\u00f3n del paciente.  presentamos en \u00e9sta tesis nuestra experiencia con 70 pacientes de edades comprendidas entre 18 y 82 a\u00f1os fueron explorados ecogr\u00e1ficamente por presentar un abdomen agudo en el que posteriormente se demostr\u00f3 un origen perforativo. En nuestro estudio destacan varios puntos:  la ecograf\u00eda suministr\u00f3 informaci\u00f3n adicional en un 40% de pacientes. Adem\u00e1s fue m\u00e1s sensible que la radiolog\u00eda convencional en la detecci\u00f3n del aire libre.  observamos un aumento de la ecogenicidad del receso gastrohep\u00e1tico en un 75,7% de los casos. Este hallazgo no figura descrito por otros autores.  la visualizaci\u00f3n de l\u00edquido peritoneal asociado a hiperecogenicidad del receso gastrohep\u00e1tico o a banda ecog\u00e9nica m\u00f3vil, mostr\u00f3 una sensibilidad del 90%.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Utilidad de la ultrasonografia en el diagnostico de perforacion visceral.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Utilidad de la ultrasonografia en el diagnostico de perforacion visceral. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Rafael Fuentes Pavon <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Palmas de gran canaria<\/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>Manuel Sosa Henr\u00edquez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Pedro Betancor Le\u00f3n <\/li>\n<li>Mercedes Cruz Diaz (vocal)<\/li>\n<li>Juan  Francisco Medina Cabrera (vocal)<\/li>\n<li>Mario Rodriguez Rodriguez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Rafael Fuentes Pavon Ante la sospecha cl\u00ednica de perforaci\u00f3n visceral, la primera t\u00e9cnica de exploraci\u00f3n por imagen [&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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