COLECISTITA4

8/13/2019 COLECISTITA4

1/68

UNIVERSITATEA DE MEDICIN I FARMACIE

GR.T.POPA IAI

FACULTATEA DE MEDICIN FILIALA BOTOANI

LUCRARE DE LICEN

COORDONATOR,CONF.DR. LUNC SORINEL

ABSOLVENT,

BOTOANI2009

1


2/68

COLECISTITA ACUT DIAGNOSTIC I TRATAMENT

MODERN.STUDIU PE UN LOT DE 8 DE CA!URI.

Exist n fiecare dintre noi ceva mai adnc dect noi nine

Sfntul Augustin

2


3/68

CUPRINS

I.PARTEA GENERAL

I.1.DEFINIIE.4

I.2.VII!"LA #ILIAR $I SISTE%"L #ILIAR E&TRA'EPATI! (

N)I"NI DE ANAT)%IE $I FII)L)GIE..11

I.*.ETI)PAT)GENIE ( FA!T)RI FAV)RIANI.12

I.4.ANAT)%IE PAT)L)GI!..14I.+.SI%PT)%AT)L)GIE1+

I.,.E&A%EN !LINI!...1-

I.-.E&A%ENE !)%PLE%ENTARE..1

I..DIAGN)STI!..24

I./.DIAGN)STI! DIFERENIAL...24

I.10.TRATA%ENT....2+

I.11.EV)L"IE !)%PLI!AII PR)N)STI!.2/

II.R)L"L ASISTENTEI %EDI!ALE N NGRI3IREA #)LNAVIL)R PE SE!IA

DE !'IR"RGIE.*0

III.PARTEA PERS)NAL

III.1. %)TIVAIA ST"DI"L"I..+2

III.2 IP)TEE DE L"!R"....+2

III.* S!)P"L DE L"!R".+*

III.4 FA!T)RI ST"DIAI....+*

III.+ %ATERIAL $I %ET)D..+4

III., RE"LTATE..++

III.- !)N!L"II,-

#I#LI)GRAFIE....-0

*


4/68

I.".DEFINIIE

Colecistita acut este o afeciune a veziculei biliare, caracterizat anatomo-patologic

prin inflamaia organului, iar clinic printr-un sindrom dureros abdominal acut, nsoit de

febr i modificri locale.(Swartz

I.2. VE!ICULA BILIAR I SISTEMUL BILIAR E#TRA$EPATIC

ANATOMIA

Sistemul canalicular. Sist5ul 6ili78 9t87:;7ti< =n


5/68

>unu5it =n t85in un


6/68

Colulu857@ > 6iil7t7Bi infundibul sau dilataia lui Hartmann.

P8tl Ciin fi68 5us ?i Bsut fi68s i78

lu5nul st 68>7t


7/68


8/68

7;7

ll ?i ;ig5nBii 6ili78i.

S>iul ;t7siul


9/68

Vi


10/68

%>i67i78i s5nifi


11/68

I..ETIOPATOGENIE FACTORI FAVORI!ANI

%>ifi


12/68

Infl757Bi7 ?i >5ul ni infun>i6ul


13/68


14/68

Dnu>787 5usis;78iBi7 5u


15/68

nl > i87>i8 i7gnstiu88ii st ing7l@ > l7 C@8s@tu8i. IniBi7l s li5in@ 7li5ntl


16/68

I.6. E#AMENUL CLINIC

E975nul


17/68

I.7. E#AMENE COMPLEMENTAREE975nl


18/68

Pl7s5i5nt78 7

:57tiil8

*+ 55 l7 1 8@

+10 55 l7 2 8

P7t


19/68

;8i


20/68

A;78iBi7 t78>iC@ 7 6ili ! =n u88 =n :i;8ul

>8;t 8lC@ :i;8tni 6ili78@.

E#AMENE RADIOLOGICE

". E1%:3+;)+ +%&)+-i7gnsti


21/68

Ei7gnsti :i>8;s Ci

;8Bl7n 7>n75 ?i


22/68

5.S1)>):3+;)+ )-)+3


23/68

Di7gnsti


24/68

R78


25/68

n f85l 5>ii ?i g87C 7;8tul :i>8i


26/68

'3)&+ () >u;@ 3)+ () >7u887s 7@ s 7>7ug@ ;in ;8@Kit@ ?i

su;@ 5u 8.

?) + '+>3+ ()s int8>u< 7li5nt u?8 >ig876il ni8it76il 8s7@ ;7


27/68

'peraia ntr$iatst 88C7t@ ;7


28/68

I."".EVOLUIE, COMPLICAII, PRONOSTIC

!l


29/68

) int8CnBi i =ng8iKi8 7>7;t7t n


30/68

Pulsul tnsiun7 78t8i7l@ t5;87tu87 i


31/68

!857 >;il7t78H 78 7C7nt7Kul u78 ;7t


32/68

EC7;in> > 8gul@ > ti;ul ;87Bii. n 5in7l > 8gul@ st sufi


33/68

P7


34/68

;8C@ut 8n7K s7u ;8fui.

Pnt8u su;87Cg:87 ;st;87t8i s ;8g@ts< tnsi5t8ul ?i f7i7 >

6s8C7Bi.

