{"id":90276,"date":"2018-03-10T00:15:42","date_gmt":"2018-03-10T00:15:42","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/traumatismos-toracicos-revision-critica\/"},"modified":"2018-03-10T00:15:42","modified_gmt":"2018-03-10T00:15:42","slug":"traumatismos-toracicos-revision-critica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/traumatismos-toracicos-revision-critica\/","title":{"rendered":"Traumatismos toracicos. revision critica."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Mauricio Avellavega Jairo <\/strong><\/h2>\n<p>Durante el decenio 1990-2000 los traumatismo tor\u00e1cicos (tt) han presentado un problema de la mayor importancia para el cirujano tor\u00e1cico y quiz\u00e1s constituyen la nueva prioridad para el ejercicio clinico, investigaci\u00f3n cl\u00ednica y b\u00e1sica, y fundamento para el desarrollo moderno de la asistencia la traumatizado.  el objetivo de este trabajo ha sido: 1\u00c2\u00ba)evaluar nuestra conducta ante los tt, y 2\u00c2\u00ba) conocer los aspectos epidemiologicos, clinicos, diagnosticos y terapeuticos de los tt asistidos en nuestro hospital.  se ha revisado la historia clinica de los 1083 pacientes tratados por tt en el hu\u00bbcarlos haya\u00bb de malaga durante la decada 1983-92. Se analizaron, entre otros par\u00e1metros, la edad, sexo, procedencia, etiolog\u00eda y tipo del traumatismo, distancia del lugar del accidente y tiempo transcurrido desde el mismo hasta el traslado del enfermo al hospital, sintomatolog\u00eda, lesiones oseas, viscerales y de partes blandas asociadas al tt, estudio radiol\u00f3gico, tac y ecograf\u00eda abdominal, parametros hematim\u00e9tricos, morbimortalidad, tratamiento y estancia hospitalaria.  el 80,79 % eran varones y el 19,21% mujeres, con una edad media de 47,37 a\u00f1os. El tt fue debido a accidentes de tr\u00e1fico en el 60,38% de los casos. el tiempo transcurrido desde la producci\u00f3n del accidente hasta el traslado al hospital fue &lt;1 hora en el 43,31 % de los casos y en el 51,25% la distancia fue inferior a 11 km. El 92,34% de los tt fueron cerrados. El 4,24% de los casos presentaba lesiones viscerales asociadas, el 19% lesiones oseas y de tejidos blandos, en el 70, 3% habia fracturas costales, en el 14,9% hemotorax y en el 13,8% neumotorax. En 218 pacientes toracocentesis. Se prescribieron analgesicos en el 98,43% de los casos, mucoliticos en el 74% oxigenoterapia en el 19,28% y se practico fisioterapia respiratoria en el 98% de los casos. Se practic\u00f3 intubaci\u00f3n orotraqueal en 56 ocasiones (5,17%) y traqueostomia en 13(1,2%).<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Traumatismos toracicos. revision critica.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Traumatismos toracicos. revision critica. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Mauricio Avellavega Jairo <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 23\/05\/2001<\/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>Jos\u00e9 Antonio Rodr\u00edguez Montes<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Luis Garcia  sancho martin <\/li>\n<li>Jos\u00e9 Bondia navarro (vocal)<\/li>\n<li>Francisco Arnalich fern\u00e1ndez (vocal)<\/li>\n<li>Miguel angel Dapena crespo (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Mauricio Avellavega Jairo Durante el decenio 1990-2000 los traumatismo tor\u00e1cicos (tt) han presentado un problema de la 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