1. I-hepatojugar reflux sayina
Lapho ukwehluleka kwenhliziyo okulungile kubangela ukugcwala kwe-hepatic nokuvuvukala, isibindi singacindezelwa ngezandla ukwenza imithambo ye-jugur inyuke kakhulu. Izimbangela ezivame kakhulu zikufanele ukuphefumula kwe-ventricular kanye ne-conglesion hepatitis.
Isibonakaliso sikaCullen
Waziwa nangokuthi isibonakaliso sika-Coullomb, onsomi-esiluhlaza okwesibhakabhaka e-ecchymosis esikhungweni esizungeze i-Umbicus noma odongeni lwesisu esisezingeni eliphakeme se-herraperiting, okuvame ukwehla kwe-horcreatiting, i-aneurscmm esiswini
Isibonakaliso se-3.grey-Turner
Lapho isiguli sithuthukisa i-pancreatitis ebukhali, i-pancreatic juice ichichima isikhala sezicubu zomlomo okhalweni bese ichofoza, ikhiphe amafutha aphansi, bese iphuma i-Ecchymosis e-Ecchymosis esikhunjeni kulezi zindawo, okubizwa ngokuthi yi-Grey-Turner's.
Isibonakaliso se-4.CourVoisier
Lapho umdlavuza wekhanda le-pancreas ucindezela i-duct evamile, noma umdlavuza wezingxenye eziphakathi nendawo eziphansi ze-bile duct kubangela ukuphazamiseka, i-jaundice esobala yenzeka. Isigaxa senyongo esivuvukayo esingama-cystic, esingesona amathenda, sinobuso obushelelezi futhi singashukunyiswa yi-pallpable, ebizwa ngokuthi uphawu lweCourvoisier, nangokuthi odumile ngokuvinjelwa okuqhubekayo kwe-duct evamile. I-Levy.
Isibonakaliso sokucasulwa kwe-5.Pritoneal
Ukuba khona okukodwa kwesisa, ubumnene obukhohlisayo kanye nokungezwani kwemisipha yesisu esiswini kubizwa ngokuthi ukucasuka kwe-peritoneal ukucasulwa, eyaziwa nangokuthi i-peritonitis Triad. Kuwuphawu olujwayelekile lwePeritonitis, ikakhulukazi indawo yesilonda esiyinhloko. Inkambo yokungezwani kwemisipha yesisu kuncike kwisizathu nangesimo sesiguli. Isimo esijwayelekile siyahlukahluka, futhi ukwanda okukhulu kwesisu kuwuphawu olubalulekile lwesimo esiba nzima.
Isibonakaliso sika-6.Murphy
Isibonakaliso esihle se-murphy kungenye yezimpawu ezibalulekile ekuhlolweni komtholampilo we-cholecystitis ebukhali. Lapho uhambisa indawo ye-gallbladder ngaphansi komugqa ofanele ofanele, i-glollen glollbladder yathintwa futhi isiguli sacelwa ukuba sihone ngokujulile. I-glbladder evuvukala futhi evuthayo yaqhubekela ezansi. Isiguli sabona izinhlungu zikhulisa futhi zaphefumula ngokuzumayo.
Isibonakaliso sika-7.mcBurney
Ubumnene nobumnene obukhohlisayo endaweni ye-McBurney esiswini esingezansi esifanele (umngcele we-umbilicus kanye ne-outer 1/3 yomgogodla ophakeme we-Iliac ophakeme) uvamile ku-appendicitis ephakeme.
8.Charcot Triad
I-cholangitis evimbayo evimbayo evikelekile ngokuvamile iveza nobuhlungu besisu, ama-chills, umkhuhlane omkhulu kanye ne-jaundice, eyaziwa nangokuthi yi-chaco's Triad.
1) Ubuhlungu besisu: Kwenzeka ngaphansi kwenqubo ye-xiphoid futhi ku-quadrant ephezulu ye-xiphoid, imvamisa i-colic, ngokuhlaselwa kwe-paroxysmal noma ubuhlungu obuphikelelayo ngokungezwani kwe-paroxysms, okungakhanyisane ne-nausea nokuhlanza. Kuvame ukwenziwa ngemuva kokudla ukudla okunamafutha.
