dinamicheskaya i spaechnaya kishechnaya neproxodimost

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prakticheskoe zanyatie №18. dinamicheskaya i spaechnaya kishechnaya neproxodimost spaechnaya kishechnaya neproxodimost ostraya spaechnaya kishechnaya neproxodimost u detey — odno iz naibolee tyajelix i rasprostranennix zabolevaniy v abdominalnoy xirurgii. v poslednee vremya otmechaetsya vozrastanie udelnogo vesa spaechnoy neproxodimosti sredi prochix vidov ileusa u detey. vajno vsegda pomnit esli u rebenka voznikla bol v jivote, a v anamneze imelo mesto lyuboe operativnoe vmeshatelstvo na organax bryushnoy polosti, neobxodimo v pervuyu ochered imet v vidu ostruyu spaechnuyu kishechnuyu neproxodimost. naibolee chasto spaechnaya kishechnaya neproxodimost voznikaet posle operatsii po povodu ostrogo appenditsita (okolo 80 % ), znachitelno reje — posle laparotomii pri porokax razvitiya kishechnika, kishechnoy invaginatsii i travmaticheskix povrejdeniyax organov bryushnoy polosti. k obsheprinyatoy klassifikatsii ostroy spaechnoy kishechnoy neproxodimosti (rannyaya i pozdnyaya s razgranicheniem obeix na ostruyu i podostruyu formi) tselesoobrazno v pozdney spaechnoy neproxodimosti videlit eshe i sverxostruyu formu zabolevaniya. podobnoe podrazdelenie kishechnoy neproxodimosti po ostrote klinicheskix proyavleniy v znachitelnoy stepeni opredelyaet …

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a rezko oslablena ili otsutstvuet. takaya kartina naibolee xarakterna dlya strangulyatsionnoy neproxodimosti. rentgenologicheski opredelyayutsya chetkie gorizontalnie urovni (chashi kloybera), «arki» v rezko rastyanutix petlyax tonkoy kishki. pri ostroy i podostroy formax simptomi zabolevaniya menee virajeni, no deti takje jaluyutsya na pristupoobraznuyu bol v jivote; voznikaet rvota, usilivaetsya peristaltika kishechnika. klinicheskie proyavleniya zavisyat ot dlitelnosti zabolevaniya. v pozdnie sroki klinicheskaya kartina xarakterizuetsya yavleniyami eksikoza, mnogokratnoy rvotoy zastoynogo xaraktera, umerennim vzdutiem i asimmetriey jivota, bolee redkimi, no usilennimi peristalticheskimi sokrasheniyami. rentgenologicheski viyavlyayutsya mnojestvennie gorizontalnie urovni i gazovie puziri v umerenno rastyanutix petlyax kishechnika. traditsionniy rentgenologicheskiy metod diagnostiki ostroy spaechnoy kishechnoy neproxodimosti v srednem trebuet ne menee 8—9 chasov i pozvolyaet lish podtverdit ili isklyuchit fakt mexanicheskoy neproxodimosti kishechnika. diagnosticheskie oshibki v etix sluchayax privodyat k nesvoevremennim ili naprasnim operativnim vmeshatelstvam. v etom plane perspektivnim i visokoinformativnim metodom diagnostiki yavlyaetsya laparoskopiya. lechenie. bolnix so sverxostroy formoy zabolevaniya operiruyut v ekstrennom poryadke posle kratkovremennoy …

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prakticheskoe zanyatie №18. dinamicheskaya i spaechnaya kishechnaya neproxodimost spaechnaya kishechnaya neproxodimost ostraya spaechnaya kishechnaya neproxodimost u detey — odno iz naibolee tyajelix i rasprostranennix zabolevaniy v abdominalnoy xirurgii. v poslednee vremya otmechaetsya vozrastanie udelnogo vesa spaechnoy neproxodimosti sredi prochix vidov ileusa u detey. vajno vsegda pomnit esli u rebenka voznikla bol v jivote, a v anamneze imelo mesto lyuboe operativnoe vmeshatelstvo na organax bryushnoy polosti, neobxodimo v pervuyu ochered imet v vidu ostruyu spaechnuyu kishechnuyu neproxodimost. naibolee chasto spaechnaya kishechnaya neproxodimost voznikaet posle operatsii po povodu ostrogo appenditsita (okolo 80 % ), znachitelno reje — posle laparotomii pri porokax razvitiya kishechn...

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