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PUNCHING A STOMACH ULCER OR A DUODENUM (first 6 hours after perforation)

Antimicrobial Selection

Drugs of choice: cefazolin, cefuroxime.

Alternative drugs: amoxicillin / clavulanate, ampicillin / sulbactam, cefotaxime, ceftriaxone, ampicillin + gentamicin.

Duration of therapy: in the absence of risk factors and manifestations of a systemic inflammatory reaction - 48-72 hours. In the presence of risk factors for infectious complications, depending on the specific clinical situation, the use of AMP should be continued. In case of inefficiency of starting therapy, switch to an alternative mode.
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PUNCHING GASTRIC OR TWELVE ULCER (first 6 hours after perforation)

  1. Perforated gastric or duodenal ulcer
    Perforation (perforation) is a difficult and frequent complication of peptic ulcer of the stomach or duodenum. The “perforated” peritonitis progressing at the same time proceeds so quickly that a belated or incorrect diagnosis is equivalent to a death sentence with negligible chances of salvation. Perforation of ulcers, as well as their exacerbation, is more often observed in winter and spring. Often for
  2. Nutrition for diabetes mellitus with diseases of the gastrointestinal tract (gastritis, peptic ulcer of the stomach or duodenum)
    In the diet for diabetes with diseases of the gastrointestinal tract, it is necessary to comply with all the requirements for the nutrition of a diabetic. However, it is necessary to spare the gastric mucosa. In order to avoid its mechanical, chemical and thermal irritation, all dishes are cooked in a boiled and steamed form. The fractional diet is 5-6 times a day. RECOMMENDED
  3. Perforated ulcer of the stomach and duodenum
    Perforated (perforated) ulcer of the stomach or duodenum - the formation of an opening in the wall of the stomach or duodenum in a pre-existing ulcerative defect and the entry of gastrointestinal contents into the abdominal cavity. ETIOLOGY AND PATHOGENESIS A perforated ulcer is preceded by an exacerbation of a peptic ulcer or the development of an acute ulcer. Perforations contribute to: ¦ alcohol intake; ¦
  4. GASTRIC AND TWELVE ULCER DISEASES
    Since about 200 years ago, Crewellier attracted the attention of doctors to gastric ulcers, interest in this disease has been steadily increasing. Approximately the same applies to duodenal ulcer described in detail much later (Moynihan, 1913). Peptic ulcer is now understood as a common, chronic, recurring, cyclically occurring disease in which
  5. Perforated ulcer of the stomach and duodenum
    There are perforations of chronic and acute ulcers. By localization, gastric ulcers (lesser curvature, anterior and posterior walls, cardiac, pyloric) and duodenal ulcer (bulbar, postbulbar) are found. Perforation can be typical - in the free abdominal cavity or atypical - covered, in an omental bursa, in retroperitoneal tissue. D - ka: There are 3 stages during
  6. Question 21: ULCER OF THE STOMACH AND TWELVE
    —Chronic recurrent disease in which, as a result of disturbances in the nervous and humoral mechanisms that regulate secretory-trophic processes in the gastroduodenal zone, an ulcer forms in the stomach or duodenum (less often two or more ulcers). Etiology, pathogenesis. Peptic ulcer is associated with a violation of the nervous, and then the humoral mechanisms that regulate the secretory,
  7. Perforated ulcer of the stomach and duodenum
    There are perforations of chronic and acute ulcers. Perforation can be typical - in the free abdominal cavity or atypical - covered, in an omental bursa, in retroperitoneal tissue. DIAGNOSTICS There are 3 stages during a perforated ulcer. · The stage of shock (the first 6 hours) is characterized by sharp pain in the epigastric region, which suddenly appeared as a “dagger strike”. Possible vomiting. Celebrate
  8. MEDICAL TACTICS AT FULL PERFORATION OF THE UTERUS BY AN ASPIRATION CURETTE OR RADIONUCLIDE METROSTAT
    Perforation of the uterus with a vacuum curette or radiation metrostat with incorrect follow-up actions by a doctor can lead to serious complications from the small and large intestines. There are certain differences between these two types of perforation. If perforation occurs during vacuum aspiration, the small intestine can be drawn into the hole of the curette and then through the perforation
  9. Nutrition for peptic ulcer of the stomach and duodenum
