maturski rad - ileus
DESCRIPTION
Interna medicina, IleusTRANSCRIPT
-
0$7856.,5$'
7(0$,/(86
-
6DGUDM
8YRGXLQWHUQXPHGLFLQX ,OHXVRVQRYQLSRMPRYLLX]URFLQDVWDQND 9UVWHLOHXVD ,OHXVWDQNRJFULMHYD 'LMDJQR]DLOLMHHQMH ,OHXVGHEHORJFULMHYD ,OHXVQRYRURHQDNHGREL ,QYDJLQDFLMD
,OHXVSDUDOLWLNXV =DNOMXDN /LWHUDWXUD
-
8YRGXLQWHUQXPHGLFLQX,QWHUQDPHGLFLQD MH JUDQDPHGLFLQH NRMD VH EDYL SUHYHQFLMRP GLMDJQRVWLNRP L OLMHHQMHP
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x HQGRNULQRORJLMD EROHVWL OLMH]GD V XQXWUDQMLP L]OXLYDQMHP NDR WR VX WLWQMDDQDGEXEUHQHOLMH]GH
x KHPDWRORJLMDEROHVWLNUYLLNUYRWYRUQLKRUJDQDx NDUGLRORJLMDEROHVWLVUFDLNUYQLKLODx SXOPRORJLMDEROHVWLSOXDLGLQLKRUJDQDx QHIURORJLMDEROHVWLEXEUHJDLPRNUDQRJVLVWHPDx JDVWURHQWHURORJLMDEROHVWLSUREDYQLKRUJDQD
-
=DQDVMDNRELWQDJUDQDLQWHUQHPHGLFLQHMHVWHJDVWURHQWHURORJLMD7RMHJUDQDPHGLFLQHIRNXVLUDQDQDSUREDYQLVLVWHPLSRUHPHDMHXUDGXLVWRJ1HNHRGQDMHLKWHJRED]ERJNRMLKVHSDFLMHQWLREUDDMXJDVWURHQWHURORJXVXx *DVWURH]RIDJHDOQDUHIOXNVQDEROHVW*(5%x 'LVSHSVLMDx 3HSWLNDXONXVQDEROHVWx 6LQGURPLULWDELOQRJNRORQDXSDOQHEROHVWLFULMHYD&KURQRYDEROHVWLLXOFHUR]QLNROLWLVNRMHVHVPDWUDMXEROHVWLPD]DSDGQHFLYLOL]DFLMH
x 0DOLJQHEROHVWLSUREDYQRJWUDNWDx ,OHXV
-
,OHXVRVQRYQLSRMPRYLLX]URFLQDVWDQND
Intestinalna opstrukcijaLOLLOHXVR]QDDYDMXVPHWQMHXSURODVNXFULMHYQRJVDGUDMDLYMHWURYDX]URNRYDQH UD]QLP VWDQMLPD 7R VX HVWL NOLQLNL VLQGURPL NRML ]ERJ SURJUHVLMH L PRJXHJDVPUWQRJ LVKRGD ]DKWLMHYDMX EU]R SRVWDYOMDQMH GLMDJQR]H L EU]R GMHORYDQMH0RJX VH SRMDYLWL XVYDNRMLYRWQRMGRELRGURHQMDSDVYHGRNDVQHVWDURVWL3RUHPHDMXSURODVNXFULMHYQRJVDGUDMDPRHQDVWDWL]ERJPHKDQLNLKX]URNDLOL]ERJSRUHPHDMDFULMHYQRJPRWLOLWHWDQDVWDORJ]ERJQHNLKRWURYQLKUHIOHNVQLKLGUXJLKPRJXLKX]URND8VYLKVOXDMHYDRSVWUXNFLMDVHQDOD]LXWDQNRPFULMHYXGRNMHWHNPDQMLGLRXGHEHORP
6OLND&ULMHYQLVLVWHP
3UHPDQDLQXQDVWDQNDWHEU]LQLLQDLQXUD]YRMDUD]OLNXMXVHGYLMHRVQRYQHYUVWHLOHXVDx GLQDPLNLLOHXVx PHKDQLNLLOHXV
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
-
2QPRHELWLx RSVWUXNFLMVNLx LQWHVWLQDOQLYROYXOXVx LQWHVWLQDOQDLQYDJLQDFLMD
