Ịmata ihe nakawa etu esi nke mgbanwe abdominal mgbali na ọrịa na abdominal ọrịa

Ihe kpatara nke na-amụba intra-abdominal nsogbu (IAP) nwere ike a dịgasị iche iche nke ọrịa na-enweghị nchịkwa na ọnọdụ peritoneal oghere na retroperitoneal ohere. Mgbe nsogbu na na abdominal oghere adahade larịị nke interrupting nkịtị ọbara eruba esịtidem akụkụ, na-amalite na-akpọ intra-abdominal ọbara mgbali syndrome (SI-AH), nke na-egosi na-amụba ihe ịrịba ama nke ngwa ọdịda.

The ihe onwunwe nke na-amụ ihe ndị 6 iche iche nke ọrịa dị iche iche na nnukwu ịwa ahụ ọrịa nke abdominal uji eze. The akara otu gụnyere ọrịa ndị na-enweghị nnukwu ịwa ahụ daa ọrịa. WBD larịị ma ya Ọnọdụ e enyocha ke odomo mgbali na mmadụ eriri afo.

Na akara ìgwè nke kwuru (n = 15 ụmụ nwoke - 53%, nwanyi - 47%) nkezi WBD mere 2.4 ± 0.4 cm aq. Art.

The nkezi uru VBD na ọrịa na nnukwu cholecystitis (m otu, n = 25, 17 - e ejikwara, 8 - emeso conservatively) at mbanye bụ 5.8 ± 0,6 cm aq. Art. Na ndị na-abụghị ejikwara ọrịa maka 7-8 awa larịị nke IAP emeghị si dị iche na ndị na-achịkwa otu. Na ejikwara ọrịa ná mmalite postoperative oge kpebisiri ike site a siri ike-emekarị n'ebe nhapụ WBD.

IAP etoju ke ọrịa na nnukwu pancreatitis (II otu n = 25) iche iche dabere na ogo nke ọrịa. N'ihi ya, 11 ọrịa na nke dị nwayọọ, na 5 - na nkezi ogo ike ndọda uru WBD nọgidere fọrọ n'ókè kwesịrị ekwesị (6,8 ± 1,1 cm v aq ..). Y 3 unoperated ọrịa na oké nnukwu pancreatitis m hụrụ ogo intra-abdominal ọbara mgbali (IAH) (17,6 ± 0,5 cm aq. V.). Na 2 ọrịa, ndị na-ejikwara na enzymatic peritonitis, II of ogo MSF e debara aha ha n'akwụkwọ n'ihu ọrụ. Mgbe ọrụ WBD nwayọọ nwayọọ na-ebelata. 4 ọrịa na pancreatic necrosis ike, na-ama yiri Ọnọdụ WBD, na 1 nke ha nwere dị iche iche ihe ịrịba ama ndị Siaha nke e rụrụ nanị mgbe ọrụ.

Larịị nke IAP ọrịa na ileus (III otu n = 25) gbanwere dị ka ndị a: tupu ịwa ahụ na 6 ọrịa WBD egosi nọgidere n'ime nkịtị nso, 14 - hụrụ ogo m, y bụ 5 - II ogo MSF. N'otu oge ahụ, ọrịa na ọkwa dị elu nke WBD nwere a doro anya X-ray picture nke nsia mgbochi. Mgbe usiakidem, WBD indices wee nkịtị.

Na 6 ọrịa na hainia uschemlonnoy (IV otu, n = 8), ma ọ dịghị gootu necrosis na pre- na postoperative oge, WBD nọgidere n'ime nkịtị nso. 1 ndidi colon necrosis loop preoperatively dere m ogo MSF. 1 ndidi WBD udu ụba mgbe n'amaghi reposition nke ventral hernias.

V 9 ọrịa na nnukwu asị ibe peritonitis iche iche Jenesis, pre- na postoperatively WBD larịị nso nkịtị ụkpụrụ (7,8 ± 1,5 cm aq. V.). 4 ọrịa nwere ịwa ahụ ka m ogo (15 ± 0,7 cm v aq ..), Na 2 - II ogo MSF. Na 1 ndidi na-adịgide adịgide postoperative mgbaàmà nke peritonitis, MSF amụbawo ruo a larịị III larịị, na doro anya ihe ịrịba ama nke Siaha. Ozugbo kpụrụ relaparotomii WBD ebelata ubé, cardiopulmonary na gbasara akụrụ odida nọgidere.

VI otu gụnyere 2 ọrịa na thrombosis mesenteric akwara.

Otu n'ime ha m ogo MSF e kpugheere, nke e doziri nanị mgbe ọrụ. The abụọ ndidi tupu ọrụ e arụnyere mezuwo II MSF, nke ọ bụghị nanị na nọgidere na postoperative oge, ma na-eto eto na mmepe nke a dị iche iche na-adakarị Siaha. WBD larịị ama esịn nanị mgbe relaparotomy na nwoke normalisation nke ọrụ nke esịtidem akụkụ.

N'ihi ya, ngwa ngwa ịwa ahụ ọrịa nwere ike ime ka na-amụba WBD, ruo mgbe mmepe nke Siaha. Nke a na-achọ ịkpachara anya na-amụ anya ma na-achịkwa ikwu mmepe nke a sikwuoro, site dọkịta na dọkịta na-awa na oru.