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[외과]장폐색 intestinal obstruction

저작시기 2000.01 | 등록일 2006.03.04 한글파일 한컴오피스 (hwp) | 7페이지 | 가격 700원

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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

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