{"id":82395,"date":"2000-01-01T00:00:00","date_gmt":"2000-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/normalizacion-de-protocolos-ante-la-ingesta-de-causticos\/"},"modified":"2000-01-01T00:00:00","modified_gmt":"2000-01-01T00:00:00","slug":"normalizacion-de-protocolos-ante-la-ingesta-de-causticos","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/normalizacion-de-protocolos-ante-la-ingesta-de-causticos\/","title":{"rendered":"Normalizacion de protocolos ante la ingesta de causticos."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Emilio Mencias Rodriguez <\/strong><\/h2>\n<p>Aunque la coca cola se muestra como diluyente ideal, las lesiones observadas en es\u00f3fago son similares en extensi\u00f3n y profundidad que al utilizar otros diluyentes. \u00abin vivo\u00bb existe afectaci\u00f3n difusa de los tres tercios esof\u00e1gicos con mayor grado de edema, afectaci\u00f3n de las tres capas musculares e infiltraci\u00f3n inflamatoria hasta la serosa. En caso de no diluir se observan zonas esof\u00e1gicas respetadas y necrosis focal en la muscular interna.  el 71.3% de los hospitales espa\u00f1oles cuenta con protocolos para c\u00e1usticos, pero no son completos ni precisos. Lej\u00eda y amoniaco se identifican como c\u00e1usticos, pero no se sigue la misma sistem\u00e1tica diagn\u00f3stico-terap\u00e9utica que tras la ingesta de un ca\u00fastico protot\u00edpico. en la urgencia hospitalaria, los urgenci\u00f3logos se hacen cargo de la asistencia del 42.4% de los casos, los cirujanos del 17.4%; el trabajo en equipo solo est\u00e1 implantado en el 5.6%. El alta hospitalaria se realiza por los servicios de aparato digestivo (35.4%) y cirug\u00eda (32.8%).  el 66.6% de los protocolos hospitalarios revisados no diferencia entre \u00e1cidos y \u00e1lcalis c\u00e1usticos. El 5.8% se\u00f1ala que no debe administrarse nada por boca, mientras que el 54.9% indica que debe diluirse y neutralizar en el 7.8%. Contraindican la emesis el 66.7% y el lavado g\u00e1strico el 51%. Se recomienda colocar stent en el 13.7%. En porcentajes similares se inicia tratamiento con corticoides (76.4%) y antibi\u00f3ticos (82.3%). Gastroprotectores y antisecretores se recomiendan en el 21.5-47.1%. Solo se sigue profilaxis antitet\u00e1nica en el 7.8%. El 100% expresa que la endoscopia es imprescindible, aunque solo el 42.1% de los hospitales espa\u00f1oles dispone de servicio espec\u00edfico de digestivo.  a la vista de los resultados obtenidos, y como objetivo de la tesis, se presenta un algoritmo diagn\u00f3stico y terap\u00e9utico espec\u00edfico e independiente para los casos de ingesta de \u00e1cidos c\u00e1usticos y \u00e1lcalis c\u00e1usticos.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Normalizacion de protocolos ante la ingesta de causticos.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Normalizacion de protocolos ante la ingesta de causticos. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Emilio Mencias Rodriguez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/2000<\/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>lestache Cabrera Garrido<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: fernando Bandres moya <\/li>\n<li>Juan  bautista Marti lloret (vocal)<\/li>\n<li>pelegrin Martinez baza (vocal)<\/li>\n<li>Manuel Sancho ruiz (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Emilio Mencias Rodriguez Aunque la coca cola se muestra como diluyente ideal, las lesiones observadas en es\u00f3fago [&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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