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METHOD FOR PREDICTING INFLAMMATORY FORMS OF ACUTE APPENDICITIS

机译:急性阑尾炎形式的预测方法

摘要

FIELD: medicine.;SUBSTANCE: it is necessary to carry out ultrasound inspection of the organs of a patient's abdominal cavity and retroperitoneal space. Additionally, it is important to carry out chromatic Doppler and energetic mapping the circulation of visible department of vermiform process and surrounding organs and tissues. In case of circulation only in projection of process' mesentery and adjacent intestinal loops as single vascular branches one should detect the norm. At visualizing the vessels of not only the mesentery, but in the process itself, under condition that their visible quantity is larger than it surrounding intestinal loops and under condition of no signs of inflammatory process there one should detect catarrhal appendicitis. At detecting a considerable increase of vascular picture of visible parts of the wall of vermiform process and its mesentery, against circulation in adjacent intestinal loops, where it is represented by single vascular branches, under condition of good differentiation of the vessels of arterial and venous types, and at visualizing the process in transverse section as a chromatic "crown", and in longitudinal section the presence of chromatic stripes, the length being up to 1 cm, one should diagnose phlegmonous form of inflammation. At detecting considerable weakening, or the absence of vascular picture in areas of destruction, distinct registration, circulation in area of the process' mesentery, enhanced vascular picture of adjacent intestinal loops one should diagnose gangrenous inflammation. At no detection of circulation and registration of widened vascular branches in area of the process' mesentery one should diagnose empyema of appendix. At no detection of circulation in visible departments of the process, enhanced vascular picture in adjacent intestinal loops and in omentum it is possible to diagnose periappendicular abscess. The innovation increases information value of the diagnostics conducted.;EFFECT: higher accuracy of diagnostics.;26 dwg, 4 ex
机译:领域:医学。物质:有必要对患者腹腔和腹膜后间隙的器官进行超声检查。此外,重要的是要进行彩色多普勒成像和能量映射,形成蠕虫状可见部和周围器官组织的循环。如果仅在过程肠系膜和邻近肠loop的投影中出现循环,则该循环应为单个血管分支。不仅要观察肠系膜的血管,还要观察过程中的血管,在其可见量大于周围肠and周围的条件下,并且在无炎症过程迹象的情况下,应该检测出卡他性阑尾炎。在检测到蠕虫状过程壁和肠系膜的可见部分的血管图像显着增加时,在动脉和静脉类型的血管良好分化的条件下,以单个血管分支为代表的相邻肠loop中的循环受到阻碍,并且在将横断面可视化为有色“冠状”过程时,以及在纵断面中出现有色条纹(长度不超过1厘米)时,应诊断出痰状炎症。在发现破坏区域显着减弱或无血管图像,明显的配偶,肠系膜区域的循环,邻近肠loop的血管图像增强时,应诊断出坏疽性炎症。在未发现循环和肠系膜区域血管分支增宽的情况下,应诊断出阑尾积脓。如果未检测到该过程的可见部门中的循环,相邻肠loop和大网膜中的血管图像增强,则可能诊断出阑尾周围脓肿。创新增加了所进行诊断的信息价值。效果:诊断的准确性更高; 26 dwg,4 ex

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