Nhangaruvazhe nyaya nhoroondo: muenzaniso kunyora

MuRussia, pfungwa "mhosva nhoroondo" aiziva kare muzana remakore rechi18. History (Kubva rechiGiriki mutongo, sarudzo.) - chiremba mafungiro: utano murwere, zviratidzo nehosha, ayo zvinokonzera, chirwere, pakutanga kurapwa uye ahwo. Case kare chinhu fanira gwaro bhizimisi wezvokurapa gwaro nezvazvo uye ichakurukurwa munyaya ino, iyo ichakurukurwa mhando yayo, mamiriro, drafting uye template.

mhando epicrisis

Opinion pamusoro migumisiro kurapwa kana murwere akapora uye akanga asunungurwa kumba dolechivatsya nyaya nhoroondo iyi anonzi - buditsa. In zvinoita kurumbidza kuti humwe kurapa murwere. On post-mortem varwere vaiva epicrisis akafa, sezvamakaropafadzwa chinokonzera rufu kusimbiswa. Pane dzimwe zvikamu panguva chirwere, kazhinji kamwe ose 10-14 mazuva chimwezve nyaya nhoroondo, yainzi - muganhu nyaya nhoroondo.

Nhoroondo chirwere rinoitwa ose zuva. Pazuva chirwere rechitatu kana kana murwere ari muchipatara mazuva anopfuura gumi kana vachifanira kutamira mumwe chiremba, akazara aikosha nyaya nhoroondo, iyo inorondedzera ezvinhu omurwere, chinangwa chirwere zvokurapa matanho. Rondedzero dzingasiyana zvichienderana chii kutevera-up yazara, pamusoro murwere kwokuomerwa urwere, ndakagadza kana kwete chirwere.

mamiriro

• Kana nechirwere hakusi, mu epicrisis kurukurai presumptive nechirwere, chirwere matanho yekusimbisa.
• Kana nechirwere ratova akagadzawo rinotsanangura pavaipfuura chirwere, ayo fungidziro. Rinorondedzera kunyunyuta murwere, rabhoritari uye richishanda kuferefeta.
• Gare gare-pavaipfuura epicrisis rinotsanangura kubudirira kurapwa, ari dose mishonga inokosha, kuchinja kurapa. Kutsunga zvimwe zvidobi nokushivirira kurapwa.
• In chakakomba weboka chirwere, gwaro iri vakaita kakawanda kana zvakakodzera.

chikuru

Kutaura zvazviri, nyaya nhoroondo muchidimbu kare pavaipfuura chirwere uye zvinoratidza mamwe matanho. Case nhoroondo - ndiko kugona kugoverana ruzivo pamusoro murwere pakati zvokurapa masangano. Kunyanya mukanyatsochengeta kutevera kuchinjwa mashoko kubva varwere vakawana tibhii, kenza, chirwere chepfungwa, zvirwere zvinopomeranwa pabonde, cardio-vascular zvirwere.

muenzaniso

Heano mazano kupedza aikosha nyaya nhoroondo - muenzaniso kunyora.

20.03.11. K.D.A. murwere, 6 makore, nzvimbo dzokugara abatwa chirwere cirrhosis chiropa. Akatumirwa gastroenterological dhipatimendi CSTO Moscow, apo nechirwere haana yasimbiswa, kushandurwa kubva portal tsinga, splenomegaly kwakawanikwa. Iye hwakatamisirwa Bazi Agriculture №2 CSTO kuti tichiongorora uye kurapwa. Akabvuma kuti 05.03.11. A mamiriro mwero nekuomarara. Active chiropa hakusi palpable, chirwatata 6 cm. An. weti kuipa, en. Blood - HB - 112 Lake. - 3.4, Eri. - 4.2, MP. - 70 nzira iri kwose kwose. B \ X Blood - zviratidzo zvose zviri muupenyu. UZGD: chiropa pasina chinokosha STRUCTURAL kuchinja, madziro portal bheseni gobvu 108h60 neMM, nekutarisa kushandiswa nekuwanda connective zvinyama, rwatata: 16h15h18 neMM, kuti chirwatata yakawedzera, 124h46 mm. Kushandurwa portal tsinga. EGD: muna C \ uye N 3 \ 3 4 esophageal mutsinga kutsunga: 3,3,5,6 mm cyanotic, nerongo, multiple nodes, pamwe yezwi yakatarwa mudumbu. Mhedziso: EW 4 inegumi. Gastro. CT angiography: nani mesenteric Vienna 8 mm, kuwedzera intrahepatic bile ducts 5 uye 10 mm. The chirwere kunosimbiswa.

