{"id":42053,"date":"1999-01-01T00:00:00","date_gmt":"1999-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/papel-del-descenso-de-la-presion-intraabdominal-en-la-genesis-de-la-disfuncion-circulatoria-postparacentesis\/"},"modified":"1999-01-01T00:00:00","modified_gmt":"1999-01-01T00:00:00","slug":"papel-del-descenso-de-la-presion-intraabdominal-en-la-genesis-de-la-disfuncion-circulatoria-postparacentesis","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/papel-del-descenso-de-la-presion-intraabdominal-en-la-genesis-de-la-disfuncion-circulatoria-postparacentesis\/","title":{"rendered":"Papel del descenso de la presion intraabdominal en la genesis de la disfuncion circulatoria postparacentesis."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Luis Falcon Ara\u00f1a <\/strong><\/h2>\n<p>En el paciente cirr\u00f3tico con ascitis a tensi\u00f3n, la paracentesis masiva induce acusados cambios hemodin\u00e1micos tanto espl\u00e1cnicos como sist\u00e9micos. A nivel espl\u00e1cnico, provoca descenso de la presi\u00f3n suprahep\u00e1tica libre y enclavada. en la evoluci\u00f3n de los cambios hemodin\u00e1micos sist\u00e9micos se distinguen claramente dos fases. inicialmente, se produce un aumento de gasto cardiaco, ca\u00edda de las resistencias vasculares sist\u00e9micas y tendencia, m\u00e1s o menos acusada, al descenso de la tensi\u00f3n arterial media y de la presi\u00f3n venosa central. Todo ello, asociado a mejor\u00eda del retorno venoso y supresi\u00f3n de los sistemas vasoactivos plasm\u00e1ticos. Posteriormente, se desarrolla una situaci\u00f3n caracterizada por: ca\u00edda del gasto cardiaco, que vuelve a sus niveles basales, descenso de la presi\u00f3n de llenado de ambos ventr\u00edculos, persistencia del descenso de las resistencias vasculares sist\u00e9micas, y marcada hiperactivaci\u00f3n de los sistemas vasoactivos plasm\u00e1ticos, situaci\u00f3n conocida como disfunci\u00f3n circulatoria postparacentesis. La g\u00e9nesis de estos trastornos no ha sido completamente aclarada.  el prop\u00f3sito de este trabajo es estudiar la influencia de la descompresi\u00f3n abdominal, en el desarrollo de los cambios hemodin\u00e1micos que se producen inmediatamente despu\u00e9s de la paracentesis masiva.  se estudiaron 10 pacientes cirr\u00f3ticos con ascitis a tensi\u00f3n, que fueron sometidos a una paracentesis masiva, efectuada con presi\u00f3n intraabdominal constante, gracias al empleo de una faja neum\u00e1tica especialmente dise\u00f1ada. Dicha faja est\u00e1 compuesta de un envoltorio r\u00edgido que se coloca alrededor del paciente, y dos balones neum\u00e1ticos cuyo hinchado progresivo mantiene constante la presi\u00f3n intraabdominal, pese a la salida masiva de l\u00edquido asc\u00edtico. La ascitis se extrae mediante un cat\u00e9ter intraperitoneal de doble luz conectado por una parte a un monitor de presi\u00f3n y por la otra a una bolsa est\u00e9ril. se realizaron estudios hemo<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Papel del descenso de la presion intraabdominal en la genesis de la disfuncion circulatoria postparacentesis.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Papel del descenso de la presion intraabdominal en la genesis de la disfuncion circulatoria postparacentesis. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Luis Falcon Ara\u00f1a <\/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\/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>Juan Cabrera Cabrera<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: pedro Betancor le\u00f3n <\/li>\n<li>Luis Ruiz-del-\u00e1rbol olmos (vocal)<\/li>\n<li>ramon Planas vila (vocal)<\/li>\n<li>enrique Quintero carrion (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Luis Falcon Ara\u00f1a En el paciente cirr\u00f3tico con ascitis a tensi\u00f3n, la paracentesis masiva induce acusados cambios [&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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