Te tāutu Patterns o huringa i roto i te pēhanga puku i roto i te tūroro ki te mate puku

Ko te take mō te whakanui ake i te pēhanga kōtuitui-puku (IAP) e taea e te momo o mate me ngā āhuatanga pathological i roto i te kōhao peritoneal me wāhi retroperitoneal. A, no te te pēhanga i roto i te kōhao puku te putanga mai ki te taumata o tape'ai rere toto noa ki whekau, whakawhanake pera-ka karanga kōtuitui-puku syndrome takawhita (SI-AH), whakaaturia nei Kei te piki haere tohu o te kore okana.

Ko te rauemi o te ako i 6 ngā rōpū o te tūroro ki te tini o nga mate hāparapara whakapeka o te kōhao puku. ngā te rōpū mana o tūroro nei kihai i whai māuiuitanga hāparapara whakapeka. I aromatawaitia WBD taumata me ona akiaki i te ine i te pēhanga i roto i te tōngāmimi tangata.

I roto i te rōpū mana o ngā kitenga (n = 15 tane - 53%, wahine - 47%) i hanga toharite WBD 2.4 ± 0.4 cm aq. Art.

Ko te VBD toharite uara i roto i te tūroro ki te cholecystitis whakapeka (rōpū ahau, n = 25, 17 - kua whakahaeretia, 8 - tukinotia conservatively) i whakauru i 5.8 ± 0.6 cm aq. Art. I nga tūroro kore-whakahaeretia mō te 7-8 haora kihai i rerekē te taumata o IAP i te hunga i roto i te rōpū mana. I roto i te tūroro whakahaeretia i roto i te wā postoperative wawe whakaritea e te au kaha ki nui haere auau o WBD.

taumata IAP i roto i te tūroro ki te pancreatitis whakapeka (rōpū II n = 25) rerekē i runga i te pakeke o te mate rānei. Ko te kupu, 11 tūroro ki ngawari, a 5 - ki te tohu toharite o te uara mahara WBD noho whakaritea i roto i rohe noa (6,8 ± 1,1 cm v aq ..). Y 3 tūroro unoperated ki nui pancreatitis whakapeka kitea ahau tohu o takawhita kōtuitui-puku (IAH) (17,6 ± 0,5 cm aq. V.). I roto i te 2 tūroro, i whakahaeretia i runga i te peritonitis enzymatic, II o te tohu o MSF kua rēhita i mua i te mahi. I muri i te mahi āta heke WBD. 4 tūroro ki necrosis pancreatic whakapumautia ano, i rite dynamics WBD, a te 1 o ratou i tohu motuhake ko Hiaha i whakamana i muri noa i te mahi e.

ke te taumata o tūroro IAP ki ileus (rōpū III n = 25) i rite whai: i mua ki te pokanga i te 6 tūroro noho WBD tohu i roto i te whānuitanga noa, 14 - kite tohu ahau, y he 5 - II tohu MSF. I te wa ano, tūroro ki ngā taumata teitei o WBD i te pikitia X-hihi mārama o te tukuna ai intestinal. I muri i te pokanga, ka haere WBD kuputohu ki noa.

I te 6 tūroro ki whaturama uschemlonnoy (rōpū IV, n = 8), engari kahore necrosis punuatuna i roto i te wā i mua- me postoperative, noho WBD roto te whānuitanga noa. 1 manawanui ki kopirua necrosis koropiko tuhia preoperatively ahau tohu MSF. nui haere 1 manawanui reiti WBD i muri mai anō te māhorahora o hernias ventral.

V 9 tūroro ki ruia ana whakapeka peritonitis ngā Genesis, mua- me postoperatively taumata WBD ofi ange ki uara noa (7,8 ± 1,5 cm aq. V.). I wha tūroro i mua i pokanga i ahau e ahau tohu (15 ± 0.7 cm aq toi ..), I te 2 - II tohu MSF. I roto i te 1 manawanui ki tamau tohu postoperative o peritonitis, kua nui haere MSF ki te taumata taumata III, me nga tohu kitea o Hiaha. Kia heke i hanga relaparotomii WBD paku, tohe tonu manawa, me te mate täkihi.

rōpū VI ngā 2 tūroro ki pera Thrombosis mesenteric.

Ko tētahi o ratou i tohu ahau MSF kua whakakitea, i whakatau i muri anake i te mahi. Te manawanui tuarua i mua i te mahi tāuta i Grade II MSF, e kore i nei anake tohe i roto i te wā postoperative, engari i tipu ki te whanaketanga o te haumanu Hiaha motuhake. maturuturu iho WBD taumata i muri anake relaparotomy ki māori tēnā o ngā mahi o whekau.

Ko te kupu, kia whakanui i WBD, tae noa ki te whanaketanga o Hiaha akiaki mate hāparapara meinga. Me whiwhi tēnei maiteraa tupato, me te mana o te whanaketanga whanaunga o tenei pōauautanga, i rata me tākuta i runga i te ohipa.