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helikopter
Dołączył: 03 Mar 2011
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 Wysłany: Nie 18:28, 20 Mar 2011 Temat postu: MBT schuhe preise idt cmc mof icm |
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19 cases of blunt duodenal injury diagnosis and treatment of
Jiang asked the admission of new medical l9% practical Vol 3 Part 2 Diagnosis and treatment of peer governance l9 reported back as follows. 1 1.1 General Information l9 clinical cases, the male l6 down. 3 women down. Children aged 64 years. The causes of injury: road accident ll fall,[link widoczny dla zalogowanych], fall injury 3 down. Heavy impact crush injury in 2 buildings down. Iatrogenic injury of a fall. Injury site: duodenal bulb 4 down. L2 descending down, down down Division and Division 2 level or Division 1 down. Associated injuries: the liver break down 2. Rupture of 3 down. Pancreatic injury in 2 down. Colon 3 down. 4 Department of membrane damage in the small intestine and down. Bile duct and stomach injuries in 1. 4 inverted rib fractures, right kidney injury l down. 1.2 The overall signs and symptoms of varying degrees of abdominal pain after injury. Vomiting, bloody cupboard 8 down. L5 cases of peritonitis, shock and in 7 cases. Abdominal puncture and rear wash not coagulated blood of 27 out of possession of King 5 cake. Change color or yellow turbid reservoir cylinder body ll fall. Abdominal x 2 perspective see free gas below the diaphragm down. Maximum muscle projected fuzzy 2 down. Fan eye and mouth surgery at the contrast medium overflow from a back injury, the Ministry of cT spot shows retroperitoneal fluid 3 side of the product gas, serum amylase increased 5 down 1.3 surgical suture repair with simple decompression of the duodenum Park Canada l】 down, down 6 bypass. (5 down of duodenal diverticulum. Duodenal jejunal Roux-Y anastomosis rip 1 side). Air Mian pedicled intestinal mesh repair of a free fall. Pancreaticoduodenectomy 1 down. 2 treatment were cured l7 side of the sad death of 2 (1 downfall and death of liver and pancreas injury hemorrhage, 1 intestinal fistula died down.) I believe that the diagnosis of 47 3 Discussion: The observation of abdominal injury in sick time should not exceed 8 hours. If no improvement of symptoms should prompt laparotomy, without too much emphasis on preoperative diagnosis. Surgical exploration should be comprehensive. After the film won any hematoma, total bile stained, with crepitus and brain edema mesangial roots are, should be Koch ~ incision. Second refers to the organs probe ministries. Department of injury should be suspected of lowering cross-Zheng Qu ligament Solution Profiler. Damage to the small gap via a gastric tube into the methylene blue staining, the diagnosis. Back surgery in this group, only 1 station to meet thousands of great importance bowel injury after abdominal Heave beam probe led to missed diagnosis of hematoma, fistula after wood. 3.2 should be surgical treatment of duodenal injury. Selection of operation should be based on injury location, extent,[link widoczny dla zalogowanych], duration, complex injuries to determine the general condition. The basic principles (1) suture wall cracks; (2) duodenal fistula left chamber decompression or bypass; (3) adequate drainage. ... Small cracks on the single injury. Suture repair with debridement alone. Omental coverage. At the same time the tube into the duodenum can repair at decompression. Lu l3 in this group fell 5 1 case of intestinal fistula foreign recovered smoothly. Greater than the circumference of the damage gap 1 / 2, duodenum multiple lacerations, severe bowel wall contusion. Time of 8 hours or more. In addition to repair cracks outside. Shunt should be used (ie, second means of surgical bowel diverticulum or empty brain gap Roux-Y anastomosis) in this group fell 6 No 1 case of cancer,[link widoczny dla zalogowanych], and a good recovery. Ministry cracks down cross on the large, severe contusion. Organization defects. Can be used free zone, muscular pedicle pulp cover defects after intestinal colon film department, to be double stitched. Simultaneously bypass. Second refers to the internal organs rupture and high mortality of pancreatic injury election 3596J. 1 patient in this group because of the merger of pancreatic pancreatic duodenal rupture underwent emergency brain cut pay attention,[link widoczny dla zalogowanych], Whipple procedure,[link widoczny dla zalogowanych], and postoperative infection died of bleeding. Retroperitoneal duodenal injury closed 3.1 preoperative diagnosis difficult. The preoperative diagnosis in only 6 down. Of experience: There are circumstances exist under the inverted
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