2) Ama-Chill noFever: Ngemuva kokuphazamiseka kwe-bile duct, ingcindezi ngaphakathi kwe-bile duct inyuka, imvamisa ibangelwa ukutheleleka kwesibili. Amagciwane nobuthi angangena egazini ngokusebenzisa ama-capillary bile ducts kanye nama-hepatic sinusoids, okuholela ekushayweni kwesibindi se-biliary, i-sepsis, ukushaqeka kwe-septic, i-aptic, ngokuvamile kuveza umkhuhlane ongama-39 kuye ku-40 ° C.
3) I-Jaundice: Ngemuva kwamatshe avimba i-bile duct, iziguli zingakha umchamo ophuzi we-blow nombala wesikhumba ne-sclera, futhi ezinye iziguli zingathola ukulunywa kwesikhumba.
9.Reynolds (Renault) Izimpawu ezinhlanu
Ukuboshwa kwamatshe akukhululiwe, ukuvuvukala kubuye kukhule kukhulisa ukuphazamiseka kwengqondo nokushaqeka ngokusekelwe ku-charcot triad, okubizwa ngokuthi yi-carnaud's Pentalbogy.
Isibonakaliso sika-Onehhr
Igazi elisesiswini sesisu livusa i-diaphragm yangakwesobunxele, okubangela ubuhlungu behlombe kwesokunxele, okuvamile ekuqhumeni kwe-splenic.
11
Isiguli sasisesimweni esiphakeme, esine-hip efanelekile kanye nethanga sashintshana bese sijikeleza ngaphakathi, sibangele ubuhlungu besisu obungaphansi, esibonakala ku-appendicitis).
12. Isibonakaliso sikaRovsing (ukuhlolwa kwe-colon inflation)
Isiguli sisesimweni esinamandla, ngesandla sakhe sokudla sicindezelwe esiswini esingezansi kwesokunxele bese isandla sakhe sobunxele sinciphise ikholoni ye-proxilal, sibangela izinhlungu esiswini esingezansi, esibonakala ku-appendicitis.
Isibonakaliso sokucasulwa kwe-13.x-ray barium ukucasulwa
I-Barium ikhombisa izimpawu zokucasuka engxenyeni yamathumbu yesifo emathunjini, ngokuthela ngokushesha nokugcwaliswa okungalungile, ngenkathi ukugcwaliswa kulungile ezingxenyeni ezingenhla zamathumbu ezingaphansi. Lokhu kubizwa ngokuthi ukucasulwa ukucasulwa kwe-X-ray Barium ukucasulwa, okuvame ezigulini ezine-ulcerative amathumbu isifo sofuba. .
14. I-Halo Sign / Target Sign
Esigabeni esisebenzayo sesifo sikaCrohn, i-CT Enternography ethuthukisiwe (i-CTE) ikhombisa ukuthi udonga lwamathumbu luthuthukiswa kakhulu, ingxenye yodonga lwamathumbu lukhuni kakhulu, futhi indandatho ye-mucosal yangaphakathi kanye nendandatho yangaphakathi ye-marosa yathuthukiswa kakhulu, ibonisa i-halo ephindwe kabili. uphawu noma uphawu oluqondiwe.
15. Isibonakaliso se-sork software
Esigabeni esisebenzayo sesifo sikaCrohn, i-CT ENTROFTY (CTE) ikhombisa ukwanda kwemithamo yegazi le-Mesenteric, inyumbazane ehambisanayo yamafutha e-mesenteric kanye nokufiphala, kanye ne-mesenteric lymph Node node ukunwetshwa, okubonisa "uphawu lwe-sork yokhuni".
16. I-Entonogenic Azotemia
Ngemuva kokopha okukhulu epheshana lesisu eliphezulu lesisu, imikhiqizo yokugaya amaprotheni egazi imunca emathunjini, futhi ukugcwala kwe-urea nitrogen egazini kunganda okwesikhashana, okubizwa ngokuthi yi-azotemia ye-entoogenic.
17.Mallory-Weiss Syndrome
Ukubonakaliswa okuyinhloko komtholampilo kwalesi sifo ukwanda okungazelelwe kwengcindezi ye-Intra-esiswini ngenxa yenhliziyo enkulu, ukugabha kanye nezinye izizathu ze-mucosa ne-esophagus ye-distal cardia ye-esophagus, ngaleyo ndlela kubangele ukopha kwesisu. Ukubonakaliswa okuyinhloko kungama-hematemesis amaningi acijile, kwandulelwa ukuphindwaphindwa okuphindaphindiwe noma ukuhlanza, kubizwa nangokuthi i-esophageal ne-cardia mucosal syndrome.
