肠梗阻与肠套叠医学课件

《肠梗阻与肠套叠医学课件》由会员上传分享，免费在线阅读，更多相关内容在教育资源-天天文库。

1、1、病因：异物，蠕动异常2、临床症状：腹痛，全身症状3、诊断：症状，X线3、治疗：保守；手术4、护理肠梗阻与肠套叠Whatisanobstructivepattern??DoubleligatetheterminalarcadevesselsandvasarectavesselswithinthemesentericfatatthepointsofproposedtransectionPlacethefirstsutureatthemesentericborder…Itisthemostdifficultonetoplaceand#1siteforleaks!

2、Transecttheintestinewitheitherascalpelbladeorscissors.MakeanobliqueincisionsuchthatthemesentericborderislongerthantheantimesentericbordertomaximizebloodsupplyTrynottohandlethecutedgewithforcepsitwilldecreaseviability21ThenplaceasutureattheantimesentericborderRemembertosuturethem

3、esenterytopreventfutureincarcerationCutthesmallerendatanangleandcutthelargerendatarightangle#1Takelargerbitesontheendwithalargerlumenandsmallerbitesontheendwithasmallerlumen#2Removeawedgeofbowelattheanti-mesentericsideofthesmallestlumenOvalopening#3FromFossum2002