16.03.11g. Operation "Revision akasiya bazi portal tsinga chakaitwa. Órgãos splenitis-renal anastomosis divi-to-divi. Ligation pamusoro kuruboshwe gonadal tsinga. " N / nguva yakanga kuoma nokusarurama madziro lobar nemabayo. Kuitwa antibacterial, aizomupa kurapa. N / o kudzora (3rd p / usiku): An. Weti - Muzvarirwo ropa: HB - 118 Lake. - 7.6, Eri. - 4.4, MP. - 160, kuti nzira iri OK. D \ X ropa: mapuroteni - 62 g / L (romuzvarirwo 60) 35 sealbumin (mwero 35 g / l), bilirubin 18.9 (wokuyera 14 micromole / fő), alt - 63 (mwero anosvika 45 Iu / l), kuti zvimwe zviratidzo zviri muupenyu.

It yaizotongwa mazuva 9-10 pashure pokuvhiyiwa kubvisa vazvo, kuti EGD. Kana zvakanaka rinomutsa kugadzirira kubuda.

Epicrisis (muenzaniso pamusoro) murwere dispensary

Yaiva muenzaniso kufanorongwa epicrisis murefu avete muchipatara. Asi pane achiri raikosha nyaya nhoroondo murwere dispensary. Iyi nyaya nhoroondo chinodiwa chamber kubudirira prophylactic kuongorora yezvokurapa. Kuongorora Clinical unodiwa kuvandudza utano chavagari, kuwedzera kunyatsoshanda kwayo. Clinical kuongororwa kuti sezvo utano vanhu: vakadzi nepamuviri, nevana, vadzidzi, vashandi makambani pamwe ngozi kushanda ezvinhu, vanhu pedyo nevanhu vanogara (chikafu indasitiri vashandi, vashandi vezvoutano, etc.), uyewo kutambura chero chirwere.

zvokukura zvekuchipatara ongororo

• Clinical kuongororwa zvinosanganisira 3 nzendo.
• Chinonzi rokumanikidzirwa dzose inspections panguva emakambani kana dispensary bvunzo (vana, vadzidzi) kuti kuongorora mamiriro utano, kuona sezvo mangwanani sezvinobvira chero pathological kwendangariro.
• Kuramba tichiita zvokuongorora vanhu, wakatorwa nokuda dispensary. Ya kwacho kunobva yezvakaita chirwere uye anoda kubatsira kubva mwedzi mumwe mugumo upenyu murwere.
• Kuongororwa dispensary. Pakupera nerimwe gore, mukuru kupinda chiremba anozadza muganhu nyaya nhoroondo murwere ari dispensary. Iye rakanyorwa makopi maviri: mumwe ari ambulatory murwere chati, uye mumwe - iri rinokosha, unopirwa kuti nhamba hofisi nokuda centralized kubudiswa zvokurapa kuongororwa data, iyo Anoongorora kugona kwaro.

template

Ndizvo zvinofanira kuva muganhu nyaya nhoroondo: a template zvinofanira kuvapo zvinhu zvakadai se:

• Last zita, wokutanga zita, gore rekuberekwa, vangani azere makore, nzvimbo dzokugara.
• Unwrapped munhu anonzwisisa kuongorora chirwere.
• tsungirirai kugunun'una.
• History of chirwere.
• The kutanga ezvinhu omurwere.
• Laboratory uye nemimwe miedzo.
• Zano unyanzvi.
• Chii kurapwa akanga akatakurwa kunze. Kana Kudzivirira chirwere chaiitirwa. Kana akaita chimwe kushandiswa, rinotsanangura nzira kwomudzimu pane anesthetized, weboka chirwere. Sei ane mamiriro eutano murwere, kuderedza kana kuwedzera uwandu exacerbations sezvo achinja mazuva yokuremara.
• Estimation kuitwa mabasa (kuvandudzika, kudzikira, hapana change).

Epicrisis rakapiwa nokuti nokusaina musoro polyclinic dhipatimendi.

mhedziso

Vana vose vanofanira ndiongororwe chiremba nerimwe gore, uye pana 1 gore, 3, 6, 7, 10, 14, 15, 16 uye 17 nemakore vakatakura Zvakadzika dispensary. At 18 dzinokosha nyaya nhoroondo chakaitwa muna shanduro murume akakurira makiriniki zvevana nedzevakuru.

Saka, muganhu nyaya nhoroondo iri rakanyorwa kuti mumwe munhu, kutanga kwake riri tichisunga gwaro upi munhu, mune zvokurapa, izvozvo kwaenzaniswa kuti pasipoti. Sezvazvakanyorwamo, kudzidza nezvenhoroondo chirwere, nako murwere anotsvaka rubatsiro.

Kuchitaura kuti nyaya kare anonzi "kadhi" vanhu, zviri zita iri zvose akasangana.