Ukuchonga Izihombiso utshintsho uxinzelelo esiswini kwizigulane kunye nezifo esiswini

Isizathu sokuba kongeza uxinzelelo intra-esiswini (zimi) ingaba ezahlukahlukeneyo izifo kunye neemeko zophendlo lwezifo em- peritoneal kunye nendawo retroperitoneal. Xa uxinzelelo kwi kwisisu lisingisa kwinqanaba zokuphazamisa igazi kwemali eqhelekileyo enyama yangaphakathi, phambili-ekuthiwa intra-esiswini lwegazi syndrome (SI-AH), nto leyo eboniswa ezandayo iimpawu zomzimba.

Nesixhobo phando kwakukho amaqela 6 izigulane zizifo ezahlukahlukeneyo zosulele zoqhaqho kwisisu. Iqela lolawulo ibe izigulane zange abe ngezifo oyingozi yotyando. kwinqanaba WBD kunye namandla awo bahlolwe ngokulinganisa uxinzelelo esinyini yabantu.

Kwiqela yokulawula nimana (n = namadoda-15 - 53%, abasetyhini - 47%) avareji WBD wenza aq 2.4 ± 0.4 cm. Art.

I-avareji Ixabiso VBD kwizigulane kunye cholecystitis etsolo (I qela, n = 25, 17 - sele iqhutywe, 8 - baphathwe ngokulumka) kwi yokwamkelwa yaba 5.8 ± 0.6 aq cm. Art. Xa izigulane non-esebenza iiyure 7-8 inqanaba zimi akazange ayahluka kulawo kwiqela lokulawula. Xa izigulane esisetyenziswa kwixesha ekuqaleni postoperative umiselwa a trend nebangela kwenyuka of WBD.

amanqanaba zimi e izigulane pancreatitis etsolo (Iqela II n = 25) azifani ngokuxhomekeke nobungozi besi sifo. Ngenxa yoko, 11 izigulane wobulali, yaye-5 - kunye degree avareji yexabiso gravity WBD yahlala injalo ngaphakathi kwemida eqhelekileyo (6,8 ± 1.1 cm v aq ..). Y 3 izigulane unoperated ne-pancreatitis kakhulu etsolo ndazigcina isidanga nomfutho intra-esiswini (OS IY) (17,6 ± 0,5 aq cm. V.). Xa izigulane-2, abo esebenze peritonitis enzymatic, II iqondo MSF ibhalisiwe phambi nokusebenza. Emva operation WBD ngcembe sehle. izigulane 4 kunye necrosis pancreatic lusekiwe, naye amandla efanayo WBD, kunye 1 kubo iimpawu bomntwana baba Siaha leyo zenziwa kuphela emva kotyando.

Inqanaba izigulane zimi kunye ileus (group III n = 25) latshintshwa ngolu hlobo lulandelayo: phambi utyando kwizigulane 6 zalathisi WBD wahlala ngaphakathi kuluhlu yesiqhelo, 14 - waphawula isidanga mna, y 5 - II MSF isidanga. Ngelo xesha, izigulane kunye namaqondo aphezulu WBD waba ecacileyo X-ray umfanekiso emathunjini. Emva kotyando, weza WBD indices kwisiqhelo.

Xa izigulane 6 Ithemba uschemlonnoy (group IV, n = 8), kodwa akukho necrosis amathumbu kwixesha yaphambi kunye postoperative, WBD wahlala ngaphakathi kuluhlu yesiqhelo. 1 ngomonde colon necrosis loop abhalwe preoperatively MSF isidanga I. 1 rates nomonde WBD landa emva misa yezizwe hernias ventral.

V 9 izigulane kwentamo etsolo peritonitis genesis ezahlukeneyo, inqanaba phambi postoperatively WBD kufutshane amaxabiso yesiqhelo (7,8 ± 1,5 cm aq. V.). izigulane 4 waba utyando I degree (15 ± 0,7 cm v aq ..), Ngowe-2 - MSF degree II. Ngowe-1 nomonde iimpawu ngokuzingisileyo postoperative of peritonitis, MSF landile ukuya kwinqanaba III, kunye iimpawu ezicacileyo of Siaha. Xa kwakhiwa relaparotomii WBD zehla kancinane, cardiopulmonary kunye ukusilela kwezintso baqhubeka.

Iqela VI kwakukho izigulane 2 imithambo thrombosis mesenteric.

Omnye wabo MSF I degree phendla, nto leyo isonjululwe kuphela emva kotyando. Isigulana yesibini ngaphambi komsebenzi yayifakwe yeBakala II-MSF, nto leyo eye nga phikelelanga kuphela kwixesha postoperative, kodwa ukhula uphuhliso lwezonyango Siaha abahlukene. kwinqanaba WBD lehla kuphela emva kokuba relaparotomy kunye ezichaphazelekayo kuqheleke kwemisebenzi ngamalungu zangaphakathi.

Ngenxa yoko, izifo engxamisekileyo yotyando kunokubangela ukwandisa WBD, kude kuphuhliso Siaha. Oku kufuna ukuba baqatshelwe ngenyameko kunye nolawulo lophuhliso isihlobo sale ingxaki, ngoogqirha noogqirha emsebenzini.