referat abdomen akut
TRANSCRIPT
5/11/2018 Referat Abdomen Akut - slidepdf.com
http://slidepdf.com/reader/full/referat-abdomen-akut 1/18
!&&
,,9 ,-/4203 ,9,: ,,9 507:9 203,2-,7,3 0,/,,3 38 ,-,9 0,,9,3 /
743, 507:9 ,3 -,8,3, 92-: 203/,/, /03,3 307 80-,, 0:,3 :9,2, ,,9
,-/4203 20207:,3 503,3,3,3 8007, ,3 8073 -07: 5, 93/, -0/, 28,3, 5,/,
4-897:8 507147,8 ,9,: 507/,7,,3 2,81 / 743, 507:9 2,: 5:3 / 8,:7,3 .073, 3108
4-897:8 ,9,: 897,3:,8 8,:7,3 .073, /, 5,9 2030-,-,3 507147,8 ,3 203,-,9,3
439,23,8743,507:94088,:7,3.073,803,907,/,50794398
0 5:9:8,3:39: 20,:,393/, -0/,,7:88007,/,2-,703,809, 50907,2-,9,3
,,32032-:,3503:9 ,3 -07,-,92033,93,247-/9,8/,32479,9,8 090 5,9,3
/,3488 /,3 503,3:,3,33, -07 ,39:3 5,/, 02,2 5:,3 20,:,3 ,3,88 20,:
,3,23088502078,,318/,3502078,,3503:3,3!0309,:,3,3,942/,31,,507:9
-08079, 83,8,3,950393:39: 20337,38,9:/028,9:/,702:33,3 5030-,-
307507:9,:9
5/11/2018 Referat Abdomen Akut - slidepdf.com
http://slidepdf.com/reader/full/referat-abdomen-akut 2/18
!$
3,942
,,3 ,-/4203 507:9 8073 /-, 203,/ ,70, -07/,8,7,3 5488 /,7 ,78
47439,/,3,78;079,,3202-,-,,-/4203
,,3 ,-/4203 :, /, 5,9 /-, 203,/ -,,3 -07/,8,7,3 5488 /,7 8,9: ,78
47439,/,3,78;079,,3202-,/,07,,-/4203
# %&!!# "&# % %&!!# "&# %
,9,39:302 50/:5,7:084 5,:8 ,9 ,39:3 084 5,:8 5,7: 5,7:
5,3.70,821,,2-:3
# %# "&# % %# "&# %
&8:8 ,7 /:4/03:2 :8:8 -08,7:8:80.,3/:30270.9:290898
,3:8
3:8 70.9:2 90898 3,:8:80.:8:8 -08,7
# %
!# #
!$%# # %
!# #
5,7:,9 0841,:8 ,39:35,7:,9 ,39:35,7:
# %&# # &# %&# #
,39:302 50/::8:8 ,7
/:4/03:2
,2-:35,3.70,8:8:80.
:8:8 ,7/:4/03:2
,2-:35,3.70,8:8:80.
21,
# %# !$%# # %#
&8:8 -08,7,3/:302:8:8 -:39:
3,:8:8 -08,7709:2,3:890898
3,:8:8 -08,7
5/11/2018 Referat Abdomen Akut - slidepdf.com
http://slidepdf.com/reader/full/referat-abdomen-akut 3/18
5/11/2018 Referat Abdomen Akut - slidepdf.com
http://slidepdf.com/reader/full/referat-abdomen-akut 4/18
07!07:9
, 03807!07:9
0:,3,32034345,/,,,9,-/4203,/,,30707507:93/, 5,9 -07: 5,
307 ;807, 2,: 5:3 307 842,9 /,3 /, 5,9 -07,8, /,7 -07-,, 574808 5,/, -07-,,
47 ,3/743,507:9,9,:/:,7 743,507:928,3,/743,/,/,
07'807,
07;807,907,/ -,907/, 5,97,38,3,35,/,47 ,3,9,:897:9:7 /,,2743,
507:928,3,,703, .0/07,,9,: 7,/,3 !079430:2 ;807, ,320302:947 ,3
507:9 / 5078,7,1 40 88902 8,7,1 494342 /,3 9/, 50, 907,/, 5 7,-,,3 ,9,:
5024943,303,3/02,38,,9,3,9,:503,9,35,/,:8:8/, 5,9/,:,39,3 5,
907,8,40 5,803 ,3 909, 5 -,/,:,3 9,7,3 70,3,3,9,: 907,/4397,8
,3 -070-,3 5,/, 4949 ,3 2030-,-,3 802, 80 5079 5,/, 4 ,9,: 7,/,3
,,392-:307!,803,3207,8,,3307;807, -,8,3,9, /, 5,9203:3:,3
80.,7,90 5,909, 307803, -,8,3,203:3,,380:7:90, 5, 9,3,33,:39:
203:3: /,07,,3307
5/11/2018 Referat Abdomen Akut - slidepdf.com
http://slidepdf.com/reader/full/referat-abdomen-akut 5/18
07 ;807, 202 507,9,3 54, ,3 ,8 808:, /03,3 5078,7,1,3 02-743,
