{"id":80317,"date":"1999-06-07T00:00:00","date_gmt":"1999-06-07T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/disfuncion-tubular-renal-inducida-por-el-tratamiento-con-aprotinina-en-cirugia-de-revascularizacion-miocardica-bajo-circulacion-extracorporea\/"},"modified":"1999-06-07T00:00:00","modified_gmt":"1999-06-07T00:00:00","slug":"disfuncion-tubular-renal-inducida-por-el-tratamiento-con-aprotinina-en-cirugia-de-revascularizacion-miocardica-bajo-circulacion-extracorporea","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/disfuncion-tubular-renal-inducida-por-el-tratamiento-con-aprotinina-en-cirugia-de-revascularizacion-miocardica-bajo-circulacion-extracorporea\/","title":{"rendered":"Disfuncion tubular renal inducida por el tratamiento con aprotinina en cirugia de revascularizacion miocardica bajo circulacion extracorporea"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Adela Fauli Prats <\/strong><\/h2>\n<p>Los objetivos de esta tesis han sido valorar si se puede definir un patr\u00f3n de comportamiento renal en cirugia de revascularizaci\u00f3n mioc\u00e1rdica bajo cec y evaluar si la administraci\u00f3n de aprotinina a dos regimenes de administraci\u00f3n comporta una mayor aparici\u00f3n de efectos a nivel renal.  pacientes y m\u00e9todos: prospectivo, randomizado, doble ciego. Muestra de 60 pacientes sometdos a cirug\u00eda de revascularizaci\u00f3n mioc\u00e1rdica, divididos en tres grupos: grupo i placebo, grupo ii, aprotinina dosis bajas, grupo iii aprotinina dosis altas.  se midi\u00f3 la creatinina plasm\u00e1tica y se calcul\u00f3 el aclaramiento de creatinina, excreci\u00f3n fraccionada de sodio, excreci\u00f3n de beta1-nag, excreci\u00f3n de alga microglobulina y beta2microglobulina, de forma preoperatoria, durante la circulaci\u00f3n extracorporea y a las 24 horas, 72 horas y septimo dia de postoperatorio.  resultados: ascenso significativo en la excreci\u00f3n fraccionada de sodio y la excreci\u00f3n de beta-nag durante la cec, seguido de  un ascenso significativo de la excreci\u00f3n de alfa1microglobulina y beta2microglobulina a las 24 horas de postoperatorio (p&lt;0,05).  la administraci\u00f3n de aprotinina ha comportado un aumento significativo de la excreci\u00f3n de alfa1microglobulina durante la cec en los grupos ii y iii (p&lt;0,001),y a las 24 horas el grupo iii (p&lt;0,05).  conclusiones. La utilizacion de la cec en cirugia de revascularizaci\u00f3n mioc\u00e1rdica altera el funcionalismo renal a nivel tubular (aumento en la fracci\u00f3n de excreci\u00f3n de sodio, de proteinas y enzimas de bajo peso molecular). la introduci\u00f3n de la aprotinina comporta un aumento en la sobrecarga tubular renal, medido por la determinaci\u00f3n de la excreci\u00f3n de alfa1microbulina. dicho efecto es dosis dependiente.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Disfuncion tubular renal inducida por el tratamiento con aprotinina en cirugia de revascularizacion miocardica bajo circulacion extracorporea<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Disfuncion tubular renal inducida por el tratamiento con aprotinina en cirugia de revascularizacion miocardica bajo circulacion extracorporea <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Adela Fauli Prats <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 06\/07\/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>Carmen Gomar Sancho<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Miguel angel Nalda felipe <\/li>\n<li>Juan Navia roque (vocal)<\/li>\n<li>albert Torras rabasa (vocal)<\/li>\n<li>vicente argentino Gancedo rodriguez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Adela Fauli Prats Los objetivos de esta tesis han sido valorar si se puede definir un patr\u00f3n [&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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