.DGD GRH GR RSVWUXNFLMH ]DXVWDYOMD VH L SUROD]DN VWROLFH L SOLQRYD WR UH]XOWXMH QMLKRYLPQDNXSOMDQMHPXFULMHYLPD*ODYQLVLPSWRPEROHVWLMHGXJDRSVWLSDFLMDMDNLDEGRPLQDOQLERORYLSRYUDDQMHLYUXLFD2SWHVWDQMHSDFLMHQWDMHMDNRORHDDEGRPHQMHNRQWUDKLUDQLERODQLQDEODJHGRGLUH,QWHVWLQDOQLYROYXOXVVHVDVWRMLRGWRU]LMHSURLUHQRJGLMHODFULMHYDRNRRVLYODVWLWRJmezenterijuma7RGRYRGLGRSUHNLGDFLUNXODFLMHNUYLXSRJRHQRPGLMHOXWRX]URNXMHJDQJUHQHLQHNUR]HYLMXJDSRGYUJQXWLKWRU]LMLLWDGDGROD]LGRSUHNLGDSURODVNDVDGUDMDL]FULMHYD%ROHVWEU]RQDSUHGXMHWHMHQHRSKRGQDKLWQDGLMDJQR]DLNLUXUNL]DKYDW
6OLND,QWHVWLQDOQLYROYXOXV
,QWHVWLQDOQDLQYDJLQDFLMDMHSURGLUDQMHMHGQRJGLMHODFULMHYDXGLRNRMLVHQDOD]LL]DDQWHURJUDGQDLQYDJLQDFLMDLOLXGLRNRMLVHQDOD]LLVSUHGUHWURJUDGQDLQYDJLQDFLMD
-
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antiperistaltiki talasi2QLX]URNXMXSRYUDDQMH%ROHVQLNXSRHWNXSRYUDDHOXGDQLVDGUDMD]DWLPVDGUDMSRSULPDSULPMHVHXL'DOMHSRYUDDQMHL]EDFXMHPUNLVDGUDMNRMLOLLQDIHNDOLMH'DOMHX]URQLNLOHXVDPRHELWLLGHILFLWNDOLMD'HKLGUDWDFLMDVHSRYHDYDNDRSRVOMHGLFDJXELWNDYHOLNLKNROLLQDYRGHLHOHNWRUOLWD9LVRNVWHSHQGHKLUDWDFLMHPRHGDGRYHVWLGRL]UDHQRJGHILFLWDNDOLMDXRUJDQL]PX7RVHPRHLVSROMLWLSDUDOL]RPGLVDMQHPXVNXODWXUHLDN]DVWRMHPVUFDWRXJURDYDLYRWEROHVQLND,]JOHGREROMHORJNDUDNWHULX]QDFLWHNHGHKLWUDWDFLMHNDRWRVXx VXKDNRDx VOX]QLFHXVWDLMH]LNDVXL]UD]LWRVXKHx RLVXXYXHQHx QRV]DLOMHQx WUEXKMHQDGXW
'LMDJQR]D MH UHODWLYQR ODND DOL MHPQRJR WHH SURQDL X]URN =DWR MH QDNRQ GLMDJQRVWLFLUDQMDEROHVWLSRWUHEQRSDFLMHQWDKLWQRVPMHVWLWLXEROQLFX1DMYDQLMHMHGDVHWRSULMHL]YULUHKLGUDWDFLMD,QDHVWDQMHEROHVQLNDXSUDYLOX]DKWLMHYDLQWHQ]LYQXQMHJXVYHGRNVHQHRWNORQLX]URNLOHXVD
-
9UVWHLOHXVD$NRMHXMHGQRPGLMHOXWDQNRJLOLGHEHORJFULMHYDSUHNLQXWDSDVDDELORXVOLMHGPHKDQLNLK
LOLGLQDPVNLKIDNWRUDQDVWDWLHNOLQLNDVOLNDLOHXVD.RGWLSLQLKVOXDMHYDPHKDQLNLLOHXVVHRLWXMHVOLMHGHLPVLPSWRPLPDx %ROXDEGRPHQXFULMHYQHNROLNHx 3RYUDDQMHx 9LGOMLYDLXMQDSHULVWDOWLNDx 'LVWHQ]LMDDEGRPHQDx ,]RVWDQDNVWROLFHLYMHWURYD
,OHXVWDQNRJFULMHYD
1DMHLX]URFLLOHXVDWDQNRJFULMHYDVXx XNOLMHWHQHKHUQLMHx SRVWRSHUDWLYQHSULUDVOLFHNRMHGRYRGHGRVWUDQJXODFLMHFULMHYDx YROYXOXVx YDVNXODUQHRSVWUXNFLMHx WURPER]Dx HPEROLMDLWG
