xq nhi da day ta trang
TRANSCRIPT
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BEÂNH LYÙ DAÏ DAØY – TAÙ TRAØNG
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DAÏ DAØY – TAÙ TRAØNG BÌNH THÖÔØNG GIAÛI PHAÃU:
Treû nhoû daï daøy naêm ngang.Neáp nieâm maïc Taø traøng: sau phuùc maïc, D3, goùc Treitz.DD, D1, D2: foregut, ñoäng maïch thaân
taïng.D3 : midgut, ñoäng maïch MTTT.
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KHAÛO SAÙT HÌNH AÛNH Chuïp caûn quang
Chuaån bò Thuoác: BaSO4, Iode tan trong nöôùc ASP, saáp, ngöûa, cheách
Sieâu aâm CT, MRI
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BAÁT THÖÔØNG BAÅM SINH
Daï daøy ñoâi Tuùi thöøa daï daøy Daï daøy nhoû Heïp moân vò, tieàn moân vò Tuïy laïc choã
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Xoaén daï daøy Xoaén theo truïc taïng:
moân vò naèm ngöôïc leân cao taéc ñöôøng vaøo vaø ra dd, caáp cöùu vì thieáu maùu dd.
Xoaén theo truïc maïc treo: bôø cong lôùn laät sang (P), xoaén maõn tính.
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Taéc taù traøng
Nguyeân nhaân taéc ruoät ss thöôøng gaëp nhaát.
Taéc hoaøn toaøn, taéc khoâng hoaøn toaøn.
Teo (atresia), maøng ngaên:
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Chaån ñoaùn: ASPTaéc hoaøn toaøn: “double buble”Taéc khoâng hoaøn toaøn: hình aûnh
thay ñoåi chuïp caûn quang daï daøy. Beänh nhaân lôùn, oùi keùo daøi: RB
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TOÅN THÖÔNG MAÉC PHAÛI HEÏP MOÂN VÒ PHÌ ÑAÏI VIEÂM LOEÙT BEZOARS
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HEÏP MOÂN VÒ PHÌ ÑAÏI
Toång quan: Nguyeân nhaân taéc ñöôøng ra dd
thöôøng gaëp Treû 3 – 6ws (1w – 3ms) Oùi voït, maát nöôùc, RLÑG Phì ñaïi lôùp cô voøng, khoâng roõ NN.
Chaån ñoaùn: ASP: dd giaõn lôùn, möùc khí dòch
sau 3h. Sieâu aâm RB
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SIEÂU AÂM: hình aûnh tröïc tieáp
Sau buù, ñaàu doø ≥ 5MHz
Beà daøy lôùp cô ≥ 4mm
Chieàu daøi oáng MV ≥ 15mm
Khaûo saùt ñoäng GRO
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CHUÏP CAÛN QUANG: hình aûnh giaùn tieáp
Toån thöông hình loõi taùo
Oáng moân vò heïp daïng daûi.
Daáu hieäu guø vai Daáu hieäu moû chim Daáu nuùm vuù ôû
bôø cong nhoû
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Sau phaãu thuaät:Toàn taïi hình aûnh thôøi gian daøi.LS (-)Phaãu thuaät khoâng trieät ñeå: LS +
Hình aûnh.
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Vieâm loeùt: BEZOARS: Toån thöông u,
daïng u