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Пошук дав 190 результатів

Розширений пошук

Андрій-Хірург
05 березня 2015, 23:26
Форум: Хірургія
Тема: Виразки гомілки
Відповіді: 4
Перегляди: 436

Виразки гомілки

Питання, напевно, більше до студентів і інтернів.
Тільки я почав працювати (7-й день в поліклініці), до мене на прийом з'явився такий от пацієнт.
Я подібного раніше не бачив, в т.ч. на картинках. Отже, діагноз? тактика?

Андрій-Хірург
05 березня 2015, 23:32
Форум: Хірургія
Тема: Виразки гомілки
Відповіді: 4
Перегляди: 436

Re: Виразки гомілки

Так. Близько 15 років тому у хворого був інсульт і на цьому тлі венозний тромбоз лівої н/кінцівки. Подібні зміни гомілки близько 5 років. Зараз скарги на свербіж, печіння, мокнуття, лущення. На руках у хворого був висновок судинного хірурга: Посттромбофлебітична хвороба з явищами екзематизації. Реко...
Андрій-Хірург
06 березня 2015, 21:45
Форум: Акушерство і гінекологія
Тема: Випадіння піхви
Відповіді: 14
Перегляди: 1659

Re: Випадіння піхви

Наші гінекологи дуже успішно коригують всі ці неспроможності тазового дна лапароскопічно. Якщо треба - направляйте!
Андрій-Хірург
06 березня 2015, 21:49
Форум: Хірургія
Тема: Ожиріння 4 ст і вагітність
Відповіді: 7
Перегляди: 754

Ожиріння 4 ст і вагітність

Жінка 40 років. Вага 190 кг, жировий фартух нижче колін. Звернулася до акушерів у зв'язку з першою вагітністю - 15 тижнів. Акушер направляє жінку до Вас і просить прибрати їй фартух щоб та змогла нормально виносити дитину до терміну. Якої-небудь значної супутньої патології немає. Ваша тактика?
Андрій-Хірург
12 березня 2015, 15:21
Форум: Гематологія
Тема: Залізодефіцитна анемія - в чому може бути причина ?
Відповіді: 17
Перегляди: 2359

Re: Залізодефіцитна анемія - в чому може бути причина ?

Чи немає у нього періодично кровоточивого геморою? Носових кровотеч? Грижі стравохідного отвору діафрагми 2-3ст? Препарати заліза треба приймати як мінімум 2 міс безперервно.
Андрій-Хірург
13 березня 2015, 11:20
Форум: Онкологія
Тема: Рак товстої кишки у вагітної
Відповіді: 6
Перегляди: 583

Re: Рак товстої кишки у вагітної

А що кажуть гінекологи ?
Андрій-Хірург
13 березня 2015, 11:27
Форум: Онкологія
Тема: Рак товстої кишки у вагітної
Відповіді: 6
Перегляди: 583

Re: Рак товстої кишки у вагітної

А що заважає видалити пухлину одномоментно з кесарським розтином ?
Андрій-Хірург
13 березня 2015, 11:44
Форум: Акушерство і гінекологія
Тема: Випадіння піхви
Відповіді: 14
Перегляди: 1659

Re: Випадіння піхви

Поясніть будь-ласка, коротко, принцип даного методу. А як же вени крижового сплетіння - не кровлять? Ви використовуєте степлер?
Андрій-Хірург
17 березня 2015, 10:33
Форум: Загальні медичні питання
Тема: Право пацієнта отримати свою історію хвороби
Відповіді: 12
Перегляди: 2819

Re: Право пацієнта отримати свою історію хвороби

Не знаю точно, у нас прийнято відповідати, що медичну документацію не надаємо, видаємо тільки виписки за вимогою.
Андрій-Хірург
17 березня 2015, 13:40
Форум: Хірургія
Тема: Випадіння сигмовидної кишки з ворсинчастою пухлиною
Відповіді: 9
Перегляди: 924

Re: Випадіння сигмовидної кишки з ворсинчастою пухлиною

Думаю, що тільки з промежини не вийде. Варіант: Лапаротомія, акуратна резекція прямої і сигмовидної кишки.

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