47 ,3 -078,3:9,3$,:7,3.073,,3 -07,8,/,7:8:8/0 5,3 1470:9 ,9:,2-:3
/:4/03:2 88902 0 5,94-07 /,3 5,370,8 2032-:,3 307 / :: ,9 ,9,:
0 5,897:2 ,,3 8,:7,3 .073, ,3 -07,8, /,7 :8:8 903, 2/:9 ,9: :8:8
,:8 /,3 :8:8 -08,7 8,2 5, 507903,,3 443 97,38;078:2 2032-:,3 307 /
809,7 :2-:8 ,,3 8,:7,3 .073, ,33, ,9: 507903,,3 443 97,38;078:2
8,2 5,/03,3443 824/ ,3 -07,8,/,7:8:8 -0,,3 3/:9 2032-:,3
307 / 507:9 -,,3 -,, 02,3 :, 307 /,7 -:-: /,3 70894824/
,703, 9/, /8079, 7,38,3 5079430:2 307 3 9/, / 503,7: 40 07,,3
803,503/079, -,8,3,/, 5,9,91 -07 07,
07$42,9
07 842,9 907,/ ,703, 7,38,3,3 5,/, -,,3 ,3 / 5078,7,1 40 8,7,1
90 528,3, 70,3,3 5,/, 5079430:2 5,709,8/,3 :, 5,/,/3/3 507:9 07
/7,8,,3 80 5079 /9:8: ,9,: /8,,9 /,3 5,803 /, 5,9 203:3: 09, 307 /03,3
,73,80.,7,90 5,9# ,38,3,32032-:,33073/, 5,9 -07: 5,7,-,,390,3,3
7,38,32,,9,:5748087,/,3
080,3 ,39,7, ;807, ,3 207,/,3 ,,3 2032-:,3 7,38,3,3 5079430:2
/,3 2030-,-,3 307 !07,/,3,33, 803/7 2,: 5:3 080,3 ,39,7, 0/:,
5079430:2 /, 5,9 2030-,-,3 507:-,,3 390389,8 307 080,3 3, ,3
2032-:,3 307 4397,,907, 5,/, , 503/898 ,:9 $09, 5 07,,3 503/079, -,
5/11/2018 Referat Abdomen Akut - slidepdf.com
http://slidepdf.com/reader/full/referat-abdomen-akut 6/18
-07: 5, 07, 9:-:2,: 5:3 07, 3, 5,8 ,3 /,,2 ,9,: -,9:,,3 203,2-, 7,8,
307803,503/079,,,9507:9 ,3/8079,7,38,35079430:2 -07:8,,:39:
9/, -07 07, -073, 5,8/,3,/,3203,,3 -,9:
!030,8,39039,309, 30781,9307/,3:-:3,33,/03,30,,,3,,3
8,3,9202-,39:/,,22030,,3/,3488
- 09,07!07:9 07 ;807,/,78:,9:47 ,3 -,8,3,808:, 09,3,/03,3,8,47 ,3 90780-:95,/,
2,8,02-743,80/,3,3 09, 307842,9 -,8,3,/0,9/03,347 ,38:2-07 307
803,70,91 2:/,203039:,35030-,-3,
09, 7 ,3
-/4203,3,3,9,8 ,3/:302 50/:,9/:4/03:25,370,8
4435,7:24,7/
5,897:2 ,2-:35,370,8/:4/03:25,7:443
-/42037,9,8 2 5,4433,5,370,85,7:
-/4203,3,3-,, 503/8,/308,80:20:2:70907
-/42037-,, 443,/308,:70907
$:57,5:- :-::907:8:8:8,:8
!07:2-, &8:8,:8!3,35:3:3 !,370,8,479,3,
,: ,17,2,
. $1,907
07/,8,7,3 09, ,9,: 5030-,7,33, 307/, 5,9 -0781,9 307,/,3 307 ,3
/ 57408,3&39: 503,99079039:20:,83,7,8,307/, 5,9202-,39:2030,,3
/,3488 07 -07 ,8 203,,7 0 53,3 /,3 0 ,7, -0,9 8, 5:, 307
5,3.70,998 /7,8,,3 20302-:8 0 53,3 07 5,/, -,: 203:3:,3 ,/,3,
7,38,3,35,/,/,17,2,
07
5/11/2018 Referat Abdomen Akut - slidepdf.com
http://slidepdf.com/reader/full/referat-abdomen-akut 7/18
07 , 907,/ , 8:,9: 80203 5078,7,1,3 20,,3 0- /,7 8,9: /,07,
8,3, /,17,2, ,3 -07,8, /,7 704 007 53/, 0 -,, 5,/, 2,8,
02-743, 803, 7,38,3,3 5,/, /,17,2, 40 507/,7,,3 ,9,: 507,/,3,3 ,,3
/7,8,,3 / -,: 02,3 :, 5,/, 4088998 ,:9 307 /7,8,,3 / /,07, ::3
-0,9 -808 / -,, /,17,2, ,9,: 7,38,3,3 ,703, 7,/,3 ,9,: 97,:2, 5,/,
5072:,,3,9,8 2 5,,9,:,9 :,/, 5,9203,-,9,3307/ -,: 4 :70907 ,9,:
4 50:2 3, -,8,3, /7,8,,3 8,2 5, 0 ,,90,23 :,7 80 5079 ,-:2 2,47
,9,:90898 ,/,330738:,7 /-0/,,3/,7307,
07!7408
07 57408 ,/,, 307 ,3 /80-,-,3 40 7,38,3,3 8,7,1 803847 ,-,9
