[외과]장폐색 intestinal obstruction
- 최초 등록일
- 2006.03.04
- 최종 저작일
- 2000.01
- 7페이지/ 한컴오피스
- 가격 1,000원
소개글
외과 장폐색 정리
목차
Intestinal obstruction approach
장폐쇄의 원인
mechanical ileus
Strangulation
Intestinal obstruction의 보존적 치료
Intestinal obstruction의 수술적 치료
Recurrent intestinal adhesion의 치료
본문내용
Intestinal obstruction approach
◇ 장폐쇄의 원인
- Etiologic classification -
․ Mechanical obstruction : occlusion of the bowel lumen
․ Paralytic ileus : paralysis of muscle
․ Idiopathic intestinal pseudoobstruction : recurrent intestinal obstruction without
demonstrable mechanical occlusion and radiologic finding
- Cause of mechanical small bowel obstruction in adults -
Extrinsic
․ Adhesion (~60%) - mc - 60% by pelvic op.
․ Hernia : (~10%) external/internal
․ neoplasia: (~20%) - metaplasia
․ Intra-abd. abscess
one week old baby due to inguinal hernia
Intrinsic
․ Neoplasia
․ Inflammatory
Crohn`s(~5%), Tbc, actinomycosis, diverticulitis
․ Congenital --- malrotation, duplication
․ Traumatic
․ Others --- intususception, endometriosis, radiation
․ Intraluminal
․ Gallstone
․ Enterolith
․ Bezoar
Cause of paralytic ileus
․ Abd. op.
․ Spinal fracture
․ Retroperitoneal hemorrhage
․ Peritonitis
․ Trauma
․ Hypokalemia
․ Bowel ischemia
참고 자료
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