8 DQDPQH]L GRPLQLUDMX EROL NRMH LPDMX NDUDNWHU FULMHYQLK NROLND %ROL VHPRJX XVSRUHGLWL VDJUHYLPD NRML VH MDYOMDMX SULMH SUROMHYDPHXWLPNRG LOHXVD EROHVQLN QHH GRELWL QL VWROLFX QLYMHWURYH%ROHVQLFLHVWR L]MDYOMXMXGDX ID]LJUHYDRVMHDMXSUHWDNDQMHXFULMHYLPDD WR MHSRVOMHGLFDSRMDDQH FULMHYQH SHULVWDOWLNH NRMD QDVWRML QDGYODGDWL PMHVWR RSVWUXNFLMH 8 SRHWNX EROHVWLEROHVQLN SRYUDD HOXDQL L GXRGHQDOQL VDGUDM RERMHQ XL LQFLMDOQR SRYUDDQMH D QDNRQQHNROLNRVDWLSRLQMHSRYUDDWLSUDYLLOHXVQLVDGUDMmiserereIHNDORLGQLVDGUDM$NREROHVQLNGRHXSRHWNXEROHVWLQHHGDWLGRMDPWHNRJEROHVQLND]DUD]OLNXRGEROHVQLNDXX]QDSUHGRYDORMID]LEROHVWL%U]LQDNRMRPHVHUD]YLMDWLEROHVW]DYLVLWLHRX]URNXLOHXVD8EROHVQLNDNRGNRMLKX]PHKDQLNX]DSUHNXSUROD]DSRVWRMLLVWUDQJXODFLMDPH]HQWHULMDOQLKNUYQLKLODUD]YLWLHVHXNUDHPUD]GREOMX
-
WHNDNOLQLNDVOLND7XMHJXELWDNWHNXLQHHOHNWUROLWDLEMHODQHYLQDPQRJREULNDNRXOXPHQFULMHYDWDNRLXSHULWRQHDOQXXSOMLQX=ERJRWHHQHFULMHYQHFLUNXODFLMHEU]RGROD]LGRLVKHPLMHLUD]YRMDSHULWRQLWLVD=ERJGHKLGUDWDFLMHLHOHNWUROLWVNRJGLVEDODQVDWXUJRUNRHMHVPDQMHQMH]LNVXK LREORHQRLXSDOHSXOVXEU]DQDX]SRJRUDQMHRYLKVLPSWRPDSRMDYOMXMXVH LVLPSWRPLLQIHNFLMHLWRNVLNHPLMH 'LMDJQR]DLOLMHHQMH
9DQRMHSUHJOHGDWLFLMHOLDEGRPHQXNOMXXMXLLQJYLQDOQXLIHPRUDOQXUHJLMXMHUVHODNRPRHSUHYLGMHWLPDOHQDIHPRUDOQDhernijaRVRELWRNRGGHEOMLKEROHVQLNDLOLVHSDNPRH]DPLMHQLWLVDSRYHDQLPOLPIQLPYRURP8SRHWQRMID]LEROHVWLDEGRPHQQLMH MDHGLVWHQGLUDQ.DGDVHSRMDYLGLVWHQ]LMDRQDMHXSRHWNXRJUDQLHQDQDVUHGQMLDEGRPHQMHUMHGLODWLUDQRWDQNRFULMHYR.RGPUDYLKOMXGLPRHVHYLGMHWLLNRHQMHFULMHYDSRSXWSRYUHPHQLKVWHSHQLDVWLKL]ERHQMDVWLMHQNHDEGRPHQD6OLND9LGOMLYRVWSHULVWDOWLNHPRHVHSURYRFLUDWLSHUNXVLMRPDEGRPHQD3DOSDFLMDMHPDQMHYDQD]DGLMDJQRVWLNX0RJXVHSDOSLUDWLGLODWLUDQHYLMXJHFULMHYDDXNROLNRMHYHSULVXWDQSHULWRQLWLVWUEXKHSRVWDWLERODQQDSDOSDFLMX
6OLND,OHXVWDQNRJFULMHYD
-
$XVNXOWDFLMD DEGRPHQD MH YHRPD YDQD MHU VH QMRP PRJX XWL NDUDNWHULVWLQL IHQRPHQL RGKLSHUSHULVWDOWLNH X VDPRP SRHWNX EROHVWL GR SUHWDNDQMD L EXNDQMD NRG UD]YLMHQRJ LOHXVD LNRQDQRGRSRWSXQHWLLQHNRGSDUDOLWLQLKFULMHYD'LJLWRUHNWDOQLP SUHJOHGRP NRG LOHXVD WDQNRJ FULMHYD RELQR QDLOD]LPR QD SUD]QX DPSXOX3RQHNDGVHXDouglasovomSURVWRUXPRJXSDOSLUDWLNRQYROXWLYLMXJDDQDOD]NUYLLVOX]LXVWROLFLPRHXSXLYDWLQDYDVNXODUQRSRULMHNORLOHXVDLOLNRGGMHFHQDLQYDJLQDFLMX'LMDJQR]DVHSRVWDYOMDQDRVQRYXDQDPQH]HNOLQLNRJSUHJOHGDL57*QDWLYQHVQLPNHDEGRPHQDXVWRMHHPSRORDMX1DQDWLYQRMVQLPFLDEGRPHQDXVWRMHHPSRORDMXYLGHVHDHUROLNYLGQLQLYRLNRMLVXUH]XOWDWSURLUHQLKYLMXJDWDQNRJFULMHYD7HUDSLMDMHKLUXUND ,OHXVGHEHORJFULMHYD