18. Zollinger-Ellison Syndrome (Gastrinoma, Zollinger-65ellison Syndrome)
Luhlobo lwe-gastroenteropancreopancreatic reeeendocrine Tlamor eboniswa izilonda eziningi, izindawo ezi-atypical, ukuthambekela ekuqinisekisweni kwezilonda, kanye nokusabela okungekho emthethweni ezimisweni ezijwayelekile zokulwa nezilonda. Isifo sohudo, imfihlo ephezulu ye-gastric acid, futhi amazinga aphakeme we-gasttrin avela. ngaphezulu.
I-gastrinomas imvamisa incane, futhi cishe ama-80% atholakala ngaphakathi kwe- "gastrinoma" unxantathu (ie, ukuhlanganiswa kwe-gallbladder kanye ne-duct evamile ye-dudenum, nentamo kanye nomzimba we-pancream). Ngaphakathi konxantathu owakhiwa ukuhlangana), ngaphezu kwama-50% ama-gastrinomas ama-malignant, futhi ezinye iziguli zihleliwe lapho zitholwa.
19. I-Dumpy Syndrome
Ngemuva kokuhlobisa i-gastrectomy, ngenxa yokulahleka komsebenzi wokulawulwa kwe-pylorus, okuqukethwe esiswini kukhishwe ngokushesha okukhulu, okuholele ekutheni kube nochungechunge lwezimpawu zomtholampilo ezibizwa nge-PII anomastomosis. Ngokusho kwesikhathi lapho kuvela khona izimpawu ngemuva kokudla, ihlukaniswe izinhlobo ezimbili: ekuqaleni kwafika sekwephuzile.
● Isifo sokulahla inkunkuma: Izimpawu ze-hypovolemia yesikhashana ezinjengezinhlangothi ze-palpitations, izithukuthuku ezibandayo, ukukhathala, kanye nokubuyiswa okuphambeneyo kuvela uhhafu wehora ngemuva kokudla. Iphelezelwa yi-nausea nokuhlanza, ukumiswa kwesisu nohudo.
● I-Dumpy Syndrome ye-Late Dumping: yenzeka amahora angu-2 kuye kwangama-4 ngemuva kokudla. Izimpawu eziphambili ziyisiyezi, ibala eliboshwe, umjuluko obandayo, ukukhathala, kanye nokushayela ngokushesha okusheshayo. Umshini wokuthi ngemuva kokudla kungena emathunjini, kuvuselela inani elikhulu lemfihlo ye-insulin, okuholela ekuphenduleni kwe-hypoglycescemia. Ibizwa nangokuthi i-Hypoglycemia syndrome.
20. I-Dysstrophy Syndrome
Yisifo se-Clinical lapho izakhamzimba zingenasisekelo ngenxa yokungasebenzi kahle kwamathumbu amancane ekugayeni nasekungenise izakhamzimba, okubangela izakhi ukuthi zingakwazi ukumunca ngokujwayelekile futhi zikhishwe kuzinduku. Ngokwengqondo, kuvame ukubonakala njengomhudo, amancanyana, asindayo, anamafutha nezinye izimpawu zokutholwa kwamafutha, ngakho-ke kubizwa nangokuthi i-steatorrhea.
I-21.pj syndrome (i-polyment polyposis syndrome, PJS)
Kuyisifo se-rase autosomal eveleletal litulan ebonakala ngesikhumba kanye ne-mucosal pigmentation, ama-polyps amaningi e-hamartomatous epheshana lesisu, kanye nesibambiso.
Ama-PJs avela kusukela ebuntwaneni. Njengeziguli ezineminyaka yobudala, ama-polyps esiswini akhuphuka kancane futhi andise, ebangela izinkinga ezahlukahlukene, njenge-Intussusception, umdlavuza, ukungcola kwesisu, umdlavuza, ukungondleki kanye nokubuyiselwa kwentuthuko ezinganeni.
22. Isisu sendawo yesisu
Ingcindezi ye-Intra-esiswini yomuntu ojwayelekile isondele ekucindezelweni komkhathi, 5 kuya ku-7 mmhg.
