Ileus 腸阻塞DD @ 醫學筆記匯集整理ED Notes :: 痞客邦 | 合法醫療器材資訊網

2021年3月4日—Ileus:腸子不能好好排空-Intermittentcrampingpain(Closedloop較痛)-N/V(​Simpleobstruction較會脹之後吐.

Ileus : 腸子不能好好排空

- Intermittent cramping pain (Closed loop 較痛)

- N/V (Simple obstruction 較會脹之後吐)

- Constipation, without flatus passage

- Abdomen distension  

- Bowel sound 下降 at non mechanical

- Bowel sound 上升 at 初期 mechanical ( Metallic sound )

Remember :  963rule  !!

( Cecum, other colon, small bowel )

Mechanical :   

- 近端 distension 遠端 Collapse 

- Adehesion 術後沾黏, Stricture ( 80%以上)

- Hernia, intussception, volvulus 各種扭轉卡到

- Tumor 長拍咪阿

- GB stone ileus, Bezoar 石頭

- Trauma