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
-
6OLND,OHXVGHEHORJFULMHYD
,OHXVQRYRURHQDNHGREL
1DMHH VH MDYOMD X REOLNX GXRGHQDOQRJ LOHXVD MHU VH RSVWUXNFLMD DWUH]LMD VWHQR]DPHPEUDQDSUVWHQDVWDJXWHUDDLPDOURWDFLMDQDOD]LXGXRGHQXPXDERUDOQRRGSDSLOH9DWHUL*ODYQLMHVLPSWRPXHVWDORSRYUDDQMHWHNXHJVDGUDMDRERMHQRJXLYHXSUYLPGDQLPDLYRWD-DYOMD VHPHNRQLMDOQD VWROLFD L VWROLFD JODGL DOL L]RVWDMH QRUPDOQD VWROLFD RVLP NRG GMHOLPLQHRSVWUXNFLMHVWHQR]HJGMHMHVDPRGLVWHQGLUDQHSLJDVWULM]ERJGLODWDFLMHHOXFDLGXRGHQXPD1DMHLX]URFLLOHXVDWDQNRJFULMHYDVXx DWUH]LMDx PHNRQLMDOQLLOHXV
1DMHLX]URFLLOHXVDGHEHORJFULMHYDVXx DWUH]LMDGHEHORJFULMHYDx DWUH]LMDDQXVDLUHNWXPD
'LMDJQR]DVHSRVWDYOMDQDRVQRYXNOLQLNHVOLNHQDWLYQRJ57*VQLPNDDEGRPHQDQDNRMHPVHNRGDWUH]LMH GXRGHQXPDYLGL GYD ]UDQD EDORQD GRXEOH ERXEOH D NRG DWUH]LMH MHMXQXPDQHNROLNRDHUROLNYLGQLKQLYRDQHSRVUHGQR LVSRGGXRGHQXPDGRN MHRVWDOL GLR DEGRPHQDEH]]UDND.RGDWUH]LMHLOHXPDYLGLVHYLHDHUROLNYLGQLKQLYRDXSRGUXMXJRUQMHJGLMHODDEGRPHQDLXPELOLNXVD
-
6OLND,OHXVQRYRURHQDNHGREL
,QYDJLQDFLMD
,QYDJLQDFLMDMHNDUDNWHULVWLQD]DGMHLMXGRELRELQRVHMDYOMDGRGYLMHJRGLQHLYRWDDSRQHNDGVHMDYOMDLXVWDULMHGMHFHLRGUDVOLK'RNMHNRGRGUDVOLKX]URNRELQRSR]QDWWXPRUQDSHWHOMFLLQYDJLQLUDQGLYHUWLFXOXP0HFNHOLXGRMHQDGLLPDOHGMHFHQLNDGDVHQHQDHSDWRORNLVXSVWUDWLDNRVHVPDWUDGDMHX]URNLQYDJLQDFLMHHGHP3H\HURYLKSORDNRMLQDVWDMH]ERJYLUXVQHLQIHNFLMH5MHHMHX]URNLQYDJLQDFLMHXGMHFH0HFNHORYGLYHUWLFXOKHPDWRPVOX]QLFHNRGSXUSXUH+HQRFK6FKRHQOHLQOLQIRVDUNRPDFULMHYDLWG,QYDJLQDFLMDLPDNDUDNWHURSVWUXNFLMVNRVWUDQJXODFLMVNRJLOHXVDMHUSURNVLPDOQLVHJPHQWFULMHYDNRMLVHXYODLXGLVWDOQRFULMHYR]DVRERPSRYODLLSULSDGDMXLPH]HQWHULMWHVXRERMHVWUDQJXOLUDQL2ELQRVHWHUPLQDOQLLOHXPLQYDJLQLUDXFHNXPLGDOMHXGHEHORFULMHYR3RQHNDG YH PDMND GDMH NDUDNWHULVWLQX DQDPQH]X GLMHWH SRVWDMH L]QHQDGD QHPLUQR SODH