.0/07,,9,:507,/,3,38,7,14394,390703,,,3071,39428090,,2 5:9,8,9,:
307 507107 80902 5,9 5,/, 07 508 48907 # ,/,3 8,7,1 3 5,/, 07 508 48907 /, 5,9
2030-,-,33070-,9//3/3507:980-0:20,,,9,: 9,3/,07 50848907 203,/
0,8/,37,8,3073/, 5,920309, 5 -,,38090,503,93,8:/,802-:
50708908,
50708908, ,9,: 507,08, 8073 /902:,3 / :9 , ,/, 507,/,3,3 5,/,
743,/ -,,3, !,/, ,,9 ,-/4203 50708908, 8073 /902:,3 5,/, 507943984,2,: 5:350794398:2:2
07 5079430:2 5,709,8 /7,8,,3 90 5,9 5,/, 902 5,9 907,38,33, 5079430:2
803,503/079,/, 5,9203:3: /03,3 90 5,9/,35,/, 902 5,9 9: 907/, 5,9307 90,3
307 07, 307 -,9: 307 0 5,8 8079, 9,3/, 7,38,3 5079430:2 ,3 /,3 /01,38
2:8:07 ,38073/8079, 5078908,:980902 5,9
07 ,3 92-:5,/,5,803,,9,-/4203/, 5,9 -07: 5,307 ,3 907:820307:8
4393:,9,:307,3 -0781,94
074393:
07,-,97,38,3,35,/,5079430:25,709,0,,3/7,8,,3907:820307:8,703,
574808 -07,38:3 907:8 28,3, 5,/, 70,8 7,/,3 !,/, 8,,9 502078,,3 503/079,
50794398 /902:,3 307 90,3 80902 5,9 949 /3/3 507:9 203:3:,3 /01,38
5/11/2018 Referat Abdomen Akut - slidepdf.com
http://slidepdf.com/reader/full/referat-abdomen-akut 8/18
2:8:074397,8/3/3507:9,3907,/80.,7,70108:39: 203/:3 -,,3,3
207,/,3/,790,3,380902 5,9
074
4 207: 5,,3307 ;807,,-,9 8 5,8204949 544847 ,3 -0743,/,3 -,8,3,
/80-,-,340,2-,9,3 5,8,8047 ,3 90780-:9 4-897:8:8:8 -,9::70907 -,9:02 50/:
5033,9,3 90,3,3 397,:203 07 3 92-: ,703, 548, ,3 /,,2 40
,73,3/3/3 8,:7,3 ,703,4397,8 3 -070/,4 /7,8,,3 ,3 92-: ,80
,,,3:,3503/,7,,3/3/3:8:8 :, -07: 5,3074
$07,3,34 -,8,3,/8079,507,8,,32:, -,,38,2 5,2:39,$,,9807,3,3
5,803 8,3,9 08,,/,3 8,2 5, -07 :3:3/ 902 5,9 9/:7 ,9,:/ ,,3 ,3
,8 ,,97,84 ,3907/7,9,8807,3,3307507:9,3:2,9,3/8079,2:,,9,:
2:39,/03,307, 5,8,
07802
07 507:9 /, 5,9 :, -07: 5, 307 802 ,3 8,3,9 0-,9 20309, 5 /,3 9/,
203:7:907 3207: 5,,39,3/,,/,3, ,73,3,3907,3.,23074880- ,3:9
,,3 9,2 5, 9,3/, 3948,8 :2:2 80 5079 9,,7/, 20748493, 0,/,,3 :2:2 /,3
84 ,703,70847-89483/,7 ,73,3307488
07!3/,
07/, 5,9 -07:-,808:,/03,350702-,3,35,944!,/,9,, 5,,, 503/898
80-0:2 7,/,3 203., 5, 5072:,,3 5079430:2 307 ;807, /7,8,,3 / 809,7 5:8,9
/8079, 7,8,2:,,703,, 503/8 9072,8: :8:8 903, $090, 7,/,3 907,// 80:7:
/3/3 9072,8: 5079430:2 ;807,0 907,/ 307 ,-,9 7,38,3,3 5079430:2 ,3
207: 5,,3307 842,9 !,/, 8,,9 3 307/7,8,,3 90 5,9 5,/, 09, 5079430:2 ,3
207,/,3 ,9: / 507:9 ,3,3 -,, , , 503/8 02:/,3 203,,2 307488 /,3
,3703 , 503/898 ,370348, 307 -07:-, , 203,/ 307 802 ,3 0-,9
20309, 5/,39/, 203:7:902:/,3503/079,/, 5,9 ,9:/,,20,/,,39488
!,/, 507147,8 9:, 50 59 /:4/03:2 8 /:4/03:2 ,3 907/7 ,9,8 .,7,3 ,8,2
/7447/, /,3 02 50/: 2,8: / 743, ,-/4203 ,3 8,3,9 207,38,3 5079430:2
5/11/2018 Referat Abdomen Akut - slidepdf.com
http://slidepdf.com/reader/full/referat-abdomen-akut 9/18
80902 5,9$8,9207,8,8,3,9307/ 902 5,97,38,3,3 9: ,9:/507:9 -,,3,9,8
$090, -0-07, 5, ,9: .,7,3 8 /:4/03:2 203,7 0 ,3,3 -,, 20,: ,,3 /
