{"id":99003,"date":"2010-05-02T00:00:00","date_gmt":"2010-05-02T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/glucosaminoglicanos-en-el-diagnostico-del-derrame-pleural\/"},"modified":"2010-05-02T00:00:00","modified_gmt":"2010-05-02T00:00:00","slug":"glucosaminoglicanos-en-el-diagnostico-del-derrame-pleural","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/glucosaminoglicanos-en-el-diagnostico-del-derrame-pleural\/","title":{"rendered":"Glucosaminoglicanos en el diagn\u00f3stico del derrame pleural"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Mar\u00eda Mart\u00ednez Ceres <\/strong><\/h2>\n<p>El derrame pleural, uno de los s\u00edndromes de mayor frecuencia e importancia del aparato respiratorio, es la expresi\u00f3n de enfermedades pulmonares y, muy frecuentemente de enfermedades sist\u00e9micas. el diagn\u00f3stico sindr\u00f3mico se realiza con la exploraci\u00f3n f\u00edsica y t\u00e9cnicas de imagen, pero el diagn\u00f3stico etiol\u00f3gico solo es posible con el estudio del l\u00edquido pleural. en la pr\u00e1ctica cl\u00ednica se emplean los cl\u00e1sicos criterios de light para el diagn\u00f3stico diferencial entre trasudados y exudados. Pero con \u00e9stos quedan mal clasificados un porcentaje elevado de derrames pleurales, y no nos permite distinguir entre los distintos tipos de exudados (neopl\u00e1sicos, paraneum\u00f3nicos o empiemas), de ah\u00ed la necesidad de introducir nuevos par\u00e1metros. en nuestro estudio analizamos la determinaci\u00f3n de los glucosaminoglicanos, componente fundamental de las membranas basales que se eliminan en exceso ante distintas noxas pat\u00f3genas, aplic\u00e1ndolo en el diagn\u00f3stico diferencial de los diferentes derrames pleurales. Tratando as\u00ed de introducir otro par\u00e1metro bioqu\u00edmico como ayuda para el diagn\u00f3stico diferencial entre trasudados y exudados, y dentro de estos, entre exudados inflamatorios y neopl\u00e1sicos. del total de l\u00edquidos recogidos nos quedamos con 113, dividi\u00e9ndolos en 4 grupos (insuficiencia cardiaca, neumon\u00eda, empiema y neoplasias). En cada uno de los grupos estudiamos los marcadores cl\u00e1sicos, comprobamos el comportamiento de los glucosaminoglicanos en el l\u00edquido pleural y establecimos correlaciones entre los distintos par\u00e1metros. \tcomprobamos que existen diferencias en la concentraci\u00f3n de glucosaminoglicanos entre los cuatro grupos, siendo los valores inferiores en el grupo de insuficiencia cardiaca, seguido del de neoplasias, neumon\u00edas y empiemas, en el que encontramos los m\u00e1ximos valores. Estas diferencias fueron muy evidentes para el diagn\u00f3stico diferencial de los exudados de origen inflamatorio y neopl\u00e1sico, hecho que no ocurre con ldh y prote\u00ednas. Del estudio de ldh y prote\u00ednas en l\u00edquido pleural, solamente encontramos correlaci\u00f3n entre \u00e9stos, en el derrame pleural paraneum\u00f3nico. \tla determinaci\u00f3n de glucosaminoglicanos parece especialmente \u00fatil para diferenciar los derrames paraneum\u00f3nicos del empiema pleural.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Glucosaminoglicanos en el diagn\u00f3stico del derrame pleural<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Glucosaminoglicanos en el diagn\u00f3stico del derrame pleural <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Mar\u00eda Mart\u00ednez Ceres <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Granada<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 05\/02\/2010<\/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>Francisco P\u00e9rez Blanco<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Francisco Mirras parra <\/li>\n<li>georgina Jim\u00e9nez lozano (vocal)<\/li>\n<li>gerardo Perez chica (vocal)<\/li>\n<li>Manuel Jes\u00fas Mendui\u00f1a guill\u00e9n (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Mar\u00eda Mart\u00ednez Ceres El derrame pleural, uno de los s\u00edndromes de mayor frecuencia e importancia del aparato [&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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