{"id":37254,"date":"1998-01-01T00:00:00","date_gmt":"1998-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/sindrome-hepatopulmonar-validacion-de-un-nuevo-metodo-diagnostico-prevalencia-y-factores-asociados\/"},"modified":"1998-01-01T00:00:00","modified_gmt":"1998-01-01T00:00:00","slug":"sindrome-hepatopulmonar-validacion-de-un-nuevo-metodo-diagnostico-prevalencia-y-factores-asociados","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/sindrome-hepatopulmonar-validacion-de-un-nuevo-metodo-diagnostico-prevalencia-y-factores-asociados\/","title":{"rendered":"Sindrome hepatopulmonar: validacion de un nuevo metodo diagnostico, preValencia  y factores asociados."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Aller De La Fuente Rocio <\/strong><\/h2>\n<p>Introducci\u00f3n: definici\u00f3n de s\u00edndrome hepatopulmonar (shp): 1) enfermedad hep\u00e1tica, 2) vasodilataci\u00f3n pulmonar (vp), 3) gradiente alveolo-arterial de ox\u00edgeno 15mmhg respirando aire ambiente y 4) ausencia de enfermedad cardio-pulmonar primaria. Objetivos: 1) validar un m\u00e9todo diagn\u00f3stico eficaz y sensible en el diagn\u00f3stico de vp, 2) estudio de la preValencia de vp y shp, 3) estudio de las complicaciones pulmonares del cirr\u00f3tico. 4) estudio de las variables asociadas a la vp y al shp. Material y m\u00e9todos: i. Estudio previo experimental: a) optimizar la calidad de imagen: ecc-te, b) selecci\u00f3n del contraste \u00f3ptimo en funci\u00f3n del tama\u00f1o adecuado de las microburbujas generadas tras su agitaci\u00f3n y su inocuidad:  salino (habitualmente empleada) y manitol 20%, c) m\u00e9todo de graduaci\u00f3n de la vp mediante ecc-te: a) descripci\u00f3n del m\u00e9todo con la ecc-te con salino y manitol. Se basa en valorar la intensidad ecog\u00e9nica de las microburbujas que alcanzan la aur\u00edcula izquierda, b) graduaci\u00f3n de la vp en 6 grados, c)validaci\u00f3n de m\u00e9todo (\u00edndice ponderado kappa). Ii. Pacientes: 78 cirr\u00f3ticos: 56,8+-11,2 a\u00f1os, 67v y 11m 20 controles sanos. 55.9+-13,2 5v y 5m. Iii.  protocolo de estudio: historia cl\u00ednica, exploraci\u00f3n f\u00edsica, anal\u00edtica, gasometr\u00eda arterial basal, espirometr\u00eda, difusi\u00f3n de co (dlco), ecc-transtor\u00e1cica (ecc-tt) con salino, ecc-te con salino y manitol 20%, gammagraf\u00eda de perfusi\u00f3n pulmonar.  ecocardiograf\u00eda-doppler.  resultados: el grado de reproductibilidad fue excelente (\u00edndice kappa ponderado 0,9). La preValencia de vp y shp fue superior con ecc-te manitol que con las dem\u00e1s t\u00e9cnicas (vp: 53,9% y shp: 41%) presentando estos pacientes alteraciones gasom\u00e9tricas compatibles con la vp. Con respecto a los controles, los cirr\u00f3ticos presentan una preValencia mayor de alteraciones espirom\u00e9tricas, menor paco2, mayor aapa02 y menor dlco.  la severidad de la vp se correlaciona con la cianosis, acropaqu<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Sindrome hepatopulmonar: validacion de un nuevo metodo diagnostico, preValencia  y factores asociados.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Sindrome hepatopulmonar: validacion de un nuevo metodo diagnostico, preValencia  y factores asociados. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Aller De La Fuente Rocio <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Alcal\u00e1<\/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>Victor Moreira Vicente<\/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>Cristina Camarero Salces (vocal)<\/li>\n<li>Agustin Caro Paton Gomez (vocal)<\/li>\n<li>Jos\u00e9 Luis Moya Mur (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Aller De La Fuente Rocio Introducci\u00f3n: definici\u00f3n de s\u00edndrome hepatopulmonar (shp): 1) enfermedad hep\u00e1tica, 2) vasodilataci\u00f3n pulmonar [&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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