{"id":41589,"date":"1999-01-01T00:00:00","date_gmt":"1999-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-del-patron-hormonal-precoz-hipofisiario-anterior-y-tiroideo-en-el-paciente-traumatizado\/"},"modified":"1999-01-01T00:00:00","modified_gmt":"1999-01-01T00:00:00","slug":"estudio-del-patron-hormonal-precoz-hipofisiario-anterior-y-tiroideo-en-el-paciente-traumatizado","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-del-patron-hormonal-precoz-hipofisiario-anterior-y-tiroideo-en-el-paciente-traumatizado\/","title":{"rendered":"Estudio del patron hormonal precoz, hipofisiario anterior y tiroideo, en el paciente traumatizado."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Vicente Gomez Tello <\/strong><\/h2>\n<p>El motivo del estudio ha sido el profundizar en el conocimiento del eje hipotal\u00e1mico-pituitario-adrenal en las primeras 36 horas de ingreso del paciente traumatizado. para ello se ha estudiado una cohorte de 199 pacientes (el estudio hormonal con mayor n\u00famero de enfermos hasta la fecha). Se ha intentado determinar si la localizaci\u00f3n de la lesi\u00f3n traum\u00e1tica (craneal vs perif\u00e9rica), la severidad, edad, sexo, asociaci\u00f3n de lesiones y algunos criterios de isogravedad afectan o modifican la respuesta hormonal, configurando un patr\u00f3n hormonal que pudiera denominarse como \u00abasociado a la lesi\u00f3n\u00bb. En la misma l\u00ednea se intenta estudiar si este patr\u00f3n es pron\u00f3stico sobre supervivencia y estancia media. Tambi\u00e9n se valora como influyen terap\u00e9uticas, como ventilaci\u00f3n mec\u00e1nica, sedaci\u00f3n, analgesia y catecolaminas ex\u00f3genas sobre el patr\u00f3n hormonal.  conclusiones: el patr\u00f3n hormonal global en la fase precoz del trauma presenta fsh y lh disminuidas, gh m\u00e1s baja en el grupo de trauma no craneal, cifras hormonales superiores en mujeres e incremento con la edad de las gonadotropinas en ambos sexos. Ning\u00fan par\u00e1metro hormonal muestra relaci\u00f3n estad\u00edstica predictiva con la mortalidad o la estancia media. el \u00fanico agente herap\u00e9utico que guarda relaci\u00f3n con el patr\u00f3n es la dopamina, que disminuye todos los valores hormonales hipofisarios de manera estad\u00edsticamente significativa, excepto la gh. Con respecto a las variables lesionales, el patr\u00f3n homonal precoz en el trauma no muestra correlaci\u00f3n con variables descriptoras de la lesi\u00f3n encef\u00e1lica o perif\u00e9rica, no con variables cl\u00ednicas como shock o politransfusi\u00f3n..<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio del patron hormonal precoz, hipofisiario anterior y tiroideo, en el paciente traumatizado.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio del patron hormonal precoz, hipofisiario anterior y tiroideo, en el paciente traumatizado. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Vicente Gomez Tello <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1999<\/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>Abelardo Garc\u00eda De Lorenzo<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jos\u00e9 Antonio Rodr\u00edguez montes <\/li>\n<li>Francisco Arnalich fern\u00e1ndez (vocal)<\/li>\n<li>melchor Alvarez de mon soto (vocal)<\/li>\n<li>Rafael Vara-thorbeck (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Vicente Gomez Tello El motivo del estudio ha sido el profundizar en el conocimiento del eje hipotal\u00e1mico-pituitario-adrenal [&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":[9,141,851,139,254],"tags":[30025,824,3775,14431,7875,105246],"class_list":["post-41589","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-cirugia","category-endocrinologia","category-medicina-interna","category-traumatologia","tag-abelardo-garcia-de-lorenzo","tag-francisco-arnalich-fernandez","tag-jose-antonio-rodriguez-montes","tag-melchor-alvarez-de-mon-soto","tag-rafael-vara-thorbeck","tag-vicente-gomez-tello"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/41589","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=41589"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/41589\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=41589"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=41589"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=41589"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}