{"id":88013,"date":"2018-03-10T00:12:54","date_gmt":"2018-03-10T00:12:54","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/influencia-de-los-diureticos-en-la-concentracion-de-protea%c2%adnas-y-otros-constituyentes-de-los-trasudados-pleurales-en-pacientes-con-insuficiencia-carda%c2%adaca\/"},"modified":"2018-03-10T00:12:54","modified_gmt":"2018-03-10T00:12:54","slug":"influencia-de-los-diureticos-en-la-concentracion-de-protea%c2%adnas-y-otros-constituyentes-de-los-trasudados-pleurales-en-pacientes-con-insuficiencia-carda%c2%adaca","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/influencia-de-los-diureticos-en-la-concentracion-de-protea%c2%adnas-y-otros-constituyentes-de-los-trasudados-pleurales-en-pacientes-con-insuficiencia-carda%c2%adaca\/","title":{"rendered":"Influencia de los diur\u00e9ticos en la concentraci\u00f3n de prote\u00ednas y otros constituyentes de los trasudados pleurales en pacientes con insuficiencia card\u00edaca"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Fern\u00e1ndez Aracil M. Cleofe <\/strong><\/h2>\n<p>Antecedentes  la terapia diur\u00e9tica produce un incremento en las concentraciones totales de prote\u00ednas y lactato de desidrogenasa (ldh) en el l\u00edquido pleural de pacientes contrasudados pleurales secundarios a insuficiencia card\u00edaca. no existe directa acerca de los cambios producidos en otros constituyentes del l\u00edquido pleural durante la diuresis.  objetivos  comprobar la influencia de la terapia diur\u00e9tica en la concentraci\u00f3n de prote\u00ednas y otros constituyentes de los trasudados pleurales.  dise\u00f1o  estudio observacional prospectivo.  metodolog\u00eda  21 pacientes con insuficiencia card\u00edaca se estudiaron mediante toracocentesis seriadas tras ser sometidos a terapia diur\u00e9tica. El derrame pleural fue radiol\u00f3gicamente inaparente en todos los pacientes al final del  tratamiento. Durante el tiempo medio del estudio (21 + &#8211; 53 horas) se realizaron una media de 3.1 + &#8211; 1 toracocentesis (rango de 2 a 6). Se usaron como controles 31 pacientes con insuficiencia card\u00edaca que fueron sometidos a s\u00f3lo una toracocentesis final tras tratamiento diur\u00e9tico.  resultados  las concentraciones pleurales de la mayor\u00eda de los par\u00e1metros analizados se incrementaron de una forma significativa (p&lt;0,001) si comparamos la muestra inicial con la muestra final. No se encontraron diferencias significativas entre los cambios ocurridos con las prote\u00ednas totales y con su fracci\u00f3n  alb\u00famina. Cuando se expresan como porcentaje de cambio, los incrementos del gradiente (suero-l\u00edquido pleural) fueron significativamente menos llamativos tanto para la alb\u00famina (11.7 + &#8211; 22.4%) como para las prote\u00ednas totales (11.1 + &#8211; 12.1%) que los incrementos en sus concentraciones absolutas en l\u00edquido pleural (47.1 + &#8211; 48.7% para alb\u00famina y 48.1 + &#8211; 39.5% para las prote\u00ednas totales) y que en sus cocientes l\u00edquido pleural\/suero (27.4 + &#8211; 29.4% para la alb\u00famina; 38 + &#8211; 39.5% para las prote\u00ednas totales).  conclusiones  con la terpia diur\u00e9tica los par\u00e1met<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Influencia de los diur\u00e9ticos en la concentraci\u00f3n de prote\u00ednas y otros constituyentes de los trasudados pleurales en pacientes con insuficiencia card\u00edaca<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Influencia de los diur\u00e9ticos en la concentraci\u00f3n de prote\u00ednas y otros constituyentes de los trasudados pleurales en pacientes con insuficiencia card\u00edaca <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Fern\u00e1ndez Aracil M. Cleofe <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Miguel hern\u00e1ndez de elche<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 15\/12\/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>Santiago Romero Candeira<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jos\u00e9 Luis Alvarez sala walther <\/li>\n<li>Juan  Miguel Sanchez nieto (vocal)<\/li>\n<li> Rodr\u00edguez de castro felipe (vocal)<\/li>\n<li> Villena garrido Mar\u00eda  victoria (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Fern\u00e1ndez Aracil M. Cleofe Antecedentes la terapia diur\u00e9tica produce un incremento en las concentraciones totales de prote\u00ednas [&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":[9,69,139,37169],"tags":[183888,6075,90279,31107,24635,24633],"class_list":["post-88013","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-enfermedades-pulmonares","category-medicina-interna","category-miguel-hernandez-de-elche","tag-fernandez-aracil-m-cleofe","tag-jose-luis-alvarez-sala-walther","tag-juan-miguel-sanchez-nieto","tag-rodriguez-de-castro-felipe","tag-santiago-romero-candeira","tag-villena-garrido-maria-victoria"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/88013","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=88013"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/88013\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=88013"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=88013"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=88013"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}