abdominalniy sindrom u detey

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powerpoint presentation abdominalniy sindrom u detey. bol v jivote, prichini, proisxojdenie, patogenez, xarakter kafedra internaturi i rezidenturi po pediatrii №2 lobanova r.p. kislenko a.v. boli v oblasti jivota – kardinalniy simptom mnogix zabolevaniy organov pishevareniya ekvivalent boli: u malenkix detey – bespokoystvo, krik, otkaz ot grudi materi; u detey doshkolnogo i mladshego shkolnogo vozrasta – chuvstvo bistrogo nasisheniya i perepolneniya jeludka obshie prichini boli v jivote spazm gladkoy muskulaturi polix organovi, vivodnix protokov: pishevoda, jeludka, kishechnika, jelchnogo puzirya, jelchevivodyashix putey, protoka podjeludochnoy jelezi, giperperestaltika kishechnika. rastyajenie stenok polix organov i natyajenie ix svyazachnogo apporata, natyajenie kapsuli organa strukturnie (vospalitelnie) povrejdeniya organov bryushnoy polosti: yazvoobrazovanie, gastriti, opuxoli i td. gipoksiya i ishemiya organov bryushnoy polosti: vrojdennoe stenozirovanie vetvey bryushnoy aorti, trombozi i embolii mezenterialnix sosudov, ushemlennaya grija, invaginatsii. perforatsiya i penetratsiya s perexodom protsessa na bryushtnu (parietalnaya bol) bolevie impulsi peredayutsya po nervnim voloknam 2x tipov: po voloknam tipa a – …

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jivot», perforatsii ili penetratsiya yazvi jeludka i 12pk slabovirajennaya, umerennaya bol trebuet differentsialnoy diagnostiki abdominalnix ili «lojnoabdominalniz zabolevaniy» 3. xarakter boley sxvatkoobraznie noyushie jguchie kolyushie 4. prodoljitelnost boley postoyannaya, neprerivnaya bol – ostroe vospalenie bryushini: appenditsit, peritonit, embolii, trombozi mezenterialnix sosudov kratkovremennaya, epizodicheskaya bol – lyuboe zabolevanie jkt, a takje nekotorie vneabdominalnie sostoyaniya ili lojnoabdominalniy sindrom 5. lokalizatsiya boli epigastriy pravoe podrebere levoe podrebere okolopupochnaya oblast opoyasivayushie pravaya podvzdoshnaya oblast levaya podvzdoshnaya oblast nadlobkovaya oblast razlitie boli v epigastrii: patologiya diafragmi patologiya kardialnogo otdela pishevoda, jeludka, 12-perstnoy kishki patologiya podjeludochnoy jelezi boli v pravom podrebere pri zabolevaniyax pecheni, jelchevivodyashix protokov i jelchnogo puzirya, golovki podjeludochnoy jelezi, 12-perstnoy kishki, pechenochnoy krivizni tolstoy kishki, reje – salnika, diafragmi. boli v levom podrebere porajenie jeludka, podjeludochnoy jelezi, selezenochnogo izgiba tolstoy kishki, diafragmi, levoy doli pecheni boli v okolopupochnoy oblosti diafragmalnaya chast tonkoy kishki, slepaya kishka s cherveobraznim otrostkom, proksimalnaya polovina tolstoy kishki, brijeechnie …

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skimi yavleniyami i povishennim gazoobrazovaniem chashe kishechnaya kolika poyavlyaetsya u detey grudnogo vozrasta i obuslovlena sleduyushimi faktorami: 1. funktsionalnoy nezrelostyu nervno-mishechnogo apparata 2. fermentativnogy nedostatochnostyu 3. disbiozom kishechnika 4. pishevoy allergiey, neratsionalnim pitaniem tupie, davyashie boli obuslovleni: pererastyajeniem ili uvelicheniem organov bryushnoy polosti (gepato- i splenomegaliya, opuxoli, kisti, meteorizm) pristupoobraznie boli – pri gipertonuse gladkoy muskulaturi - spazm privratnika, sfinktera oddi, sfinkterov kishechnika kinjalnie boli – pri probodnoy ili penitriruyushey yazve, ostrom peritonite, ostroy kishechnoy neproxodimosti tupie tyanushie boli – pri zabolevanii tonkoy kishki intensivnie boli – porajenie tolstoy kishki po xarakteru razlichayut boli spasticheskie – pri kolite, enterokolite, chasto po tipu kishechnoy koliki distenzionnie – silnoe rastyajenie kishechnika gazami i kalovimi massami, soprovojdayutsya vzdutiem jivota spaechnie - na visote peristaltiki kishechnika, ix poyavleniyu sposobstvuyut rezkie dvijeniya bolnix, sotryaseniya tela i td abdominalnie boli funktsionalnaya diskineziya crk funktsionalnie abdominalnie boli abdominalnaya migren aerofagiya ostrie pristupoobraznie boli v pravom podrebere xarakterni …