80-0, ,907, 443 ,803/038 8,2 5, 0 902 5,9 0/:, ,9: 743, 507:9 ,3,3 -,,
809,7 80:207 9::7,39,,2/,3:7,30-,9/-,3/3,33075079,2,,703,
907,/50303.07,3!,80380732030: -,,307 ,32:,/::,953/,0
,3,3 -,, !74808 3 -07-0/, 80, /03,3 574808 307 5,/, , 503/898 ,:9 ,3
909, 50/:,0,/,,3 3, 503/898,:92,: 5:3 507147,8 ,2-:3,9,:/:4/03:2,,3
203,-,9,3 50794398 5:7:039, :2:2 , 9/, 8007, /9,3:,33/03,3 93/,
-0/,
:,07/,307,93,
,,2,3, -072:,3,807,3,3307/, 5,9203,2-,7,38:2-07 30707/, 5,9
9-,9-, 0-,9 ,9,: 80.,7, .0 5,9 203,/ 0-,9 909, 5/, 5,9 5:, 80.,7, -079,, 5 802,3
3078,3,5,/,507147,847 ,3,3 -0743,7,38,3,35079430:2,-,9,92,
,,3/7,8,,3 0-.0 5,9/-,3/3,3574808 31,2,8 -,90702,35:, 390389,8
3073,
$047,3 ,3 80,9 9-,9-, 207, 5,8,,3 307 507:9 0-,9 /, 5,9 /80-,-,3 40
,/,3, 8:2-,9,3 507147,8 ,9,: 5:397,3 07 ,3 -079,, 5 2,3 0-,9 -,8,3,
/80-,-,3405748087,/,328,3,5,/,408998,:9,9,:5,370,998,:9
!488!,803
!488 5,803 /,,2 :8,, 203:7,3 307 9079039: /, 5,9 203,/ 509:3: !,/,
5,370,998 ,:9 5,803 ,,3 -07-,73 5,/, 88 80-0, 7 /03,3 108 5,/, 9:,3
-0,,3 5,3: /,3 :9:9 ,/,3 503/079, ,,3 /:/: -:3: /03,3 108 803/
5,3: /,3 :9:9 !03/079, ,-808 ,9 -,8,3, -07,,3 80/9 202-:3: /03,3
2030,3 /,07, 507:9 -,,3 ,9,8 80,,3,,3 20303/43 ,-8083, !,803 , 503/898
,:9 ,3 09,3, 7097480:2 .03/07:3 -07-,73 /03,3 108 5,/, 803/ 5,3:
80-,, :8,, 2002,8,3 4949 584,8 ,3 90779,8 ,,9 ,-/4203 ,-,9 79,8 5,/,
/,17,2, ,,3 2030-,-,3 5,803 0- 207,8, 3,2,3 /,,2 5488 80903, /:/:
,3202:/,,3 -073, 5,8!,803507943984,,9,::2:29/, /, 5,9 -07 07, ,703,
30780/,3,3503/079,4 907 5,8, -07 07,07, ,703,3073,
5/11/2018 Referat Abdomen Akut - slidepdf.com
http://slidepdf.com/reader/full/referat-abdomen-akut 10/18
!02078,,3
, 3,23088
,,2 ,3,23088 503/079, ,,9 ,-/4203 507: /9,3,,3 /,:: 5072:,,3
92-:3,307 , 5,32:,203/,/,,9,: -07,38:7 09,3, 20309, 5 53/,,9,:
-07,0 5,7,,33,/,381,93,80 5079/9:8:90,3,3907-,,778,3 -0781,94
507:-,,33, -,3/3,3/03,3 5072:,,3,2,3,, 5,, -07,,/,3 1,947 , 5,,
,3 20203,7:3, ,/,, ,3 202 5073,3 ,9,:202 507-07,9 80 5079 8, 5 9:-:
2,,3,323:2,33, 5,8/,,2 -,9: -0783/010,828 ,7:8/9,3,,3, 5,,
5,8038:/,5073,203,,230780 50793
:39, 8073 /902:,3 5,/, 503/079, ,,9 507:9 !,/, 4-897:8 :8:8 93
2:39, 9/, ,,3 -07039 2,,,3 -,8,3, -079,2-, 0-,9 $02-09 4389 5,8
//, 5,9,35,/,4-897:8:8:8 -08,7 /,35,/,50794398:2:2
07 90,3 //, 5,9,3 5,/, 09, 79,8 5079430:2 , ,/, 7,/,3 5079430:2
80902 5,9 /902:,3 9,3/, 7,38,3 5079430:2 ,3 8073 /8079, /01,38 2:8:07
!079,3,,3 20303, /010,8 28 /,:7 ,/ /,3 0,, ,3 80 5079 0,/,,3 80-0:2
/807,39,3/,,,9507:9,7:8/2,8:,3/,,2,3,23088
- !02078,,38
!,/, 502078,,3 18 507: / 507,9,3 0,/,,3 :2:2 ,, /03:9 3,/ 5073, 5,8,38:: -,/,3/,38, 5 -,730,,/,39,3/,/0/7,8507/,7,,384/,3
3108,9,:80 588 :,507:/ 507,9,3
&2:2
38 508:2:2
%,3/,88902
$:: -,/,3709,/,3,8,7
-/4203
38 508
:8:9,8
07 -,9:
!07:8
0793:88/,34894;0790-7,
