{"id":85897,"date":"2018-03-10T00:10:25","date_gmt":"2018-03-10T00:10:25","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/caracterizacion-intraoperatoria-y-evolutiva-de-los-trasplantes-hepaticos-realizados-con-higado-de-donantes-suboptimos\/"},"modified":"2018-03-10T00:10:25","modified_gmt":"2018-03-10T00:10:25","slug":"caracterizacion-intraoperatoria-y-evolutiva-de-los-trasplantes-hepaticos-realizados-con-higado-de-donantes-suboptimos","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/caracterizacion-intraoperatoria-y-evolutiva-de-los-trasplantes-hepaticos-realizados-con-higado-de-donantes-suboptimos\/","title":{"rendered":"Caracterizacion intraoperatoria y evolutiva de los trasplantes hepaticos realizados con higado de donantes suboptimos."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Carla Pera Rojas <\/strong><\/h2>\n<p>Estudio prospectivo de 325 trasplantes hep\u00e1ticos ortot\u00f3picos realizados en adultos en el hospital reina sof\u00eda de c\u00f3rdoba.  el objetivo principal del estudio es analizar la influencia que tiene el empleo del higados de donantes \u00absub\u00f3ptimos\u00bb en la posterior evoluci\u00f3n tanto del receptor como del injerto trasplantado; as\u00ed como el an\u00e1lisis de la influencia de la utilizaci\u00f3n de estos h\u00edgados en la evoluci\u00f3n intraoperatoria de estos enfermos.  a un su grupo de la serie se les determina la compatibilidad donante-receptor y los niveles de interleucina 10 enm el primer mes postrasplante, y se describe la repercusi\u00f3n en la evoluci\u00f3n de estos enfermos trasplantados.  de la realizaci\u00f3n del presenta trabajo se extraen las siguientes conclusiones. el empleo de h\u00edgado de donantes \u00absub\u00f3ptimos\u00bb presenta supervivencias para el receptor y el injerto similares a las obtenidas con h\u00edgados de donantes \u00f3ptimos, excepto en dos subgrupos de donantes, los que precisan dosis elevadas de inotropos por su inestabilidad y aquellos con niveles de sodio elevados, que presentan superivencias de injerto peores al mes,3, 6 meses postoperatorios.Este hecho repercute en una mayor proporci\u00f3n de disfunci\u00f3n retaradada.  la utilizaci\u00f3n de h\u00edgados sub\u00f3ptimos es idiferente en relaci\u00f3n al estado cl\u00ednico de receptor, urgente o electivo, en cuanto a la supervivencia del receptor. No obstante, la supervivencia del injerto est\u00e1 afectad en el grupo de trasplantes electivo con el empleo de h\u00edgados de donantes con dosis elevadas de inotropos y\/o hipernatr\u00e9micos.  la perdida del injerto seg\u00fan los factores del donante depende de tres covariables independientes: del empleo de dosis elevadas de inotropos en el donante, de su nivel de sodio plasm\u00e1tico y de la estancia en uci. Seg\u00fan el ac\u00famulo de factores en un mismo donante, la supervivencia del injerto se ve afectada cuando confluyen  3 \u00f3 m\u00e1s criterios sub\u00f3ptimos en el mismo, con un icremento del n\u00famer<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Caracterizacion intraoperatoria y evolutiva de los trasplantes hepaticos realizados con higado de donantes suboptimos.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Caracterizacion intraoperatoria y evolutiva de los trasplantes hepaticos realizados con higado de donantes suboptimos. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Carla Pera Rojas <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 C\u00f3rdoba<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 13\/07\/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>Jose Pe\u00f1a Martinez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: pedro S\u00e1nchez guijo <\/li>\n<li>raimundo Carlos gacia (vocal)<\/li>\n<li>mercedes Lluch fernandez (vocal)<\/li>\n<li>evaristo Varo p\u00e9rez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Carla Pera Rojas Estudio prospectivo de 325 trasplantes hep\u00e1ticos ortot\u00f3picos realizados en adultos en el hospital reina [&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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