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Wbicie piersiowo-brzuszne

Wbicie piersiowo-brzuszne

Docteur Birame DIOP / Docteur Thierno Amadou Telly DIALLO / Professeur Mamadou SECK

85,84 €
IVA incluido
Disponible
Editorial:
KS OmniScriptum Publishing
Año de edición:
2025
Materia
Destrezas y técnicas de enseñanza
ISBN:
9786208820473
85,84 €
IVA incluido
Disponible

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Sobre IBD

Obrażenia w wyniku wbicia definiuje się jako duże przedmioty lub ciała obce, zwykle drewniane, penetrujące jamę ciała lub kończynę i pozostające na miejscu. Diagnoza kliniczna jest oczywista i pod żadnym pozorem nie należy usuwać przedmiotu na miejscu zdarzenia. Nie należy opóźniać badań radiologicznych. 42-letni mężczyzna został przywieziony na pogotowie przez straż pożarną w celu leczenia urazu klatki piersiowej i jamy brzusznej spowodowanego przez gałąź drzewa podczas wypadku drogowego, który miał miejsce 2 godziny przed jego przyjęciem. Tomografia komputerowa wykazała trajektorię gałęzi wewnątrzbrzusznie i złamanie 6. żebra. Badanie: perforacja lewej kopuły przepony, przerwanie krezki, perforacja jelita. Leczenie: frenorrhaphy, naprawa jelita i ileostomia zachowawcza. Postępowanie pooperacyjne było proste, a pacjent został wypisany w 15. dobie pooperacyjnej. Rany kłute brzucha mogą nie odzwierciedlać ciężkości obrażeń wewnętrznych. Nie należy zwlekać z operacją usunięcia przedmiotu w trybie nagłym.

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