5/11/2018 Referat Abdomen Akut - slidepdf.com
http://slidepdf.com/reader/full/referat-abdomen-akut 11/18
!, 5,8
01,382:8:07
!, 5,8/,,2
%,3/,/,3& :8:8
!39:073,
03,7 90898
44 /:-:7;,3,
3:8/,370.9:2
!,3:/,,2
!,/, 502078,,3 507:9 38 508 207: 5,,3 -,,3 502078,,3 ,3 50393
:8:9,8/,/,,3 80-0:2/,:,3 507:8/,3 5, 5,8 5,9 5,,/,3 902 5,9073,
,3/ 5078,80.,7,:8:8&2:23,/-:9:,3.44 /:-:7 :39: 202-,39:5030,,3
/,3488
!02078,,3 -,,3 507:9 ,3 8:,7 /., 5, 80 5079 /,07, 70974 5079430, 704
8:-1703/,35,3:/, 5,9/., 5,80.,7, 9/, ,38:3/03,3: 9079039:03,3:
4 584,8 /, 5,9 / 50740 31472,8 20303, 704 70974 5079430, /03,3 : 4-9:7,947
//, 5,9 31472,8 20303, 0,3,3 / 5,3: /,3 /03,3 507:8 93: /, 5,9 /., 5,
70438:-170303,3203,7 908980,7,,:/,/, 5,9/., 5,/,07,/,8,7 5,3:!,/, 5,803/03,30:,3307 507:9:2:23,,7:8/,:,3 502078,,3 .44
/:-:7 /,3502078,,3;,3,
07 ,3 /1:8 5,/, 5,9,3 5079430:2 / ,;:2 /4:,8 :7,3 202-07,3
31472,85,/,507943982:733075,/,8,9:88203:3:,3,/,3,0,3,3//,07,
5,3: 8 50079 , 503/898 ,-808 ,9,: ,/30898 44 /:-:7 /, 5,9 5:, 202-0/,,3
,39,7,4-897:8:8:8/03,35,7,88:8:8,703,5,/,5,7,88/:2 5,,2 5:,709,3
200-,7 80/,3,3 5,/, 4-897:8 :8:8 ,2 5:, -,8,3, 4, 58 !02078,,3 ;,3,
203,2-,31472,8:39: 02:33,30,3,35,/,,,90,23/,,250702 5:,3
%,3/ ,502078,,3 18 5,/ ,-07 -, , ,2-,7 ,3 ,,9 ,-/4203
0,/,,3 %,3/,3850393
, 507147,8 8,:7,3
.073,,9,:8,:7,3,3
!07:9 9,2 5, .0:3 ,, 90,3 -:3 :8:8 :7,3 ,91
,3:950, ,9,330790,3/01,382:8:07
5/11/2018 Referat Abdomen Akut - slidepdf.com
http://slidepdf.com/reader/full/referat-abdomen-akut 12/18
!0794398 !03/079,9/, -07 07, -:3:8:8,3 ,3:9307 -,9:
307 07,307 0 5,8/01,382:8:07 9,3/, 3108:2:2
0,/,,3:2:22074849
,88,3108,9,:,-808 ,88, 307 ,-/4203 50;8 709, 307 93: : 4,
584,89,3/,:2:27,/,3
-897:8:8:8 89038 507:9 50789,88 0-,9 4 :8:8 ,3 9,2 5, /
/3/3 507:9 907/03,7 -47-472 /,3 907,8, 40
503/079,,3 -07 07,9/, ,/,7,38,3,35079430:2
0:85,7,9 89038 -:3 50789,88 :7,3 ,9,: ,3 9/, ,/, 307
90,3 4, !,/, 802,897,3:,8 /89038 9/, 0,8
,2, -:3:8:82:33,/,3070-,980,30790,3
:7,3 0,8 ,03,:8:82:330:,7 /,7,/,770.9:2
9,3/,9488
!07/,7,,3 !:.,9842:33/89038 -07/03:9 ,,30:782,,479,
307 90,3 4,5,/,0,2,3094 5.,7,3 -0-,8 50,
0807,302,
. !02078,,3!03:3,3
!02078,,3 503:3,3 ,/,3 507: :39: 202 5072:/, 203,2- 0 5:9:8,3
28,3, 502078,,3 /,7, :73 /,3 10808 ,/,3 507: :, /,:,3 502078,,3
# 403903,9,:03/484 5
0-07, 5, : ,-47,947:2 9079039: /,:,3 ,39,7, ,3 3, 0244-3 /,3
02,9479:39: 20,902:33,3,/,3, 507/,7,,3,9,:/0/7,8 9:3 0:489
/, 5,9 203:3:,3 ,/,3, 574808 507,/,3,3 9:3 9742-489 /,3 1,947 4,:,8
800,3/ 507:,3:39: 5078, 5,3 -0/, :,/, 5,9202-,39:2030,,302:33,3
/02,2 -07/,7,,3202-07,30,,27 5,,9507:9
!03.97,,3/,3489 ,3 507:/,:,3 -,8,3, 1494,-/4203:39: 202,89,3
,/,3, 9,3/, 50794398 :/,7, -0-,8 4-897:8 ,9,: 5,7,88 :8:8 !02078,,3
:97,84347,18,3,9202-,39::39: 2030,,3/,34880,3,3,98,:7,302 50/:
/,35,370,8 503/898,:95:3/, 5,9/ 5,89,3/03,3:97,84347,1803,/, 5,9
