{"id":97305,"date":"2018-03-11T10:17:50","date_gmt":"2018-03-11T10:17:50","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/funcion-inmune-postraumatismo-esplenico-determinacion-de-igm-postvacunal-como-marcador-mas-sensible-del-grado-de-hipoesplenismo\/"},"modified":"2018-03-11T10:17:50","modified_gmt":"2018-03-11T10:17:50","slug":"funcion-inmune-postraumatismo-esplenico-determinacion-de-igm-postvacunal-como-marcador-mas-sensible-del-grado-de-hipoesplenismo","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/cirugia-abdominal\/funcion-inmune-postraumatismo-esplenico-determinacion-de-igm-postvacunal-como-marcador-mas-sensible-del-grado-de-hipoesplenismo\/","title":{"rendered":"Funci\u00f3n inmune postraumatismo espl\u00e9nico: determinaci\u00f3n de igm postvacunal como marcador m\u00e1s sensible del grado de hipoesplenismo"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Jos\u00e9 Troya D\u00edaz <\/strong><\/h2>\n<p>Los pacientes esplenectomizados presentan una mayor incidencia de sepsis fulminante. Cuando la esplenectom\u00eda es inevitable, el autotrasplante espl\u00e9nico est\u00e1 considereado como una medida prometedora, aunque su realizaci\u00f3n no est\u00e1 del todo establecida por la falta de estudios definitivos que corroboren su funcionalismo.  nos hemos planteado estudiar el estado de hipoesplenismo de los pacientes con traumatismo espl\u00e9nico basado en la respuesta inmunol\u00f3gica.  hemos realizado un estudio hematol\u00f3gico, isot\u00f3pico e inmunol\u00f3gico mediante la determinaci\u00f3n de subpoblaciones linfocitarias y respuesta vacunal a s pneumoniae y h influenzae a 43 pacientes con traumatismo espl\u00e9nico (grados i a v) que han sido tratados mediante tratamiento conservador, esplenectom\u00eda, esplenectom\u00eda y autotrasplante o embolizaci\u00f3n espl\u00e9nica.  los pacientes esplenectomizados presentan un descenso significativo de las subpoblaciones linfocitarias encargadas de la respuesta t &#8211; independiente y de la respuesta a vacunas polisac\u00e1ridas no conjugadas. El autotrasplante mantiene estos par\u00e1metros, presentando unos resultados similares a los pacientes que han sido tratados mediante manejo conservador no operatorio. La respuesta igm anti &#8211; s. Pneumoniae identifica bien a aquellos pacientes con un deterioro en la respuesta r\u00e1pida a ant\u00edgenos polisac\u00e1ridos.  el autotrasplante se muestra como una buena medida para mantener intactos los valores inmunol\u00f3gicos de hipoesplenismo (subpoblaciones de la zona marginal y respuesta r\u00e1pida igm anti vacuna polisac\u00e1rida). La medida de la respuesta igm anti-s. Pneumoniae  es un buen marcador para determinar el grado de hipoesplenismo identificando aquellos pacientes con mayor riesgo de presentar infecciones severas opr bacterias encapsuladas.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Funci\u00f3n inmune postraumatismo espl\u00e9nico: determinaci\u00f3n de igm postvacunal como marcador m\u00e1s sensible del grado de hipoesplenismo<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Funci\u00f3n inmune postraumatismo espl\u00e9nico: determinaci\u00f3n de igm postvacunal como marcador m\u00e1s sensible del grado de hipoesplenismo <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Jos\u00e9 Troya D\u00edaz <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 20\/11\/2009<\/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>Benjam\u00edn Oller Sales<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: manuel Armengol carrasco <\/li>\n<li>Jos\u00e9 m. Ponseti bosch (vocal)<\/li>\n<li>  (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 Jos\u00e9 Troya D\u00edaz Los pacientes esplenectomizados presentan una mayor incidencia de sepsis fulminante. Cuando la esplenectom\u00eda es [&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":[387,1737],"tags":[199456,199457,199455,13950],"class_list":["post-97305","post","type-post","status-publish","format-standard","hentry","category-cirugia-abdominal","category-inmunologia","tag-benjamin-oller-sales","tag-jose-m-ponseti-bosch","tag-jose-troya-diaz","tag-manuel-armengol-carrasco"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/97305","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=97305"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/97305\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=97305"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=97305"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=97305"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}