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tsya sokratitelnaya sposobnost jelchnogo puzirya, zamedleno oporojnenie puzirya, spazm sfinktera oddi – gipomotornaya diskineziya – tupie, noyushie boli. appenditsit bol v nachale zabolevaniya ne imeet konkretnoy lokalizatsii. postepenno usilivaetsya, kontsentriruetsya v pravoy podvzdoshnoy oblosti. pri palpatsii lokalnaya boleznennost i napryajenie mishts. appenditsit polojitelni simptomi: rovzinga - usilenie boley v oblasti slepoy kishki pri tolchkoobraznom davlenii v levoy podvzdoshnoy oblasti sitkovskogo - usilenie boley v polojenii bolnogo na levom boku shetkina –blyumberga pri auskultatsii jivota perestalticheskie zvuki oslableni ili otsutstvuyut invaginatsiya, kishechnaya neproxodimost sxvatkoobraznie, razlitie boli. kishechnie shumi ne proslushivayutsya ili imeyut metallicheskiy ottenok tembra. vozmojna palpatsiya invaginata. stul otsutstvuet (skudniy), krov v kale. ostriy xoletsistit, pechenochnaya kolika vnezapnie sxvatkoobraznie boli v pravom podrebere, irradiirushie v pravoe plecho, lopatku, inogda v levuyu polovinu grudnoy kletki. polojitelen frenikus-simptom ostriy pielonefrit postoyannie boli, irradiiruyushie v oblast poyasnitsi, paxovuyu oblast, sochetayutsya s dizuriey, gematuriey, leykotsituriey. pankreatit ostriy vnezapnie ostrie postoyannie boli v verxney chasti …

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eskix meropriyatiy stepen nadejnosti i informativnosti klinicheskix i paraklinicheskix dannix etapnost i posledovatelnoe isklyuchenie naibolee opasnix zabolevaniy vremennoy faktor osobennosti obsledovaniya detey s sindromom boli v jivote deti do 3 let voobshe ne lokalizuyut boli i vsegda perejivayut ee v vide obshey tyajeloy reaktsii deti bolee starshego vozrasta , kak pravilo, netochno lokalizuyut bol bolee vajna rol ob'ektivnix lokalnix dannix obsledovaniya krayne opasnie sostoyaniya appenditsit kishechnaya neproxodimost invaginatsiya ostriy peritonit ostriy enterit s toksikozom pnevmoniya miokardit krayne opasnie sostoyaniya atsetonemicheskaya rvota diabeticheskaya koma eklampsicheskaya uremiya urolitiaz meningit, entsefalit otravlenie proglochennie inorodnie tela exinokokkovaya kista v svobodnoy bryushnoy polosti posle isklyucheniya krayne opasnix sostoyaniy neobxodimo otdifferentsirovat: angina pielonefrit askaridoz bolezn broxmana prodrom kori, gepatita gastrit bryushnoy tif abdominalnaya purpura posle isklyucheniya krayne opasnix sostoyaniy neobxodimo otdifferentsirovat: bolezn krona mezenterialniy limfadenit koksit osteomielit krila podvzdoshnoy kosti adneksit bol pri ovulyatsii, predmenstrualnaya bol yazvennaya bolezn koklyush «pupochnaya kolika» etapi diagnostiki pri abdominalnom sindrome …

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powerpoint presentation abdominalniy sindrom u detey. bol v jivote, prichini, proisxojdenie, patogenez, xarakter kafedra internaturi i rezidenturi po pediatrii №2 lobanova r.p. kislenko a.v. boli v oblasti jivota – kardinalniy simptom mnogix zabolevaniy organov pishevareniya ekvivalent boli: u malenkix detey – bespokoystvo, krik, otkaz ot grudi materi; u detey doshkolnogo i mladshego shkolnogo vozrasta – chuvstvo bistrogo nasisheniya i perepolneniya jeludka obshie prichini boli v jivote spazm gladkoy muskulaturi polix organovi, vivodnix protokov: pishevoda, jeludka, kishechnika, jelchnogo puzirya, jelchevivodyashix putey, protoka podjeludochnoy jelezi, giperperestaltika kishechnika. rastyajenie stenok polix organov i natyajenie ix svyazachnogo apporata, natyajenie kapsuli organa strukturni...

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