/3/,7502-0/,,3,39/, 507:
5/11/2018 Referat Abdomen Akut - slidepdf.com
http://slidepdf.com/reader/full/referat-abdomen-akut 13/18
' ,3488
3,23088 203,3/:3 /,9, :3. ,3 /, 5,9 203,7,,3 /,3488 ,,9 507:9
$1,9 09,/,3507 53/,,3307207: 5,,30,, ,35039302,3 :,2:39,
0,3,3 /010,8 /,3 802-09 /,3, 84 307 90,3 /01,38 2:8:07 /,3 507:9
02-:3,7:8/ 507,9,380-,,0,,/,39,3/,50393
,/,3/902:,3,,9507:9/03,3503/079,,3,38:3538,3!38,3/, 5,9
/80-,-,3 40 307 0-,9 80 5079 5,/, ,, 4 02 50/: 507147,8 9:, 50 59
4-897:8 :8:8 ,:8 ,:9 507147,8 ,:9 , 503/8 0,2,3 094 5 907 ,3: /,3
5,370,998,:9,,20,/,,3 380,:,7:8/ 57,302:33,3507/,7,,3 ,3
-,3,
$1,9307 .,7, 92-:3, 5,/, 5072:,,3/,3 507,,3,3 80,3:93, 8,3,9 50393
:39: 2030,,3/,3488 07 ,3 92-:203/,/, /,3 9/, 9079,,3,32:33
207: 5,,34 :70907 4 02 50/: 9,3/, 31,7 ,39:3 9,3/, 507147,8 9:, 50 59
,9,: 7: 59:7 ,479, ,-/423, 07 0-,9 ,3 92-: 8043434343 02:/,3
802,3 0-,9 /, 5,9 /80-,-,3 40 5,370,998 ,:9 9742-488 ; 20803907, ,9,:
0,2,3094 5 ,350.,
07/5:8,9
, 907/, 5,9307 80397,0-,9 907 5:8,9/ 507:9/, 5,9/ 57,302:33,3 9,, 5,, 4-897:8:8:8 ,:8 , 503/898/,3 5,370,998,,: 5:3 ,3 907,7 3 ,7,3
80, /902:,3 , 80,9: 503,2,9,3 907,/ 50702-,3,3 38 80 5079 03,,3
8::2:39,,9,:30790,34,/,3488,,30- 0,8
,307/ 5:8,9 ,30-,9 3/:9/03,3 84,7:8/ 57,302:33,3
;4;::8:8:8,:80,2,3094 5 ,3 907 ,3:5,370,998,:94:8502-::
474307 4:8 ;03, 20803907, ,73, ,9,: ,30:782, ,479, ,3 74-0 ,9,: 50.,
,7,3
, 5,/, 503/079, 3 :, /902:,3 /01,38 2:8:07 507: / 57,3 507147,8 9:,
50 59 ,9,:507147,88,:7,3.073,
4
5/11/2018 Referat Abdomen Akut - slidepdf.com
http://slidepdf.com/reader/full/referat-abdomen-akut 14/18
07 -0781,94 /8079,2:39,/,3/89038 ,3 2,3 -08,7 909, 5 9,3 5,/01,38
2:8:07 ,3 0,82:33/80-,-,3404-897:8:8:8,:8
074,/,37,38,35079430:24,
07 80902 5,9 /8079, 307 90,3 /,3 /01,38 2:8:07 / 902 5,9 307 -,3,
5030-,-3, 907 ,39:3 09, 307 09, ,3,3 ,9,8 2:33/80-,-,3 40 507147,8
9:, 50 59 /:4/03:2 ,-808 ,9 ,9,: 4088998 ,:9 09, 7 ,9,8 203,7, 5,/,
0,3,32 5,80 50797: 59:731,7 ,39:3,9,:5,370,998,:9047 5,370,890709, /
7 ,9,8 /,3 203., 5, :8 2 5, 09, / ,3,3 -,, 203,7,,3 507,9,3 5,/,
, 503/898 /,3 0,3,3 /,3488 -,3/33, 80/,3,3 5,/, 09, / 7 -,, ,7:8
/ 57,302:33,3,/30898 50;.31 ,22,947/80, 80!,9,:/;079:98
09, 02:33,3
,3,39,8 !07147,89:, 50 59./:4/03:2,-808,94088998,:9
79,8 0,3,32 5,7: 59:731,7 ,39:35,3.70,998,:9
,3,3,, 503/898/,3/,3488 -,3/33,
7,, /30898 50;.31 ,22,947/80, 80,9,:/;079:98
' !030-,-
,,9 507:9 /, 5,9 /80-,-,3 40 0,3,3 / /,,2 ,-/4203 -07: 5, 31,2,8 /,3
503:93, 0:8 4-897:91 802, /,3 507/,7,,3 $0-,,3 0,3,3 /80-,-,3 40
.0/07, ,38:3 ,9,: 9/, ,38:3 ,3 203,-,9,3 507147,8 8,:7,3 .073, ,9,:
507/,7,,3
-897:8:8:8
-897:8 :8:8 ,:8 8073 2032-:,3 307 4 /03,3 2:39, 0-,9 /89038
507:9 /,3 5033,9,3 -83 :8:8 !,/, 503/079, /02,3 ,7:8 / 507,9,3
02:33,3,/,3,073,897,3:,9,:39,0-2034345,/,4-897:893