Ingcindezi ye-Intra-abmy ≥12 mmhg i-intra-ansosinal hypertension, kanye nengcindezi ye-intra-absinal ≥20 mmhle ehambisana nokuhluleka kwesitho esihlobene ne-hypertensional hypertensional syndrome (ACS).
Ukubonakaliswa kwemitholampilo: Isiguli sinokuqina kwesifuba, ukuphefumula, ukuphefumula ubunzima, nokusheshisa ukushaya kwenhliziyo. Ukudabuka kwesisu nokungezwani okuphezulu kungahle kuhambisane nobuhlungu besisu, imisindo yamathumbu izwakala buthaka noma inyamalale, njll. I-Anuria, i-Azotemia, ukwehluleka kokuphefumula kanye nesifo esiphansi sokukhipha i-cardiac kwenzeke esiteji esizayo.
23. I-Speciver Mesenteric Artery Syndrome
Waziwa nangokuthi yi-benign duodenal stasis kanye ne-duodenal stasis, uchungechunge lwezimpawu ezibangelwa yisikhundla esingajwayelekile se-artery ephakeme ye-mesenteric egcwele ingxenye evundlile ye-duodenum, okuholele ekuvinjelweni okuyingxenye noma okuphelele kwe-duodenum.
Kuvame kakhulu kwabesifazane abadala abadala. Ama-Hiccups, isicanucanu, kanye nokuhlanza kuvamile. Isici esivelele salesi sifo ukuthi izimpawu zihlobene nesikhundla somzimba. Lapho kusetshenziswa isikhundla se-supine, izimpawu zokucindezela ziyanda, kuyilapho isikhundla esithambekele, isikhundla sesifuba, noma isikhundla sesobunxele, izimpawu zingadedelwa. .
24. I-Blind Loop Syndrome
Isifo sesifo sohudo, i-anemia, i-malabsorption kanye nokunciphisa umzimba okubangelwa ukuqina kokuqukethwe okuncane kwamathumbu kanye nokugcwala kwegciwane ku-lumen yamathumbu. Ibonwa ikakhulukazi ekwakhekeni kwama-loops angaboni noma izikhwama eziyimpumputhe (okusho ukuthi amathumbu amathumbu) ngemuva kwe-anastomosis ye-gastrectomy ne-gastrointestinal. Futhi kubangelwa yi-stasis.
25. I-Show Syndrome eDemo
Kusho ukuthi ngemuva kokuvuselelwa kwamathumbu amancane amancane noma ukufakwa ngaphandle ngenxa yezizathu ezahlukahlukene, futhi izidingo zokukhula zengane, futhi ama-syndslomete adidiyeze, futhi ama-syndrome / ama-electromes aphethwe yizinkinga zokutholwa kanye ne-metabolism yezakhi ezahlukahlukene.
26. I-Hepaternal Syndrome
Ukubonakaliswa okuyinhloko kwemitholampilo yi-oliguria, i-anuria ne-azotemia.
Izinso zesiguli zazingenazo izilonda ezinkulu. Ngenxa yokuthuthuka okuphezulu kwe-porttension kanye nokujikeleza kwe-splanchnic hyperdynamic, ukugeleza kwegazi okuhleliwe kwancishiswa kakhulu, kanye nezinto ezahlukahlukene ze-vasodilator ezinjenge-peptides ehlobene ne-tyrium, i-endotoxin, ne-calcium gelium - i-peptides ehlobene nalokhu ayikwazi ukuncipha yisibindi, okwenza ukuba umbhede we-vascular ohleliwe awunakuphazanyiswa; Inani elikhulu le-peritoneal fluid lingadala ukwanda okukhulu ekucindezelweni esiswini, okunganciphisa ukugeleza kwegazi kwe-renal, ikakhulukazi i-renal cortex hypoperfusion, okuholela ekuhlulekeni kwe-renal.
I-80% yeziguli ezinesifo esithuthukayo esisheshe zifa kungakapheli amasonto ama-2. Uhlobo oluthuthukayo kancane luvame kakhulu ngokomtholampilo, luvame ukwethula ngokusebenza kwesisu se-auphractory kanye nenkambo ehamba kancane yokuhluleka kwe-renal.
