METHOD OF TREATMENT OF PENETRATING ULCER OF REAR WALL OF DUODENUM

摘要

the invention u043eu0442u043du043eu0441u0438u0442u0441u00a0 of surgical gastroenterology. purpose u0438u0437u043eu0431u0440u0435u0442u0435u043du0438u00a0 u00a0u0432u043bu00a0u0435u0442u0441u00a0 acceleration u0437u0430u0436u0438u0432u043bu0435u043du0438u00a0 u00a0u0437u0432u044b, relapse prevention. after u0432u044bu043fu043eu043bu043du0435u043du0438u00a0 truncal vagotomy and u0434u0443u043eu0434u0435u043du043eu0442u043eu043cu0438u0438 around u00a0u0437u0432u044b located on the rear wall 12 u043fu0435u0440u0441u0442u043du043eu0439 guts, u0432u0432u043eu0434u00a0u0442 in u043fu043eu0434u0441u043bu0438u0437u0438u0441u0442u044bu0439 layer 10 to 15 ml of 0.25% solution of u043du043eu0432u043eu043au0430 ina, u0441u043bu0438u0437u0438u0441u0442u043e - u043fu043eu0434u0441u043bu0438u0437u0438u0441u0442u044bu0439 layer u043eu0442u0441u0435u043fu0430u0440u043eu0432u044bu0432u0430u044eu0442 at 1 cm from the u00a0u0437u0432u044b downward and upward.ischemic heart surface clean of incidence of necrotic masses and u0441u0430u043du0438u0440u0443u044eu0442. with the help of u043fu0443u0433u043eu0432u0447u0430u0442u043eu0433u043e probe in u043fu0440u043eu043au0441u0438u043cu0430u043bu044cu043du043eu043c direction at 4 to 6 cm from the u043au0440u0430u00a0 u043eu0442u0441u0435u043fu0430u0440u043eu0432u0430u043du043du043eu0433u043e flap makes an u043fu043eu0434u0441u043bu0438u0437u0438u0441u0442u043e - muscle layer of colon and stomach and blue the lake in the mucosa of u043fu0440u043eu0432u043eu0434u00a0u0442 u043du0438u043fu043fu0435u043bu044cu043du044bu0439 u043du0430u0437u043eu0433u0430u0441u0442u0440u0430u043bu044cu043du044bu0439 u043cu0438u043au0440u043eu0438u0440u0440u0438u0433u0430u0442u043eu0440, which u043fu043eu0434u0432u043eu0434u00a0u0442 to u00a0u0437u0432u0435. lining of u00a0u0437u0432u043eu0439 u0443u0448u0438u0432u0430u044eu0442.in the area of the seam u043fu043eu0434u0432u043eu0434u00a0u0442 u0438u043cu043cu043eu0431u0438u043bu0438u0437u043eu0432u0430u043du043du044bu0439 antibiotic. u043fu0440u043eu0438u0437u0432u043eu0434u00a0u0442 u043fu0438u043bu043eu0440u043eu043fu043bu0430u0441u0442u0438u043au0443 u0443u0448u0438u0432u0430u044eu0442 u0434u0443u043eu0434u0435u043du0442u043eu0442u043eu043cu0438u0447u0435u0441u043au043eu0435 opening: after the surgery within 2 days after u043cu0438u043au0440u043eu0438u0440u0440u0438u0433u0430u0442u043eu0440 2 times a day u0432u0432u043eu0434u00a0u0442 2 ml u0441u043eu043bu043au043eu0441u0435u0440u0438u043bu0430. at 3 days after drainage u0432u0432u043eu0434u00a0u0442 5 to 7 ml u043fu043eu043bu0438u0443u0440u0435u0442u0430u043du043eu0432u043eu0433u043e u043au043bu0435u00a0 tc 3 in 1 - 2 min with antibiotics and chest tube u0443u0434u0430u043bu00a0u044eu0442.