'4;::8:8:8,:8,, ,7,3/902:,3,8,3,5,/,,3,23088//, 5,9,3307
,3 -072:,,:99/, -07,38:3,2,20309, 5/8079,2:39,0-,9/,35,/,5, 5,8
907,-, 2,88, ,3 307 /,3 -079,2-, -08,7 ,8,3, 503/079, ,9: 0 /,,2 84
3;,3,8 ,2/902:,3 5,/, -, /03,3 807,3,3 307 4 /,3/010,8 -0703/7
5/11/2018 Referat Abdomen Akut - slidepdf.com
http://slidepdf.com/reader/full/referat-abdomen-akut 15/18
/,7, ,88, ,3 2:/, /07,,3 2:,3,/902:,3/ ,3,3 ,: -07 53/, 07
20,:0 5,897:2
0:84-897:8:8:8 -08,7 -,8,3,2030-,-,3807,3,34 ,39/, 907,:0-,9
:39, 9/, 203434 909, 5 /89038 9,2 5, 0,8 !03/079, 9/, /, 5,9 /010,8 ,9,:
1,9:8 /,3 -, 5030-,-3, ;4;::8 824/ 507:9 /, 5,9 -08,7 80, , 5,/, .44
/:-:7 907,-, 2,88,/ 70.9:2 ,9,: 907/, 5,9/,7,/,3 03/7 , 9: 202-,39:/,3488
02:33,3,78342,709:2
!07147,8
!07147,8 9:, 50 59 ,8 /9,3/, 40 507,38,3,3 5079430:2 ,3 2:, /
507,897:2 /,3 20:,8 0 80:7: 5079430:2 ,-,9 50794398 0307,8,9, !07147,8
0:2 5,/, 91:8 -,8,3, 907,/ 5,/, 503/079, ,3 /02,2 80,2, :7,3 0- /:,
23:/8079,3070 5,, -,9:/,32,,80,3/8:8:40307507:930790,3
/01,382:8:07/,30,/,,3:2:2,32074849
!07/,7,,3
$0-,, ,-,9 97,:2, ,-/4203 /, 5,9 907,/ 07:8,,3 5,/, 47 ,3 5,/,9 80 5079 ,9
/,3 2 5, /,3, /,7, /,,2 743, 507:9 2030-,-,3 7,38,3,3 5079430:2 /,3
307,3/, 5,9 -07,3:9203,/,302,0247, /,384 0247,!07/,7,,3 /,,2 743, :8:8 80 5079 507/,7,,3 5,/, ;,7808 084 5,:8 9:,
,2-:3 ,9,: /:4/03:2 498 :807,9;, /,3 /;079.:98 443 /, 5,9 2030-,-,3
0,/,,3,,9,320207:,34 507,88007,
31,2,8
498,2:-,2:339,2 580-,,4980-,9/03,35030:,7,303/7 /,3/,7,
20,:,3:8,9,:2:33/8079,9,3/,507147,8!,/,49830749,380,/,,3:2:2
-,8,3,.0 5,92074849
-808,2:-,,9/9,3/,/03,330780902 5,9502-08,7,3,9/03,3307 90,3
/,3307 -,:
%7,:2,
5/11/2018 Referat Abdomen Akut - slidepdf.com
http://slidepdf.com/reader/full/referat-abdomen-akut 16/18
%7,:2, /, 5,9 203,-,9,3 50.,3, 47 ,3 507:9 /03,3 507/,7,,3 /,3 507147,8
:8:80,703,9:502078,,35,/,47-,397,:2,507:9,7:8/,:,3/03,3.072,9
/8079,,3,230889039,3,7,97,:2,
' ,3488,3/3
0,3,3 47 ,3 /,,2 ,3 9/, 20207:,3 93/, -0/, ,/,3 203.02,8,3
,703,/, 5,992-:9-,9-,/,32030-,-,30,/,,3:2:22074849.0 5,9,390703,
,, ,89740390798 ,:9 530:243, ,:9 3108 ;7:8 ,:9 ,39,7, ,3 /02,2 -07/,7,
/03:0
,3488 -,3/3 ,,9 507:9 :, 9072,8: 0,3,3 0897,,-/4203 ,3
2030-,-,3307/,-/420380 50790,3,3/ 947,828,3,503,9 ,39:35,7:
,9,: 50:7, 0,3,3 30:7403 0,3,3 209,-4 /,3 07,.:3,3 !,/, 0,/,,3 3
0,,9,3/,:2:2/,3307507:98073.:: 5 0,8909, 55,/,502078,,3507:99/,
/902:,30,3,3
,/,3 8:,7 202-0/,,3 0,3,3 ,:9 / 507:9 ,3 /8079, 307 507:9 /03,3
0,3,3 ,:9 / 947,8 ,3 2030-,-,3 307 507:9 &2:23, 5,/, ,3,23088 3,9,
-,, 503,9 47 ,3 947,8 9/, //,:: ,9,: /8079, /03,3 2:, ,9,: 2:39,
0,3,3 507:9 :2:23, 9/, 2:, /03,3 5,3,8 93 ,9,: 203 0.:, 5,/,
, 503/898 /,3 91:8 ,-/423,8 80/,3,3 5,3,8 93 ,3 /8079, 203 ,2/902:,380-,,9,3/,,,0,3,3,:9947,880 507950:798!,/,502078,,3507:9
5:39/, /902:,39,3/,7,38,3,35079430:2
