- Chudng bung it, nhieu mure ntfdc hdi, tap trung d giCfa bung, chan rong va thap.
VIEM RUOT THLTA CAP
1 .Giai phau benh: 4 giai doan - Viem niem mac.
- Viem mu thanh. - H oai tii.
- Bien chiing.
2. Chan doan
Lam sang: the dien hinh viem ruot thiia cap ho chau phai. - Sot.
- Dau ho" chau phai (bat dau vung thiidng vi) b-uon non, roi loan nhu dong.
- Dien hinh M acburney, phan ling ho' chau phai. - TR : dau ben phai.
Can lam sang:
- K hong co gia tri doi vdi the dien hinh.
- Cong thiic mau: tang bach cau da nhan trung tinh. tang mau lang va CRP.
- Chup bung khong chuan bi: binh thtfdng.
- Sieu am / CT co the phat hien dtfdc ruot thtia to cang. Co 4 dang giai phau:
- Viem ruot thiia cap sau manh trang: dau sau ltfng + that ltfng, viem cd dai chau, xet nghiem ntfdc tieu binh thtfdng. - Viem ruot thiia cap dtfdi gan: dau ho' chau phai, trieu
chiing gio'ng viem tui mat cap, sieu am binh thtfdng. - Viem ruot thiia cap tieu khung: dau tren xtfdng mu
(gio'ng viem voi triing) dau hieu ntfdc tieu va trtfc trang, TR dau, sieu am binh thtfdng.
- Viem ruot thiia cap giiia bung: benh canh tac ruot + sot. Co 3 dang viem ruot thiia tuy theo cd dia:
- Tre em: cdn dau khong dien hinh, tien trien nhanh, chi dinh phau thuat rong rai.
- Ngtfdi co tuoi: the tac ruot hay gia khoi u.
- Phu nii co thai: chan doan kho, ruot thiia len cao. Co 3 bien chiing:
- R uot thiia boc (viem phuc mac khu tru) tinh trang nhiem trung dai dang, roi loan nhu dong, khoi u kho xac dinh ranh gidi ho' chau phai.
- Ap xe ruot thiia: dau nhieu ho chau phai, sot cdn khoi u ciing va khu tru ho' chau phai, sieu am / CT chan doan,
dieu tri phau thuat dan lUu va khang sinh + cat ruot t h ia (thi 2 hay ngay lap ttic).
- Viem phuc mac toan the.
3. Dieu trj
- Can thiep ngoai khoa cap, benh nhan nhin an, khang sinh du phong trong 3 ngay.
- Md ho' chau phai lay benh pham lam vi khuan. - Cat ruot thUa + lam mo benh hoc manh cat. - An lai sau 24 gid ra vien ngay thU 3, thU 5.
4. Bien chumg sau p h lu thuat- A p xe thanh bung.