    In order to create maximum peace of the stomach and duodenum, you need to eat 5-6 times a day. Take food in small portions, slowly, without rushing. At night, it is best to slowly drink a glass of warm milk. In order to eliminate pain and neutralize the gastric juice, which irritates the gastric mucosa, you must also drink a glass of warm milk and eat
  10. Sample menu for a week with peptic ulcer of the stomach and duodenum (diet 16)
    This therapeutic nutrition is recommended for patients with peptic ulcer of the stomach and duodenum, acute gastritis and chronic gastritis with preserved secretion after cancellation of diet 1a. MONDAY First breakfast: porridge, rice, milky mucous membrane, omelette, milk. Second breakfast: milk, curd cream or yogurt cream. Lunch: oatmeal soup, boiled meat soufflé, mashed potatoes
  11. Sample menu for a week with peptic ulcer of the stomach and duodenum (diet 1a)
    MONDAY First breakfast: mucous rice porridge, scrambled eggs, milk. Second breakfast: milk. Lunch: milk oatmeal soup, boiled meat soufflé, dried fruit compote. Snack: milk, soft-boiled egg. Dinner: buckwheat porridge, milk mucous, soft-boiled egg, milk. At night: milk. TUESDAY First breakfast: milk semolina, scrambled eggs, milk. Second breakfast: milk. Lunch: rice soup
  12. Hollow organ perforation
    Free gas detected under the diaphragm may be the result of a process occurring above or below the diaphragm. Barotrauma of the lungs can lead to the penetration of air into the abdominal cavity, making it difficult to diagnose perforation of hollow organs in patients undergoing mechanical ventilation. When free air is detected below the diaphragm as a result of perforation of the abdominal organs, the most likely
  13. Perforation
    Physical blocking Perforation, or perforation, is the formation of a through hole in the wall of a hollow organ. Emotional blocking Perforation occurs in a person who feels pierced through by some event or person. He has the feeling that someone wants to take part of his body or soul. Mental blocking. Your body wants you to look at the situation.
  14. Perforation of the eardrum. H-72.
    {foto85} Treatment outcome: Clinical criteria for improving the patient's condition: 1. Normalization of temperature. 2. Normalization of laboratory parameters. 3. Improving the clinical symptoms of the disease (pain, hearing loss, ear discharge, drum repair
  15. Central perforation of the eardrum. H-72.
    {foto86} Treatment outcome: Clinical criteria for improving the patient's condition: 1. Normalization of temperature. 2. Normalization of laboratory parameters. 3. Improving the clinical symptoms of the disease (pain, hearing loss, ear discharge, drum repair
  16. Other perforations of the eardrum. H-72.8
    {foto89} Treatment outcome: Clinical criteria for improving the patient's condition: 1. Normalization of temperature. 2. Normalization of laboratory parameters. 3. Improving the clinical symptoms of the disease (pain, hearing loss, ear discharge, drum repair
  17. Unspecified perforation of eardrum. H-72.9
    {foto90} Treatment outcome: Clinical criteria for improving the patient's condition: 1. Normalization of temperature. 2. Normalization of laboratory parameters. 3. Improving the clinical symptoms of the disease (pain, hearing loss, ear discharge, drum repair
  18. Hematoma, abscess, perforation of the nasal septum
    The cause of hematoma of the nasal septum, as a rule, is a nose injury, in which hemorrhage occurs between the cartilage or bone plate of the septum, on the one hand, and the mucous membrane, on the other. In rare cases, the formation of a hematoma is possible with infectious, especially viral, diseases. More often hematomas of the nasal septum are found in middle and older childhood.
  19. Perforation of the tympanic membrane in the region. Attica. H-72.
    {foto87} Treatment outcome: Clinical criteria for improving the patient's condition: 1. Normalization of temperature. 2. Normalization of laboratory parameters. 3. Improving the clinical symptoms of the disease (pain, hearing loss, ear discharge, drum repair
  20. Other marginal perforation of the eardrum. H-72.2
    {foto88} Treatment outcome: Clinical criteria for improving the patient's condition: 1. Normalization of temperature. 2. Normalization of laboratory parameters. 3. Improving the clinical symptoms of the disease (pain, hearing loss, ear discharge, drum repair
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