{"id":72177,"date":"2018-03-09T23:16:58","date_gmt":"2018-03-09T23:16:58","guid":{"rendered":""},"modified":"2018-03-09T23:16:58","modified_gmt":"2018-03-09T23:16:58","slug":"estudio-de-la-actividad-fibrinola%c2%adtica-intra%c2%adnseca-y-tras-tratamiento-con-urocinasa-en-el-la%c2%adquido-pleural-como-predictor-de-la-evolucion-del-derrame-paraneumonico-complicado-y-empiema","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-de-la-actividad-fibrinola%c2%adtica-intra%c2%adnseca-y-tras-tratamiento-con-urocinasa-en-el-la%c2%adquido-pleural-como-predictor-de-la-evolucion-del-derrame-paraneumonico-complicado-y-empiema\/","title":{"rendered":"Estudio de la actividad fibrinol\u00edtica intr\u00ednseca y tras tratamiento con urocinasa en el l\u00edquido pleural. como predictor de la evoluci\u00f3n del derrame paraneum\u00f3nico complicado y empiema."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Elena Laserna Martinez <\/strong><\/h2>\n<p>Los derrames paraneum\u00f3nicos complicados y empiemas se perciben, todav\u00eda hoy , como una fuente de morbilidad y mortalidad importante.La respuesta de los pacientes con derrame paraneum\u00f3nico complicado o empiema al tratamiento fibrinol\u00edtico imtrapleural no se desarrolla de forma uniforme.En el presente trabajo hemos estudiado el d\u00edmero-d dd como posible marcador pron\u00f3stico para monitorizar la respuesta al tratamiento fibrinol\u00edtico intrapleural en los casos de empiema\/derrame pleural.Para ello se han incluido 62 pacientes con dicho diagnostico e indicaci\u00f3n de tratamiento fibrinol\u00edtico.Hemos encontrado diferentes estad\u00edsticamente significativas en los valores de dd basal (medido antes de iniciar el tratamiento fibrinol\u00edtico)y el dd medido despu\u00e9s de la segunda dosis , entre los pacientes que evolucionan bien tras el tratamiento y los que presentaron una resoluci\u00f3n parcial o nula con dicho tratamiento , siendo menores los dos par\u00e1metros en estos \u00faltimos .De estos hellazgos deducimos que tan importante es la actividad fibrinol\u00edtica basal en el momento de iniciar el tratamiento como la capacidad  de respuesta del sistema fibrinol\u00edtico pleural a la terapia fibrinol\u00edtica con uroquinasa uk.  pensamos que este par\u00e1metro puede sernos de mucha utilidad para monitorizar en tiempo real el tratamiento fibrinol\u00edtico y ayudarnos a tomar la decisi\u00f3n de pasar a un manejo m\u00e1s agresivo , sin ming\u00fan tipo de demora que conllevar\u00eda un aumento de la morbimortalidad.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio de la actividad fibrinol\u00edtica intr\u00ednseca y tras tratamiento con urocinasa en el l\u00edquido pleural. como predictor de la evoluci\u00f3n del derrame paraneum\u00f3nico complicado y empiema.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio de la actividad fibrinol\u00edtica intr\u00ednseca y tras tratamiento con urocinasa en el l\u00edquido pleural. como predictor de la evoluci\u00f3n del derrame paraneum\u00f3nico complicado y empiema. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Elena Laserna Martinez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Sevilla<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 21\/12\/2004<\/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>Francisco Rodr\u00edguez Panadero<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: ramon Perez cano <\/li>\n<li>Francisco Marquez varela (vocal)<\/li>\n<li>Fernando Garcia diaz (vocal)<\/li>\n<li>remedios Otero candelera (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Elena Laserna Martinez Los derrames paraneum\u00f3nicos complicados y empiemas se perciben, todav\u00eda hoy , como una fuente [&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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