A;787tu87 n5inist8@8ii 9ignului t86ui s@ fi l7 =n>5n@

;8g@tit@.

n fun ti;ul 7nstii ?i > st787 gn87l@ ;st;87t8i 7 ;7


35/68

> 7s5n7 > 5@su87 =n 5>iu ;85it ntit@Bii ?i

intg8it@Bii s7l. An9it7t7 t75@ >ifu@ 7 ;87Bi.

B. SUPRAVEG$EREA I NGRIIREA POSTOPERATORIE

P8int8 su;87Cg:8 ?i =ng8iKi8 ;st;87t8i Bintit sunt ;8Cnit 8 ;87Bi =nt8un ;7t

;87Bi. P8i Cg: ?i 7 8fl9l8 > 7;@878 st76ili787 8s;i87Bii ?i

*+


36/68


37/68

P8sn7lul > =ng8iKi8 f


38/68

:i;Cntil7Bi7 insufi 5i8l797nt

:i;8Cntil7Bi7 7Cn>


39/68

!5;li


40/68

is%3)

L7 677 uni :587gii ;st;87t8ii ;7t st7 878 > t:ni


41/68

'587giil u?78 su;8fiu;@ i


42/68

(ratamentul efectiv al durerilor

Ni


43/68

;nu5t879

St787 ;8>857l@ 7 unui >li8

L7 ;7


44/68

>u887s ?i u?u87@ 9;


45/68

T856ii s f857@ fi7t >u;@ 56ili78.

Pnt8u ;8Cni87 uni t856 ;st;87t8ii f8tu8il ;8sn7lului 5>i


46/68

sunt sufi=>)+-/-/) +-)&>+3

%tilit7t7 g7st8intstin7l@ 78 un 5


47/68

D7iu8 579i5 12 8 ;nt8u intstinul su6Bi8 48 ;nt8u st57 8 ;nt8u intstinul g8s. Du87t7 ?i intnsit7t7 >;in> >

>ifi


48/68

S1&'3+>/3)) 1%3'/-/)) ;87Bi > >u87t@ u7t8it@ t5;87tu8ii sil7t7Bi7 ;8>us@ > 5ult 8i 5>i


49/68

Cerine cu privire la ngriirea corporal

)8int787 7Kut8ului 77t ;nt8u =ng8iKi87


50/68

CAPITOLUL III ? PARTEA PERSONAL

III.". MOTIVAIA STUDIULUI

A


51/68

III. SCOPUL DE LUCRU

Aiu 7 7Cut


52/68

III.5 MATERIAL I METOD

Stu>iul >in ;8ntul ti; 8t8s;i8is sC8it7t. V8st7 ?7ntinului 7 7Cut

C7l8i


53/68

III.6 RE!ULTATE

Rult7tl 7fi?7t ;8in 5t>7 g87fi+ +)H 0?40 4"?50 5"?60 6"?70 7"?80 8"?90

N/&


54/68

S/- '+1)*)-%3 M+=1/-) F&))

N/&


55/68

M)/- U3+ R/3+-

N/&


56/68

S)&'>%&N/&


57/68

L7 ;78t 7 ;7u887 7 fst =nsBit@ > g8Bu8i +2J C@8s@tu8i 4-J ?i

un8i > f68@ 2*J.

Alt si5;t5 i787 11J 7lt8nn> %&%:3+;

N/&


58/68

'+1)*)

n figu87 + s 6s8C@ f7;tul


59/68

Din figu87 , 8is >ist8i6uBi7 nu5@8ului ;7


60/68

0fi&ura 82n ;8ntul stu>iu 7;89i57tiC 2O* >in ;7 24:.

Pnt8u


61/68

0fi&ura 92

n /+J >in i7t st787 infl757t8i 7 Cit85in7t7 >

in


62/68

0fi&ura :2

ECluBi7 ;8i7>i ;st;87t8ii 7 influnB7t >u87t7 > s;it7li78 7 ;7 4 =n ti5; s;it7l 7 7Kuns l7 12.

incidena intensitii durerii postoperatorii la pacienii cu colecistit acut!

S)&'>%& '3=)=>>N/&+

Du88 u?78@ 4, ++4JDu88 5>87t@ 2, *1*JDu88 sC8@ 11 1**J

Figu87 10 8;8int@ C7lu787 nu5@8ului 6ln7Cil8 > >u;@ ;87BiH

,2


63/68

0fi&ura 1;2

Du887 u?78@H 7 fst =n8gist87t@ l7 4, ;7


64/68

0fi&ura 112

Din ;@iul nst8u s7u =n8gist87t ?i * > ;7tlgii ?i i 7 fst ,0

> 7ni i78 ;78nt >in 5>iul u867n

2. Alg8it5ul > >i7gnsti< 7l


65/68

*. P8g@ti87 ;8;87t8i 7 6ln7Cil8


66/68

11.P8CnBiH

S C8 >;ist7 ?i s C8 t87t7 >in ti5; ;n@ l7 Cin>


67/68

#I#LI)GRAFIE

Ant: Il7n7 ( El5nt > nu8sing


68/68

3uC787 I. !:i8u8gi7 7n7t5i E>itu87 stiintifi

Date post:	04-Jun-2018
Category:	Documents
Upload:	coryl-blue
View:	217 times
Download:	0 times

COLECISTITA4

Documents