Содержание
- 2. Closed kidney damage - Damage to the fat and fibrous capsules with the formation of a
- 3. Mechanism of closed kidney damage Causes: Blunt blunt objects Shaking Pressure The degree of damage depends
- 4. Open kidney damage By the type of the hurting projectile: firearms (bullet, shrapnel, explosive); non-fireable In
- 5. Iatrogenic exposure Retrograde pyelography Puncture Shockwave remote lithotripsy
- 6. Clinical manifestations Dysuria Symptoms of peritoneal irritation Nausea Vomiting Fever Gastrointestinal dysfunction Lumbar pain Hematuria Swelling
- 7. Three degrees of severity Mild kidney injury - the general condition of the victim is poorly
- 8. Diagnostics On examination: Hematoma, swelling in the lumbar region Local muscle tension Rib fractures Paleness of
- 9. Contrast radiography
- 10. Rupture of the left kidney
- 11. Treatment Stopping bleeding Bed rest 10-15 days Control of hemodynamics and hematocrit Preventive parenteral administration of
- 12. Damage of the ureters Ureters are rarely damaged due to elasticity, displaceability and location. Iatrogenic damage
- 13. Classification By type: Closed ureteral injury (subcutaneous). Open ureteral injury (wound). By the nature: An isolated
- 14. Diagnostics Diagnosis is based on an analysis of the circumstances and mechanism of injury, clinical manifestations
- 15. Antegrade pyeloutraprogram
- 16. Differential diagnostics To distinguish between injuries of the ureter and bladder, use the method of filling
- 17. Bladder damage Causes: blunt or penetrating injury leading to rupture Mechanism Blunt blow to full bladder;
- 18. Closed (with integer integument): injury; incomplete rupture (external and internal); complete break; two-stage rupture of the
- 19. Clinical manifestations Intraperitoneal Pain over pubis Anuria Signs of peritonitis Bloating Symptom "Vanka-Vstanki" Extraperitoneal Pain over
- 20. Diagnostics Catheterization Zeldovich positive symptom (inconsistency between the injected and exiting fluid from the catheter) AS
- 21. Retrograde cystogram. Extraperitoneal bladder rupture
- 22. Intraperitoneal bladder rupture
- 23. Flow of contrast fluid into paravesical space
- 24. Treatment Conservative Surgical Bed rest Uroseptics and antibiotics Hemostatic therapy NSAIDs Cold compresses on the stomach
- 25. Drainage by Buyalsky-McWorthier
- 27. Скачать презентацию