{"id":7422,"date":"1995-01-01T00:00:00","date_gmt":"1995-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/1995\/01\/01\/estudio-de-la-influencia-del-equilibrio-coagulacion-fibrinolisis-endopleural-en-la-pleurodesis-con-talco\/"},"modified":"1995-01-01T00:00:00","modified_gmt":"1995-01-01T00:00:00","slug":"estudio-de-la-influencia-del-equilibrio-coagulacion-fibrinolisis-endopleural-en-la-pleurodesis-con-talco","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-de-la-influencia-del-equilibrio-coagulacion-fibrinolisis-endopleural-en-la-pleurodesis-con-talco\/","title":{"rendered":"Estudio de la influencia del equilibrio coagulacion-fibrinolisis endopleural en la pleurodesis con talco."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Alejandro Segado Soriano <\/strong><\/h2>\n<p>Hemos estudiado el balance coagulacion\/fibrinolisis endopleural y otros parametros bioquimicos en 104 pacientes tras toracoscopia. En 81, 77 malignos y 4 benignos recurrentes, se realizo pleurodesis con talco.  los otros 23, 16 benignos y 7 malignos, se incluyeron como control. Se determinaron de forma basal, tras biopsia, a las 3,24 y 48 horas, u en caso de recidiva, los niveles de trombina-antitrombina (tat), dimero-d e inhibidor del activador del plasminogeno (pai-1) y otros parametros (ph, ldh, glucosa, lactico, proteinas y celulas). La pleurodesis fue un exito en el 80&#215;100 de los casos, con un valor predictivo positivo para el fracaso de la pleurodesis de un 67&#215;100 para los casos con ph menor 7.2. La toracoscopia origino por si sola una marcada respuesta de los parametros inflamatorios en la pleura. Los niveles basales de coagulacion y fibrinolisis fueron similares en ambos grupos, con correlacion entre niveles de dimero-d y extension tumoral. Tras toracoscopia se activo la coagulacion y elevaron los niveles de pai en todos los grupos, con una caida significativa de la fibrinolisis (p menor 0,001) a las 24 horas en los pacientes con buen resultado de la pleurodesis e incremento de dicha fibrinolisis en los fracasos. El maximo pico en el indice tat\/dimero-d se produce a las 24 horas, por ello en este momento la succion pleural debe ser maxima.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio de la influencia del equilibrio coagulacion-fibrinolisis endopleural en la pleurodesis con talco.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio de la influencia del equilibrio coagulacion-fibrinolisis endopleural en la pleurodesis con talco. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Alejandro Segado Soriano <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Sevilla<\/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>Francisco Rodriguez 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 Gomez Rodriguez (vocal)<\/li>\n<li>Jos\u00e9 M. Antona Gomez (vocal)<\/li>\n<li>Antonio Pereira Vega (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Alejandro Segado Soriano Hemos estudiado el balance coagulacion\/fibrinolisis endopleural y otros parametros bioquimicos en 104 pacientes tras [&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":[9,69,139,10715],"tags":[26754,26756,1508,26755,23802,10783],"class_list":["post-7422","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-enfermedades-pulmonares","category-medicina-interna","category-sevilla","tag-alejandro-segado-soriano","tag-antonio-pereira-vega","tag-francisco-gomez-rodriguez","tag-francisco-rodriguez-panadero","tag-jose-m-antona-gomez","tag-ramon-perez-cano"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/7422","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=7422"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/7422\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=7422"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=7422"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=7422"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}