{"id":86569,"date":"2018-03-10T00:11:12","date_gmt":"2018-03-10T00:11:12","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/hemorragia-digestiva-altaestudio-prospectivo-en-un-hospital-general\/"},"modified":"2018-03-10T00:11:12","modified_gmt":"2018-03-10T00:11:12","slug":"hemorragia-digestiva-altaestudio-prospectivo-en-un-hospital-general","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/hemorragia-digestiva-altaestudio-prospectivo-en-un-hospital-general\/","title":{"rendered":"\u00abhemorragia digestiva alta:estudio prospectivo en un hospital general\u00bb"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Garcia Fernandez Jos\u00e9 Antonio <\/strong><\/h2>\n<p>Se han analizado los registros de los pacientes ingresados durante un a\u00f1o en un hospital general por hemorragia digestiva alta, en un estudio prospectivo y protocolizado. Se han confirmado que la incidencia es de 69 episodios por 100.000 habitantes, lo que supone un 25% de todos los ingresos en un servicio de digestivo. Son tres veces m\u00e1s frecuentes en varones y la edad media de presentaci\u00f3n es de 64 a\u00f1os. Los hombres son m\u00e1s jovenes, toman menos gastroerosivos, presentan m\u00e1s frecuentemente hematemesis y llagan a urgencias con hemoglobinas m\u00e1s altas que las mujere. La endoscopia result\u00f3 diagn\u00f3stica en el 97% de los casos y aun cuarto de los pacientes se les realiz\u00f3 escleroterapia. Las causas m\u00e1s frecuentes de sangrado fueron las \u00falceras p\u00e9pticas, seguidas por las varices esof\u00e1gicas y las lamg, as\u00ed como la hematemesis fue la forma de presentaci\u00f3n m\u00e1s com\u00fan. Las hda secundarias a htp supusieron una tercera parte del total y presentaron mayor gravedad cl\u00ednica, complicaciones y mortalidad que las debidas a otras causas. Mas del 75% de los casos, precisaron administraci\u00f3n de hemoderivados y s\u00f3lo el 2% precisaron cirug\u00eda. La duraci\u00f3n media del ingreso hospitalario fue de 8 d\u00edas y la mortalidad global fue 7,5%. El 17% tuvieron resangrados que se asociaron tambi\u00e9n con peor pron\u00f3stico.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>\u00abhemorragia digestiva alta:estudio prospectivo en un hospital general\u00bb<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 \u00abhemorragia digestiva alta:estudio prospectivo en un hospital general\u00bb <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Garcia Fernandez Jos\u00e9 Antonio <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Oviedo<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 26\/09\/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>Luis Rodrigo Saez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: ricardo Moreno otero <\/li>\n<li>faustino Pozo fidalgo (vocal)<\/li>\n<li>Fernando Casafont more (vocal)<\/li>\n<li>  (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Garcia Fernandez Jos\u00e9 Antonio Se han analizado los registros de los pacientes ingresados durante un a\u00f1o en [&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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