{"id":80461,"date":"2018-03-10T00:04:11","date_gmt":"2018-03-10T00:04:11","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/valor-del-doppler-transcraneal-en-la-evolucion-y-el-pronostico-del-traumatismo-craneoencefalico-grave\/"},"modified":"2018-03-10T00:04:11","modified_gmt":"2018-03-10T00:04:11","slug":"valor-del-doppler-transcraneal-en-la-evolucion-y-el-pronostico-del-traumatismo-craneoencefalico-grave","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/valor-del-doppler-transcraneal-en-la-evolucion-y-el-pronostico-del-traumatismo-craneoencefalico-grave\/","title":{"rendered":"Valor del doppler transcraneal en la evolucion y el pronostico del traumatismo craneoencefalico grave"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Moreno Molina Jos\u00e9 Antonio <\/strong><\/h2>\n<p>Objetivos: determinar el valor del doppler transcraneal (dtc) para valorar la evoluci\u00f3n del traumatismo craneoencef\u00e1lico grave (tce) y correlacionar los valores de dtc con los valores de presi\u00f3n intracraneal (pic) y presi\u00f3n de perfusi\u00f3n cerebral(ppc).  metodos: se realiz\u00f3 un dtc en las primeras 24 horas de evoluci\u00f3n de 125 tce graves (gcs&lt;9) de forma prospectiva, insonando la arteria cerebral media(acm), seg\u00fan la tecnica estandar, valorando la velocidad media(vm) y el indice de pulsatilidad(ip); se registraron, adem\u00e1s, (vm) y el indice de pulsatilidad (ip); se registraron, ademas los valores de pic, de ppc y datos clinicos, anal\u00edticos y de tomograf\u00eda. La evoluci\u00f3n de los enfermos se valoro seg\u00fan la escala de resultados de glasgow(gos) a los 6 meses. se consider\u00f3 buena evoluci\u00f3n de discapacidad grave, moderada o recuperaci\u00f3n completa y mala evoluci\u00f3n el fallecimiento o el estado vegetativo.  resultados: presentaron buena evoluci\u00f3n 71 pacientes (56%) y mala evoluci\u00f3n 43 pacientes (46%). La vm del flujo sanguineo de la acm en los enfermos que tuvieron buena evoluci\u00f3n fue de 44 cm\/s y los que presentaron mala evoluci\u00f3n de 35 cm\/s(p&lt;0,002). El ip de los enfermos con buena evoluci\u00f3n tuvo un valor medio de 1 y en los que presentaron mala evolucion de 1,6(p&lt;0,0001); ). La correlaci\u00f3n de la pic y la ppc mostro valores estadisticamente significativos con los valores de ip (r2 0,6) (p&lt;0,0001).  conclusiones: el dtc registrado en las primeras 24 horas de un tce grave es valido para determinar la evoluci\u00f3n del enfermo a los 6 meses y se correlaciona de forma significativa con los valores de ppc y pic.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Valor del doppler transcraneal en la evolucion y el pronostico del traumatismo craneoencefalico grave<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Valor del doppler transcraneal en la evolucion y el pronostico del traumatismo craneoencefalico grave <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Moreno Molina Jos\u00e9 Antonio <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 21\/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>Jaume Fern\u00e1ndez Llamazares Rodriguez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Antonio Navarro Quills <\/li>\n<li>Antonio Tomasa Torrallardona (vocal)<\/li>\n<li>Manuel Monreal Bosch (vocal)<\/li>\n<li>Juan Gener Raxach (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Moreno Molina Jos\u00e9 Antonio Objetivos: determinar el valor del doppler transcraneal (dtc) para valorar la evoluci\u00f3n del [&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":[9,141,254],"tags":[172278,13676,14217,172279,14008,32481],"class_list":["post-80461","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-cirugia","category-traumatologia","tag-antonio-navarro-quills","tag-antonio-tomasa-torrallardona","tag-jaume-fernandez-llamazares-rodriguez","tag-juan-gener-raxach","tag-manuel-monreal-bosch","tag-moreno-molina-jose-antonio"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/80461","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=80461"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/80461\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=80461"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=80461"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=80461"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}