27. Hepatopulmonary syndrome
Ngokwesisekelo se-cirrhosis yesibindi, ngemuva kokukhipha izifo zama-cardiopulmornary zezifo eziyinhloko, i-dyspnea kanye nezimpawu ze-hypoxia ezifana ne-cyanosis kanye ne-clubbing yeminwe (izinzwane) zivela ekudleni kwe-intrapulmonary kanye ne-argnorial i-oxygenation dysfunction kanye ne-argnorial xygennation dysfunction, futhi i-prognosial ixhop.
28.Mirizzi Syndrome
I-Galtbladder intamo noma i-cystic duct tone impaction, noma ihlanganiswe nokuvuvukala kwe-gallbladder, ingcindezi
Kwenzeka ngokuphoqelela noma ngokuthinta i-hepatic duct ejwayelekile, okubangela ukwanda kwezicubu ezizungezile, ukuvuvukala noma i-stenosis ye-hepatic duct evamile, futhi kuboniswe ngokomtholampilo njengochungechunge lwezinto zokwelashwa ezibonakala nge-jaundice evimbela, i-bric cololangitis.
Isisekelo se-anatomical sokwakheka kwaso ukuthi i-cystic duct kanye ne-depatic duct ejwayelekile yinde kakhulu ndawonye noma isikhundla sokuhlanganisa i-cystic duct kanye ne-depatic duct ejwayelekile ephansi kakhulu.
29.Budd-Chiari Syndrome
I-Budd-Chiari syndrome, eyaziwa nangokuthi i-Budd-Chiari Syndrome, ibhekisa eqenjini le-Porttension ye-Portal Hypertension noma i-portal kanye ne-vena hava ye-hypertension ebangelwa ukuphazamiseka kwe-hepatic vein noma i-venava ephansi ngaphezulu kokuvulwa kwayo. isifo.
30.Caroli Syndrome
Ukuhlukaniswa kwe-cygenal cystic kwe-ballahepatic bile ducts. Indlela ayicacile. Kungase kufana ne-cysoledochal cyst. Izigameko zeChorangiocarcinoma zinkulu kunalezo zabantu abajwayelekile. Ukubonakaliswa kokuqala komtholampilo kungubuhlungu be-hepatomegaly nobuhlungu besisu, ikakhulukazi njenge-colic ye-biliary, inkimbinkimbi yi-bacterial bile duct isifo. I-Fever ne-Intermittent Jaundice kwenzeka ngesikhathi sokuvuvukala, futhi izinga le-jaundice ngokuvamile limnandi.
31. I-Photoctal Syndrome
Kungukuphazamiseka kwe-defecation okubangelwa ukuphazamiseka kwesitezi se-pelvic phansi ngenxa ye-spasm noma i-hypertrophy yemisipha ye-punorectalis.
32. I-Pelvic Floor Syndrome
Kubhekisa eqenjini lamaSyndromes elibangelwa ukungahambi kahle kwe-neuromuscular ezinhlakeni zaphansi ze-pelvic kufaka phakathi i-rectum, levator ani umsipha, kanye ne-anal sphinctor yangaphandle. Ukubonakaliswa kwemitholampilo okuyinkimbinkimbi kunzima ekujuleni kwe-defecation noma ekungeneni, kanye nokucindezela kwaphansi kwe-pelvic nobuhlungu. Lokhu kukhishwa kwesinye isikhathi kufaka phakathi ukudelelwa kobunzima, futhi kwesinye isikhathi ukungahambi kahle kwe-fecal. Ezimweni ezinzima, zibuhlungu kakhulu.
We, Jiangxi Zhuoruihui Medical Incument Co, Ltd, umenzi waseChina ochwepheshe kokudla kwe-endoscopic, njengeI-Biopsy Forceps, hemoclip, I-PolyP Snare,inaliti ye-sclerotherapy, fafaza i-catheter, ama-cytolology amabhulashi, Umhlahlandlela,I-Stone Retrieval Basket, I-Catheter ye-Nasal Buily Catheternjll. Kusetshenziswe kabanziEMR,Ivi, I-ERCPP. Imikhiqizo yethu iqinisekisiwe, futhi izitshalo zethu ziqinisekisiwe ze-ISO. Izimpahla zethu zithunyelwe eYurophu, eNyakatho Melika, eMpumalanga Ephakathi nendawo nengxenye ye-Asia, futhi zithola amakhasimende wokuqashelwa nokudumisa!
Isikhathi sePosi: Sep-06-2024