Ukuhlonza Amaphethini izinguquko ingcindezi besisu in iziguli izifo besisu

Isizathu ngenxa yokwanda ingcindezi naphakathi-besisu (i-IAP) kungaba ezihlukahlukene izifo kanye nezimo sokugembula kule ingaphakathi peritoneal nesikhala retroperitoneal. Lapho umfutho ngalo ingaphakathi lesisu antante ezingeni kokuphazamisa evamile igazi ligeleze izitho zangaphakathi, kukhulisa okuthiwa naphakathi-besisu nomfutho wegazi ophezulu syndrome (SI-AH), olubonakaliswa okwandisa izimpawu lezo zitho zomzimba.

Indaba cwaningo amaqembu okwakubonakala sengathi 6 iziguli izifo ezihlukahlukene acute kuhlinzwa we komgodi ongaphakathi kwamathumbu. Iqembu ukulawula lalinabashumayeli iziguli ababengenawo zokugula acute kuhlinzwa. WBD ezingeni kanye namandla okubakhona awo sihlolwe yokulinganisa ingcindezi esinyeni womuntu.

Eqenjini ukulawula kokuma (n = 15 kwabesilisa - 53%, abesifazane - 47%) WBD isilinganiso wenza 2.4 ± 0.4 cm aq. Art.

Isilinganiso ukubaluleka VBD in iziguli cholecystitis acute (iqembu mina, n = 25, 17 - ziye eziqhutshwa, 8 - iphathwa conservatively) e yokuvuma kwaba 5.8 ± 0.6 cm aq. Art. Ngesikhathi inani elandayo leziguli ezingebona eziqhutshwa amahora 7-8 ezingeni IAP akazange abahluke ngayo kulabo abakwamanye iqembu control. Esigabeni esikahle iziguli wasebenza ngawo ekuqaleni kwenkathi nasezinkingeni ezilandela ngemva kokuhlinzwa kunqunywa umkhuba oqinile maqondana enanini eliphakeme WBD.

ezigulini IAP amazinga nge pancreatitis acute (II iqembu n = 25) nhlobonhlobo kuncike ngobucayi isifo. Ngakho, iziguli 11 nge abe mnene, futhi 5 - nge ngezinga isilinganiso gravity ukubaluleka WBD wahlala cishe ngaphakathi kwemikhawulo evamile (6.8 ± 1.1 cm v aq ..). Y 3 iziguli unoperated nge ezinzima pancreatitis acute Ngibone degree nomfutho wegazi ophezulu naphakathi-besisu (Isaya) (17,6 ± 0,5 cm aq. V.). In iziguli 2, ababekwa esebenze peritonitis enzymatic, II degree of-MSF ibilokhu bhalisiwe phambi ukusebenza. Ngemva kokuhlinzwa WBD kancane kancane sehle. iziguli 4 nge necrosis pancreatic esungulwe, futhi kwadingeka Dynamics efanayo WBD, futhi 1 wabo abe nezimpawu abahlukene abangu Siaha ayezenza kuphela ngemuva kokuhlinzwa.

Izinga iziguli IAP nge ileus (III iqembu n = 25) lashintsha kanje: ngaphambi kokuba uhlinzwe ezigulini 6 WBD izinkomba lahlala uhla evamile, 14 - waphawula degree mina, y 5 - II degree MSF. Ngesikhathi esifanayo, iziguli amazinga aphezulu of WBD waba sobala-X-ray isithombe isimiso emathunjini. Ngemva kokuhlinzwa, WBD indices wafika evamile.

In iziguli 6 nge umbhunu uschemlonnoy (IV iqembu, n = 8), kodwa akukho necrosis esiswini esikhathini ngaphambi kanye nasezinkingeni ezilandela ngemva kokuhlinzwa, WBD lahlala uhla evamile. 1 wababekezelela ikholoni necrosis iluphu preoperatively eqoshiwe mina degree MSF. 1 nesineke WBD enanini emva kabusha okuzenzakalelayo hernias ventral.

V 9 iziguli ezine ngokukhukhumala kwentamo acute peritonitis genesis ahlukahlukene, ngaphambi futhi postoperatively WBD ezingeni eduze amagugu evamile (7,8 ± 1,5 cm aq. V.). iziguli 4 wahlinzwa ukuze mina degree (15 ± 0.7 cm v aq ..), in 2 - II degree MSF. Ngo 1 nesineke izimpawu eziphikelelayo nasezinkingeni ezilandela ngemva kokuhlinzwa ka peritonitis, MSF banda bafinyelela izinga ezingeni III, nge izimpawu ezisobala Siaha. Uma kwakhiwa WBD relaparotomii kwehle kancane, cardiopulmonary futhi ukwehluleka kwezinso waphikelela.

VI qembu lalihlanganisa iziguli 2 thrombosis mesenteric imithambo.

Enye yawo nginga degree MSF yambuliwe, okuyinto yaxazululwa kuphela ngemuva kokuhlinzwa. Isiguli sesibili phambi ukusebenza wamiswa Grade II MSF, okuyinto engazange kuphela waphikelela esikhathini postoperative, kodwa lalikhulela ukuthuthukiswa esihlukile Siaha emtholampilo. WBD ezingeni lehla kuphela ngemva relaparotomy nge ukuzinza abafanele imisebenzi yezitho zangaphakathi.

Ngakho, izifo esiphuthumayo kuhlinzwa kungadala ukwandisa WBD, kuze ukuthuthukiswa Siaha. Lokhu kudinga ukuba umuntu ahlale ngokucophelela nokulawula ukuthuthukiswa isihlobo lokhu inkinga, odokotela kanye odokotela abahlinzayo esemsebenzini.