{"id":9248,"date":"1995-01-01T00:00:00","date_gmt":"1995-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/1995\/01\/01\/la-adenosin-deaminasa-y-sus-isoenzimas-en-el-diagnostico-de-la-pleuritis-tuberculosa\/"},"modified":"1995-01-01T00:00:00","modified_gmt":"1995-01-01T00:00:00","slug":"la-adenosin-deaminasa-y-sus-isoenzimas-en-el-diagnostico-de-la-pleuritis-tuberculosa","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/la-adenosin-deaminasa-y-sus-isoenzimas-en-el-diagnostico-de-la-pleuritis-tuberculosa\/","title":{"rendered":"\u00abla adenosin deaminasa y sus isoenzimas en el diagnostico de la pleuritis tuberculosa\u00bb."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Esteban Perez Rodriguez <\/strong><\/h2>\n<p>Objetivos: a) analizar los niveles de ada pleural (adap), en las diferentes etiolog\u00edas de la patolog\u00eda pleural. B) valorar la aportacion de los isoenzimas ada1-ada2 (a traves del cociente ada1\/adap), como posible mejor parametro de rentabilidad diagnostica, celeridad, costo y nula invasividad, para asi obviar la biopsia pleural, necesaria para su diagnostico. C) tipo de ada (ada1-ada2) y expresion celular.  material: desde mayo de 1991 a diciembre de 1993, 320 toracocen-tesis fueron realizadas en 280 pacientes. De ellos 214 fueron hombres y 106 mujeres, con una edad media de 58.7+-18.8 a\u00f1os. Los diagnosticos fueron:  malignos 103 (carcinomas 87, mesoteliomas 2 y linfomas 14), tuberculosis 48, paraneumonicos 48, empiemas 25, paramalignos 18, idiopaticos 17, cardiacos 15, asciticos 13, traumaticos 13, quilotorax 4, tromboembo-lismo pulmonar 4, conectivopatias 2 y otros 10.  metodo: todos los casos fueron estudiados prospectivamente y los parametros analizados fueron:  edad, sexo, n. De toracocentesis, caracteristicas macroscopicas del fluido, volumen de ocupacion, localizacion de este, e incidencia y tipo de complicaciones. El estudio del fluido pleural incluyo:  ph, parametros bioquimicos en pleura y suero simultaneo (proteinas, albumina, ldh, glucosa, colesterol, trigliceridos, bilirrubina y fa), coulter celular con formula leucocitaria, citolog\u00eda, estudio microbiologico (gram, cultivo, zieh1-lowenstein y otros si sospecha). La biopsia pleural se realizo en todos los casos de sospecha clinica de enfermedad maligna, granulomatosa, o en presencia de exudados pleurales no filiados. El diagnostico definitivo, se obtuvo a traves del estudio del fluido o biopsia pleural ciega, toracoscopia o toracotomia diagnostica, confirmandose posteriormente en la respuesta clinico-terapeutica de su evolucion.  el ada en pleura y suero fue determinado por el metodo de blake berman y modificacion de slaat. Para la determinacion del ada1-ada2,<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>\u00abla adenosin deaminasa y sus isoenzimas en el diagnostico de la pleuritis tuberculosa\u00bb.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 \u00abla adenosin deaminasa y sus isoenzimas en el diagnostico de la pleuritis tuberculosa\u00bb. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Esteban Perez Rodriguez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Alcal\u00e1<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1995<\/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>Antonio Sueiro Bendito<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Melchor Alvarez De Mon Soto <\/li>\n<li>Javier Sanchez Hernandez (vocal)<\/li>\n<li> Gomez De Terreros Javier (vocal)<\/li>\n<li>Jos\u00e9 Zapatero Gaviria (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Esteban Perez Rodriguez Objetivos: a) analizar los niveles de ada pleural (adap), en las diferentes etiolog\u00edas de [&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":[17426,9,69,139],"tags":[17503,31829,6147,31830,31831,14431],"class_list":["post-9248","post","type-post","status-publish","format-standard","hentry","category-alcala","category-ciencias-medicas","category-enfermedades-pulmonares","category-medicina-interna","tag-antonio-sueiro-bendito","tag-esteban-perez-rodriguez","tag-gomez-de-terreros-javier","tag-javier-sanchez-hernandez","tag-jose-zapatero-gaviria","tag-melchor-alvarez-de-mon-soto"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/9248","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=9248"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/9248\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=9248"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=9248"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=9248"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}