07 507:9 :, /, 5,9 /80-,-,3 40 0,3,3 47 ,3 0,23 /,3 8,:7,3 02
# ,/,3,:95098,9,:543017488079,4 :70907 -,9:,9,::2 5,,3/,7,2:33
2030-,-,39,3/,,327 5,,9507:9
' !0792-,3,3%3/,0/,
0 5:9:8,3 :39: 20,:,3 93/, -0/, 5,/, ,,9 507:9 8,3,9 -07 ,39:3 5,/,
/,3488 , 8:9 /9039:,3 , 5,, / 507:,3 4 507,8 ,9,: 9/, 80-,3, 8 8,9
/ 5,39,:/03,38,8,2,/,3 -07:,3:,3/ 5078,02-,
$02039,7, 9: 8,:7,3 .073, /897,,9,3 /03,3 202:,8,,3 5,803 /042 5708
,2-:3/03,3 502,8,3,3 5 5, ,2-:3/,3 502-07,3 31:8 ,2 57 802:,0,3,3
5/11/2018 Referat Abdomen Akut - slidepdf.com
http://slidepdf.com/reader/full/referat-abdomen-akut 17/18
,-/4203 ,:9 20207:,3 502-0/,,3:39: 203,9,8 5030-,-3,0-07, 5,0,/,,3
80 5079 4088998 ,:9 5,370,998 ,:9 ,9,: 7,/,3 5,3: 5,/, 9,, 5 9079039: /, 5,9
/9,3:,39,3 5,502-0/,,3
%,3/,/,3,8 502078,,3 ,3 8,3,9203443:39: 203:8:,3 502-0/,,3
,/,5,/,9,-0 -07:9
!02078,,318
01,382:8:07:8:83, ,20:,8
0790,3907:9,2, ,20:,8
0302-,33,/89038507:9907:9,2, ,090,3,32033,9
,88,,3307:8:83, ,/8079,8::93,9,: 549038
%,3/,,3207,:,3/8079,/03,3
%,3/,507/,7,,380 507984 /03,3,8/488,302,5747081
%,3/, 80 588 80 5079 5,3,8 93 0:489488 507:-,,3 2039, 9,:9 08,
8423403
%,3/,802,40,3:,3;,8:,7 ,9,:897,3:,8
%,3/,3948,88:: -,/,32033,99,,7/,0:489488
!03/079,202-:7: 80,9:/9,3,3
!02078,,37,/44 !30:24 5079430:2
89038:8:80-,9,3 -079,2-,
897,;,8,8 -,,34397,8
%:247 /8079,8::93
:8;03,,9,:,790720803907,
!02078,,303/484 5
!07147,88,:7,3.073,
!07/,7,,38,:7,3.073,,39/, 907,9,8
,85,7,8039088,9,:, 5,7484 5
,7,80,702 50/:3,3,8:8:8,9,::73
5/11/2018 Referat Abdomen Akut - slidepdf.com
http://slidepdf.com/reader/full/referat-abdomen-akut 18/18
%07/, 5,93, /01,38 2:8:,7 907:9,2, , /01,38 20:,8 /8079, 9,3/, 7,38,3,3
5079430:2 ,3 307 90,3 507:9 ,3 20:,8 ,9,: 02-:3 507:9 ,3 90,3 ,3
-079,2-, -08,7207: 5,,39,3/,,,9507:9,35747081
!07/,7,,3 ,3 2030-,-,3 84 /,3 9/, /, 5,9 /9,3:,3 80.,7, 43807 ;,91
0,8 ,7:8 /4 507,8 !03/079, 83/742 80 588 ,9,: 9,3/, 897,3:,8 :, 20207:,3
, 5,749428007,
, /902:,3 9,3/, 507147,8 8,:7,3 .073, 5,/, 502078,,3 03/484 5 507:
/07,,3 , 5,74942, ,38,2, -07,: ,//, 5,9,3/,7,80,702 50/:3,3,
8:8:8,9,::735,/,502078,,35,7,8039088,9,:, 5,7484 5
' !07/,7,,3,,2# 43,&8:8
!07/,7,,3 3 /, 5,9 /80-,-,3 40 50.,3, ;,7808 084 5,:8 5,/, 5079038
5479, ::8 50 59:2 ,3 207:8, ,7907 /3/3 ,2-:3 ,9,: /:4/03:2 /,3 897088
:.07 ,507/,7,,33 -07:2, -,3, /,3203,3.,2907,/3,088,3:3,8507:
/,:,393/,,34 507,88007,:39: 203039,3507/,7,,3
3,23088/, 5,98,3,9202-,39:/,,2203/:,8:2-07 507/,7,,3/,3,87488
0 5,98 ,3 ,3:9 /, 5,9 2030-,-,3 5079038 5479, /,3 ;,7808 084 5,:8 # ,,9
::850 59:2 -,8,3, 0,8 :,/, 5,9/03/,,3/03,3.,7,2,,3 ,3/,3:7,3/,34-,94-,9,3/:3,,3$97088:.07 /,9,3/03,384 -07,9,-,9.0/07,0 5,,
:, -,,7,9,:97,:2,
841,4,897484 5/, 5,9202-,39:20302:,38:2-07 507/,7,,3
%3/,,34 507,8/9::,3:39: 203039,3 507/,7,,3 :3,203.0,02,9,3
-:,3:39: 20302-:,30,3,3/,8,7