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Абсцес придатка яєчка - Урологія - Форум лікарів
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Абсцес придатка яєчка

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Darmidon
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Абсцес придатка яєчка

Повідомлення#1 » 02 серпня 2016, 14:26

77 років, хворіє декілька тижнів, гіпертермія до 39гр, після повного курсу антибіотикотерапії ( цефтріаксон)
Набряк спав, але залишається, при УЗД - абсцес придатка яєчка 22х20мм ( хвіст). Лікування?
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WW_jGgTnWvo.jpg (78.66 Кіб) Переглянуто 542 разів

Бодун
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З нами з: 05 березня 2015, 23:18
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Re: Абсцес придатка яєчка

Повідомлення#2 » 02 серпня 2016, 23:19

Скальпель в руки і вперед. Бачиш гній - випусти його, хіба не так?

Darmidon
Повідомлень: 1055
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Re: Абсцес придатка яєчка

Повідомлення#3 » 03 серпня 2016, 07:32


Аватар користувача
Ілля Пігович
Повідомлень: 1501
З нами з: 18 лютого 2015, 12:05
Спеціальність: хірург
Звідки: Кам'янець-Подільський
Місце роботи: Кам'янець-Подільська міська лікарня №1, хірургічне відділення
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Re: Абсцес придатка яєчка

Повідомлення#4 » 03 серпня 2016, 09:36

Розкрити, дренаж. А що тебе смущає?

Darmidon
Повідомлень: 1055
З нами з: 19 березня 2015, 19:29
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Re: Абсцес придатка яєчка

Повідомлення#5 » 06 серпня 2016, 13:48

Сьогодні прийняв хворого, на 5 добу після початку лікування.
Під УЗ-контролем зробив пункцію абсцеса, отримав гній, мазок на туберкулез, при якому лікування пункціями протипоказано.
ЦИпрофлоксацин, диклоберл.
Стан поліпшився, апетит.
Ось непогана лекція: http://uroweb.ru/urology-in-frame/id-215
Вкладення
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zI_Xp2LbL8U.jpg (45.03 Кіб) Переглянуто 523 разів
nnwTDagEBf0.jpg
nnwTDagEBf0.jpg (51 Кіб) Переглянуто 523 разів
oGxHk98bFTw.jpg
oGxHk98bFTw.jpg (144.43 Кіб) Переглянуто 523 разів

Аватар користувача
Ілля Пігович
Повідомлень: 1501
З нами з: 18 лютого 2015, 12:05
Спеціальність: хірург
Звідки: Кам'янець-Подільський
Місце роботи: Кам'янець-Подільська міська лікарня №1, хірургічне відділення
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Re: Абсцес придатка яєчка

Повідомлення#6 » 07 серпня 2016, 10:53

Ну молодець, добре що УЗД займаєшся додатково.

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