Nä kumu hoohalike o nā loli i loko o abdominal puʻe i loko o nā mea maʻi me ka abdominal maʻi

Ke kumu no ka mahuahua ke kūʻai '-abdominal puʻe (IAP) hiki ia heʻano a maʻi, a pathological rula ma ka peritoneal lua a me ka retroperitoneal ka lewa. A hiki i ka puʻe i loko o ka abdominal lua punohu i ka nui o ka 'aʻole maʻamau koko i na nā loko, e hoʻomōhala ana i ai-kapaia ke kūʻai'-abdominal hypertension maʻi pale (Si-Ah), a ua hōʻike e hoʻoulu ai i na hoailona o ka hui, ole.

I ka mea o ke ao, he 6 pūʻulu o nā mea maʻi me nā huʻiʻoki lāʻau lapaʻau maʻi o ka abdominal lua. Ka hooponopono ana pūʻulu oia o nā mea maʻi i i ole iʻoki lāʻau lapaʻau huʻi pathology. WBD 'ilikai a me konaʻano i auhau e ana i ka puʻe i loko o ke kanaka bladder.

Ma ka hooponopono pae o ka loina (N = 15 kāne - 53%, na wahine - 47%) awelika WBD i 2.4 ± 0,4 knm aq. Art.

Ka awelika cia VBD i loko o nā mea maʻi me ka huʻi cholecystitis (I pae, n = 25, 17 - Ua ua hoʻohana, 8 - hana conservatively) i komo i 5,8 ± 0,6 knm aq. Art. Ma ka ole-hoʻohana hoʻomanawanui iki mai no 7-8 hola ka nui o IAP i ole oko mai o ka poʻe i loko o ka mana pae. Ma ka hoʻomanawanui iki mai hoʻohana ma o ka kakahiaka postoperative wā ua nānā 'ia ma ke au ikaika i hoonuiia holo' awelika o WBD.

IAP pae i loko o nā mea maʻi me ka huʻi pancreatitis (II pae N = 25) e lauwili ke kaumaha ma muli o ka oolea o ka maʻi. Penei, 11 nā mea maʻi me ka mehana, a me ka 5 - me ka awelika degere o ka umekaumaha waiwai WBD koe kokoke loko maʻamau Oeao (6,8 ± 1,1 knm V aq ..). Y 3 unoperated nā mea maʻi me ka loa huʻi pancreatitis aʻu i malama degere o ke kūʻai '-abdominal hypertension (IAH) (17,6 ± 0,5 knm aq, V.). I ka 2 nā mea maʻi, ka mea i hoʻohana ma o ka enzymatic peritonitis, II o ka degere o MSF i ua kakau mua o ka hana. Ma hope o ana WBD ke kiʻekiʻe o ua hoʻemi. 4 nā mea maʻi me ka pancreatic necrosis hookupaaia, kekahi ua likeʻano WBD, a me 1 o ia i okoa hoailona he Siaha i i hana ma hope o ka hana wale.

Ka nui o IAP nā mea maʻi me ka ileus (III pae N = 25) Ua hoʻololi like penei: ma mua o keʻoki kino i loko o 6 nā mea maʻi WBD nā hoailona i koe i loko o ka maʻamau huahelu, 14 - nānāʻana aku i ka papahelu au, y me ka 5 - II degere MSF. I ka Ia manawa, nā mea maʻi me nā pae kiʻekiʻe o WBD i he ike X-Ray kiʻi o intestinal iaʻi. Ma hope oʻoki kino, WBD indices i hele mai i ka maʻamau.

I ka 6 nā mea maʻi me ka hernia uschemlonnoy (IV pae, N = 8), akā,ʻaʻohe gut necrosis i loko o ka pre- a me ka postoperative wā, WBD i koe i loko o ka maʻamau laulā. 1 hoomanawanui me ka AeXIeAaOIePEAaI necrosis loop preoperatively kākau au degere MSF. 1 hoʻomanawanui WBD holo 'awelika, a mahuahua nui ma hope o noho'na makaainana i ulu reposition o ventral hernias.

V 9 nā mea maʻi me ka huʻi eiei? Peritonitis likeʻole Kin, pre- a me ka postoperatively WBDʻilikai pili i ka maʻamau Hawaiʻi (7,8 ± 1,5 knm V. aq.). 4 nā mea maʻi iʻoki kino i I ka papahelu (15 ± 0,7 knm V aq ..), I 2 - II degere MSF. Ma 1 hoomanawanui me ka paakiki postoperative symptoms o peritonitis, ua mahuahua MSF i ka pae III ilikai, me ka maopopo na hoailona o Siaha. Once hana relaparotomii WBD ua hoʻemi kānaka, cardiopulmonary a me kaʻaʻa puʻuwai ole hoopaakiki mau iho la.

VI pūʻulu komo pū 2 nā mea maʻi me ka thrombosis mesenteric arteries.

Kekahi o ia mau mea aʻu i ka papahelu MSF i, ua hoikeia, i i kane manaopaa, ma hope o ka hana wale. Ka lua o ka hoʻomanawanui ma mua o ka hana i hoʻouka kekahi Papa II MSF, a i ole noho wale i loko o ka postoperative au, akā, i ulu ai me ka hooulu ana o ka okoa lapaʻau Siaha. WBD ilikai kulu ma hope o relaparotomy me ka lakou mau normalization o ka oihana o na nā loko wale.

Penei, kaʻenaʻenaʻoki lāʻau lapaʻau maʻi e i hoonui WBD, a hiki i ka hooulu ana o Siaha. Kēia pono akahele makaʻala a me ka hooponopono ana o na hoahanau? Acaeoey o keia complication, ma ka lapaau a me surgeons ma ka hana.