{"id":6814,"date":"1995-01-01T00:00:00","date_gmt":"1995-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/1995\/01\/01\/traumatismos-renales-evaluacion-diagnostica-y-terapeutica-de-190-observaciones\/"},"modified":"1995-01-01T00:00:00","modified_gmt":"1995-01-01T00:00:00","slug":"traumatismos-renales-evaluacion-diagnostica-y-terapeutica-de-190-observaciones","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/traumatismos-renales-evaluacion-diagnostica-y-terapeutica-de-190-observaciones\/","title":{"rendered":"Traumatismos renales. evaluacion diagnostica y terapeutica de 190 observaciones."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Pedro Lopez Cubillana <\/strong><\/h2>\n<p>Objetivos. Valoracion de pacientes con sospecha de traumatismos renales que deben ser estudiados desde el punto de vista urologico. Valoracion de los resultados de las exploraciones complementarias idoneas para su estudio (uiv, tc, ecografia, arteriografia).  valoracion del tratamiento de los traumatismos renales (conservador\/quirurgico).  material y metodos, estudio de 190 pacientes ingresados en el hospital \u00abvirgen de la arrixaca\u00bb entre 1970 y 1992 que fueron finalmente diagnosticados de traumatismo renal. Los pacientes presentaron una distribucion etaria con predominio de las decadas 2. Y 3. De la vida y, en lo que respecto a sexo, predominio del varon sobre la mujer (3.75 a 1). La etiolog\u00eda mas frecuente la constituye el accidente de trafico (56%). Presentaron lesiones asociadas el 32.6% de los pacientes, con predominio de las lesiones viscerales (14.7%) y oseas (15.3%), y un aumento progresivo de la proporcion de lesiones asociadas a medida que aumenta el grado de lesion renal (desde el 15% en las lesiones grado y hasta el 75% en las lesiones grado iv).  resultados. El signo clinico mas frecuentemente encontrado fue la hematuria (86,3%), macro (84,2%) o microscopica (2.1%). Solo uno de los paciente sin hematuria ni existencia de lesion abdominal asociada ni shock presento una lesion renal importante. La uiv y la ecografia son tecnicas utiles principalmente en los traumatismos grado ii (7% falsos negativos la uiv, 11.1% la ecografia) y iii (0% falsos negativos la uiv, 29.4% la ecografia). La tc (100% de verdaderos positivos independientemente del grado de lesion renal) y la arteriografia ( 90% de verdaderos positivos en traumatismos grado i, iii y iv) presentan gran efectividad en el diagnostico de los traumatismos renales. El tratamiento practicado sobre los pacientes fue conservador en el 87% de los traumatismos grado 1,50% quirurgico en los traumatismos grado ii y 100% quirurgico en los traumatismos grados iii y iv. En<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Traumatismos renales. evaluacion diagnostica y terapeutica de 190 observaciones.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Traumatismos renales. evaluacion diagnostica y terapeutica de 190 observaciones. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Pedro Lopez Cubillana <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Murcia<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1995<\/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>Jos\u00e9 Luis Aguayo Albasini<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Ricardo (secretario) Robles Campos <\/li>\n<li>Guillermo Antonio Gomez Gomez (vocal)<\/li>\n<li>Jes\u00fas Romero Maroto (vocal)<\/li>\n<li>  (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Pedro Lopez Cubillana Objetivos. Valoracion de pacientes con sospecha de traumatismos renales que deben ser estudiados desde [&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":[155,9,8235,971],"tags":[8480,24170,25058,25057,25059],"class_list":["post-6814","post","type-post","status-publish","format-standard","hentry","category-ciencias-clinicas","category-ciencias-medicas","category-murcia","category-urologia","tag-guillermo-antonio-gomez-gomez","tag-jesus-romero-maroto","tag-jose-luis-aguayo-albasini","tag-pedro-lopez-cubillana","tag-ricardo-secretario-robles-campos"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/6814","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=6814"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/6814\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=6814"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=6814"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=6814"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}