Kuziva Patterns yokuchinja abdominal nevamwe varwere abdominal zvirwere

Chikonzero kuwedzera kufurirwa intra-abdominal (IAP) anogona kuva akasiyana-siyana zvirwere uye pathological ezvinhu ari peritoneal mhango uye retroperitoneal nzvimbo. Kana nevamwe iri abdominal mhango anomuka kuti ufanane kukanganisa chakaipa ropa riyerere kuti nhengo dzomukati, anovandudza anonzi intra-abdominal neBP syndrome (SI-AH), riri kuratidzwa kuwedzera zviratidzo nhego kukundikana.

Mashoko ari kudzidza vaiva mapoka 6 varwere siyana chakasimba zvomusejari zvirwere abdominal mhango. The boka kuzvidzora chaiva varwere vasina chakasimba kuvhiya zvokurwara. WBD sandara uye ayo emuchina akanga dzaongororwa kuyera kumanikidzwa ari munhu dundira.

In kudzora boka zvakawanika (n = 15 varume - 53%, vakadzi - 47%) paavhareji WBD akaita 2.4 ± 0,4 masendimita aq. Art.

Paavhareji ukoshi VBD pavarwere vane rikwanise cholecystitis (I boka, n = 25, 17 - kunge vakavhiyiwa, 8 - kubatwa conservatively) pa kubvuma zvakanga 5.8 ± 0,6 masendimita aq. Art. Panguva asiri vakavhiyiwa varwere kwemaawa 7-8 pachiyero IAP haana vakasiyana nevaya vari mukudzora boka. Mune vakavhiyiwa varwere pakutanga postoperative nguva kunotemwa achishandisa simba kuitika kune vakawedzera dziine WBD.

IAP nhanho vari varwere rikwanise pfungwa nomuviri zvemwana asati (II boka n = 25) zvakasiyana zvichienderana kwokuomerwa chirwere. Saka, 11 varwere nounyoro, uye 5 - neavhareji mwero regiravhiti ukoshi WBD akaramba kushanda mukati kwomuzvarirwo mwero (6,8 ± 1,1 masendimita vs. aq ..). Y 3 Varwere unoperated zvakaoma. rikwanise pfungwa nomuviri zvemwana asati ndacherechedza mwero intra-abdominal neBP (IAH) (17,6 ± 0,5 masendimita aq. V.). Muna 2 varwere, vakanga kuvhiyiwa ari enzymatic peritonitis, II mwero MSF rave vakanyorwa pamberi oparesheni. Avhiyiwa WBD zvishoma nezvishoma shoma. 4 varwere pancreatic necrosis yakasimbiswa, akanga simba rakafanana WBD, uye 1 vavo dzava zviratidzo vaiva vaShiaha izvo Zvaiitirwa chete avhiyiwa.

The pamwero IAP varwere ileus (III boka n = 25) akachinja sezvinotevera: asati kuvhiyiwa muna 6 varwere WBD zviratidzi vakasara mukati inowanzotorwa chikuva, 14 - akacherechedza dhigirii I, y 5 - II dhigirii MSF. Panguva iyoyowo, varwere dzakakwirira kwevari WBD ainyatsoona X-ray mufananidzo intestinal mhingaidzo. Pashure pokuvhiyiwa, WBD indices vakasvika dzose.

Muna 6 varwere heniya uschemlonnoy (boka IV, n = 8), asi hapana dumbu necrosis muna chi- uye postoperative nguva, WBD akaramba mukati inowanzotorwa siyana. 1 murefu muura necrosis loop preoperatively akanyorwa I dhigirii MSF. 1 Murwere WBD prices kwakawedzera pashure vaingoerekana reposition pamusoro ventral hernias.

V 9 varwere rikwanise diffuse peritonitis Genesi siyana, chi- uye postoperatively WBD pamwero pedyo kwomuzvarirwo tsika (7,8 ± 1,5 masendimita aq. V.). 4 varwere oparesheni kuna I dhigirii (15 ± 0,7 masendimita vs. aq ..), In 2 - II dhigirii MSF. Muna 1 murefu kuramba postoperative zviratidzo peritonitis, MSF yawedzera kusvika pamwero III sandara, nezviratidzo pachena vaShiaha. Kamwe akaumba relaparotomii WBD ungaderedza zvishoma, Moyo uye renal kukundikana vakaramba.

VI boka raisanganisira 2 varwere thrombosis mesenteric arteries.

Mumwe wavo I dhigirii MSF kwakaratidzwa, iyo kwakagadziriswa chete avhiyiwa. Murwere yechipiri isati oparesheni paakagadzwa Grade II MSF, izvo kwete chete yakaramba iripo mune postoperative nguva, asi akanga achikura pamwe kukura vaakasarudza zvekuchipatara vaShiaha. WBD pamwero kwakadonha chete pashure relaparotomy pamwe dzazvinogara normalization mitambo ine nhengo dzomukati.

Saka, kukurumidza zvomusejari zvirwere kungaita kuwedzera WBD, kusvikira kukura vaShiaha. Izvi zvinoda kungwarira kungwarira uye kudzora hama kukura kuomesa ichi, kuvarapi uye vanachiremba vanovhiya pabasa.