Thursday, March 8, 2007
As Symptoms Of An Intra-belly Bleeding The Stomach,
As symptoms of an intra-belly bleeding the stomach, in the beginning local morbidity serve strained, increased in at , and then a stupid constant pain and development a shock. At damage of hollow body of the phenomenon of a peritonitis - traumas develop - not right after. For its development some time is required, therefore the patient should be under supervision of the doctor At suspicion on a peritonitis or a bleeding after a stomach trauma it is necessary to spend research at which it is possible to define a forward wall of a rectum and sharp morbidity at . From additional methods of research it is expedient - to use a laparoscopy and ultrasonic scanning of bodies of a belly cavity. At damage of an aorta or arteries - diagnostic value easing or absence of a pulsation on femoral arteries, has a shock. Additional method of diagnostics is research. DISEASES OF THE BELLY WALL Congenital umbilical fistulas develop as a result a zheltochno-intestinal channel (ductus omphalomesentericus) or an uric channel (urachus) At a zheltochno-intestinal channel in the field of a navel the fistula with intestinal is formed or mucous separated Sometimes through a fistula the - gut mucous membrane drops out-.
Wednesday, March 7, 2007
At - Suspicion On Defect Presence In Its
At - suspicion on defect presence in its wall owing to rupture or punching it is necessary to apply water-soluble contrast substances as a barium suspension, leaving through defect in a gullet wall in , it and does - the subsequent researches. Besides, it as a foreign matter promotes development of an infection of Jodsoderzhashchie water-soluble connections (, , etc.) . Easily - get through small defects in a gullet wall, not inflammatory reaction surrounding , are quickly soaked up Often researches happens enough for localisation and the sizes of a punched aperture In doubtful cases use under anaesthetic by means of rigid . Treatment, conservative (a food exception through a mouth, a prescription of antibiotics, a food of patients, etc.), spend - 1) to an establishment of the definitive diagnosis and at a delay of delivery of the patient to a surgical hospital, 2) at damages of cervical department of a gullet; 3) as addition to surgical treatment. Surgical treatment (radical and palliative) is shown at extensive damages of a gullet, presence of messages of its gleam with , a tree, a pleural cavity.
Monday, March 5, 2007
As A Result Of - Scarring And An
As a result of - scarring and an inflammation the gleam of a gullet in the field of narrowing has the wrong form. Over often is available expansion, arises - strengthened -. At - reveal presence , pockets, - hems. Both methods of research - allow to specify degree, localisation, extent of narrowing, its course, presence expansions-, a pishchevodno-bronchial - fistula. Treatment: the basic - method of treatment a gullet after a - chemical burn - is - which leads to proof - recover 90 - 95 % of patients Unlike early (with 9 - 11th day after a burn) later - spend for the purpose of expansion of already developed - narrowing of a gullet-. Begin - from 7th week. it is shown all patients with a gullet when it is possible to spend a metal conductor through narrowing. Contra-indications to buzhiro-vaniju: , a pishchevodno-bronchial fistula. For - achievement proof effect treatment is necessary for spending within many weeks and even months Apply: 1) "blind" through a mouth, 2) gullet expansion hollow plastic on a metal conductor; 3) under the control , 4) by a principle " endlessly"; 5) .
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