LVNXSOMDQRJLFHSUHPDWUEXKX3RMDYDNUYLLVOX]LRELQRMH]QDNX]EXQHNRMLGRYRGLPDMNXOMHNDUXGD]DWUDLSRPR.DGGLMHWHSODHQLWDVHQHPRHSDOSLUDWLXDEGRPHQXDOLNDGSRSXVWHJUHYLSDOSLUD VH X SRGUXMX QDMHH X]OD]QRJ L SRSUHQRJ NRORQD WR ]DYLVL RG GXLQH LQYDJLQDYDOMNDVWDUH]LVWHQFLMD5HNWDOQLP SUHJOHGRP HVWR VH QDH X UHNWXPX HNVXGDW SRSXW HODWLQH RG FUYHQLK ULEL]OD3RQHNDG PRH LQYDJLQDW SURODELUDWL NUR] DQXV SD VH PRUD LQYDJLQDFLMD UD]OXLWL RG SURODSVD
-
UHNWXPD'LIHUHQFLMDOQDGLMDJQR]DQLMHWHNDMHUNRGSURODSVDSURODELUDQDVWLMHQNDUHNWXPDSUHOD]LNRQWLQXLUDQRXNRXGRNNRGLQYDJLQDFLMHSUVWXOD]LXSURFMHSL]PHXLQYDJLQDWDLUHNWXPD
6OLND,QYDJLQDFLMD
'LMDJQR]D VHSRVWDYOMD QDRVQRYXDQDPQH]HNOLQLNH VOLNH GLJLWRUHNWDOQRJSUHJOHGDQDWLYQRJ57*VQLPNDDEGRPHQDLXOWUD]YXNDDEGRPHQD,ULJRJUDILMDMHELODGLMDJQRVWLNDPHWRGDL]ERUDNRMD MH X VDGDQMH YULMHPH ]DPLMHQMHQD XOWUD]YXQRP SUHWUDJRP DEGRPHQD 7HUDSLMD MHNRQ]HUYDWLYQDLKLUXUND
-
,OHXVSDUDOLWLNXV3DUH]X FULMHYD QDOD]LPR HVWR QDNRQ DEGRPLQDOQH RSHUDFLMH D RQD VH NOLQLNLPDQLIHVWLUD
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
-
=DNOMXDN.DGDXNOLQLNRMVOLFLDNXWQRJDEGRPHQDGRPLQLUDEROHVWRMHSRWUHEDQKLWDQKLUXUNL]DKYDW
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
/LMHHQMH MH REDYH]QR L VDVWRML VH RG REXVWDYH XQRHQMD KUDQH WHQRVWL L OLMHNRYD DVSLUDFLMHHOXGDQRJ L FULMHYQRJ VDGUDMD QD]RJDVWULQRP VXNFLMRP QDGRNQDGH WHQRVWL L HOHNWUROLWD X]NRQWUROXdiurezeLFHQWUDOQRJYHQVNRJSULWLVND2SHUDWLYQL]DKYDWVHXPHKDQLNRPLOHXVXUDGLXURNX RG GR VDWD .RG SDUDOLWLNRJ LOHXVD PRH VH GRELWL GREDU RGJRYRU L VDPR QDNRQ]HUYDWLYQXWHUDSLMX
-
/LWHUDWXUD .RQMKRGL)LVDUDGQLFLHirurgija3ULQW06DUDMHYR %UDGL,Kirurgija0HGLFLQVNDQDNODGD=DJUHE 'L]GDUHYL6Hirurgija kongenitalnih anomalija3ULQW06DUDMHYR .D]HPL. -DODHLDQ +Ruptured Meckel Mesodiverticulum and Meckel Diverticulum
Following Blunt Abdominal Trauma0HGLFDO3ULQFLSOHVDQG3UDFWLVH /LX.$KDKFKL6Can Acute Appendicitis be Treated by Antibiotics$P6XUJ 6NDQGDODNLV % 3DQDJLRWLV 1 Littre Hernia: Surgical Anatomy, Embriology and
Technique of Repair$P6XUJ /HH6Acute Appendicitis. Is there a Difference Between Childeren and Adults?$P6XUJ
6DNHOODULV*7LOHPLV6&KDULVVLV*Acute appendicitis in preschool age children(XU-RI3HGLDWULFV