{"id":85925,"date":"2018-03-10T00:10:25","date_gmt":"2018-03-10T00:10:25","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/historia-natural-de-la-hepatitis-c\/"},"modified":"2018-03-10T00:10:25","modified_gmt":"2018-03-10T00:10:25","slug":"historia-natural-de-la-hepatitis-c","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/historia-natural-de-la-hepatitis-c\/","title":{"rendered":"Historia natural de la hepatitis c."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Agustin Herrera Abian <\/strong><\/h2>\n<p>La infecci\u00f3n cr\u00f3nica por el virus de la hepatitis c constituye un importante problema sanitario por su elevada frecuencia y por sus graves consecuencias en una considerable proporci\u00f3n de los pacientes infectados.  a pesar de los m\u00faltiples estudios realizados, el conocimiento de la historia natural de la infecci\u00f3n por el vhc est\u00e1 aun por establecer.  hemos estudiado 337 pacientes diagnosticados de infecci\u00f3n cr\u00f3nica por el vhc desde al menos 20 a\u00f1os antes y hemos realizado un seguimiento durante 35+-18 meses.  se han estudiado signos de hipertensi\u00f3n portal, desarrollo de complicaciones, comparaci\u00f3n entre las mismas y se ha realizado un an\u00e1lisis multivariante de supervivencia con la consiguiente elaboraci\u00f3n de un indice pron\u00f3stico.  se ha seleccionado a un subgrupo de pacientes sin signos de enfermedad hep\u00e1tica avanzada para evaluar la respuesta y la tolerancia al tratamiento con interfer\u00f3n.  todos los resultados obtenidos se han comparado con los existentes en la literatura.  se han establecido las siguientes conclusiones:  1\u00aa. La hepatitis cr\u00f3nica por el virus c es una enfermedad agresiva, con importantes morbi-mortalidad y con evoluci\u00f3n r\u00e1pida hacia formas m\u00e1s severas y aparici\u00f3n de complicaciones a partir de los 20 a\u00f1os de adquirida la infecci\u00f3n.  2\u00aa. La ascitis es la complicaci\u00f3n m\u00e1s frecuente. La hemorragia por varices esof\u00e1gicas la m\u00e1s infrecuente.  3\u00aa. Cuando los pacientes sin evidencia de hepatopat\u00eda avanzada ni de hipertensi\u00f3n portal se complican, el hepatoma es el \u00fanico diagn\u00f3stico esperable.  4\u00aa. El tiempo medio necesario que transcurre desde el inicio de la enfermedad hasta el diagn\u00f3stico del hepatoma es significativamente menor que el necesario para la aparici\u00f3n de ascitis.  5\u00aa. El diagn\u00f3stico de una complicaci\u00f3n ensombrece marcadamente el pron\u00f3stico.  6\u00aa. Se puede establecer un indice pron\u00f3stico que permita clasificar a los pacientes en tres grupos y que incluye los sigu<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Historia natural de la hepatitis c.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Historia natural de la hepatitis c. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Agustin Herrera Abian <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de Madrid<\/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>Ramon Perez Maestu<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: pedro Escartin marin <\/li>\n<li>v\u00edctor S\u00e1nchez turri\u00f3n (vocal)<\/li>\n<li>julio De la morena fern\u00e1ndez (vocal)<\/li>\n<li>Carlos Antonio P\u00e9rez de oteyza (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Agustin Herrera Abian La infecci\u00f3n cr\u00f3nica por el virus de la hepatitis c constituye un importante problema [&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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