사인 범발성 복막염으로 인한 패혈증 <div><br></div> <div><h2 style="margin:0px;padding:0px 0px 1px;font-size:28px;line-height:40px;color:#1f1f1f;font-family:'나눔고딕', NanumGothic, '굴림', Gulim, AppleGothic;text-align:center;">범발성복막염</h2><span style="display:block;margin:0px 0px 3px;font-size:14px;line-height:22px;color:#333333;font-family:'나눔고딕', NanumGothic, '굴림', Gulim, AppleGothic;text-align:center;">[ <span class="word_dic en" style="float:none;display:inline;margin:0px;padding:0px;border:0px;background:none;">diffijse</span> <span class="word_dic en" style="float:none;display:inline;margin:0px;padding:0px;border:0px;background:none;">peritonitis</span>, <span class="word_dic hj" style="float:none;display:inline;margin:0px;padding:0px;border:0px;background:none;">汎</span><span class="word_dic hj" style="float:none;display:inline;margin:0px;padding:0px;border:0px;background:none;">發</span><span class="word_dic hj" style="float:none;display:inline;margin:0px;padding:0px;border:0px;background:none;">性</span><span class="word_dic hj" style="float:none;display:inline;margin:0px;padding:0px;border:0px;background:none;">腹</span><span class="word_dic hj" style="float:none;display:inline;margin:0px;padding:0px;border:0px;background:none;">膜</span><span class="word_dic hj" style="float:none;display:inline;margin:0px;padding:0px;border:0px;background:none;">炎</span> ] </span><div class="autosourcing-stub-extra"> <p style="margin:11px 0px 7px;padding:0px;font-size:12px;line-height:24px;color:#000000;font-family:Dotum;"><strong style="display:block;margin:0px 0px 1px;line-height:21px;padding:0px 7px 0px 0px;">[네이버 지식백과]</strong><a target="_blank" href="http://terms.naver.com/entry.nhn?docId=491776" style="color:#1172b6;text-decoration:none;" target="_blank">범발성복막염</a> [diffijse peritonitis, 汎發性腹膜炎] (간호학대사전, 1996.3.1, 한국사전연구사)</p></div></div> <div><br></div> <div><a target="_blank" href="http://terms.naver.com/entry.nhn?docId=492125&ref=y" style="color:#0047b6;text-decoration:none;font-family:'굴림', gulim, AppleGothic, sans-serif;font-size:13px;line-height:23px;" target="_blank">복강</a><span style="color:#2f2f2f;font-family:'굴림', gulim, AppleGothic, sans-serif;font-size:13px;line-height:23px;">내장 기, 또는 근접장기나 체표면에서의 </span><a target="_blank" href="http://terms.naver.com/entry.nhn?docId=494175&ref=y" style="color:#0047b6;text-decoration:none;font-family:'굴림', gulim, AppleGothic, sans-serif;font-size:13px;line-height:23px;" target="_blank">세균</a><a target="_blank" href="http://terms.naver.com/entry.nhn?docId=486131&ref=y" style="color:#0047b6;text-decoration:none;font-family:'굴림', gulim, AppleGothic, sans-serif;font-size:13px;line-height:23px;" target="_blank">감염</a><span style="color:#2f2f2f;font-family:'굴림', gulim, AppleGothic, sans-serif;font-size:13px;line-height:23px;">에 의해서 대부분의 </span><a target="_blank" href="http://terms.naver.com/entry.nhn?docId=492144&ref=y" style="color:#0047b6;text-decoration:none;font-family:'굴림', gulim, AppleGothic, sans-serif;font-size:13px;line-height:23px;" target="_blank">복막</a><span style="color:#2f2f2f;font-family:'굴림', gulim, AppleGothic, sans-serif;font-size:13px;line-height:23px;">에 </span><a target="_blank" href="http://terms.naver.com/entry.nhn?docId=498084&ref=y" style="color:#0047b6;text-decoration:none;font-family:'굴림', gulim, AppleGothic, sans-serif;font-size:13px;line-height:23px;" target="_blank">염증</a><span style="color:#2f2f2f;font-family:'굴림', gulim, AppleGothic, sans-serif;font-size:13px;line-height:23px;">이 나오는 것으로 </span><a target="_blank" href="http://terms.naver.com/entry.nhn?docId=491365&ref=y" style="color:#0047b6;text-decoration:none;font-family:'굴림', gulim, AppleGothic, sans-serif;font-size:13px;line-height:23px;" target="_blank">발열</a><span style="color:#2f2f2f;font-family:'굴림', gulim, AppleGothic, sans-serif;font-size:13px;line-height:23px;">, </span><a target="_blank" href="http://terms.naver.com/entry.nhn?docId=492205&ref=y" style="color:#0047b6;text-decoration:none;font-family:'굴림', gulim, AppleGothic, sans-serif;font-size:13px;line-height:23px;" target="_blank">복통</a><span style="color:#2f2f2f;font-family:'굴림', gulim, AppleGothic, sans-serif;font-size:13px;line-height:23px;">, </span><a target="_blank" href="http://terms.naver.com/entry.nhn?docId=487814&ref=y" style="color:#0047b6;text-decoration:none;font-family:'굴림', gulim, AppleGothic, sans-serif;font-size:13px;line-height:23px;" target="_blank">구토</a><span style="color:#2f2f2f;font-family:'굴림', gulim, AppleGothic, sans-serif;font-size:13px;line-height:23px;"> </span><a target="_blank" href="http://terms.naver.com/entry.nhn?docId=492172&ref=y" style="color:#0047b6;text-decoration:none;font-family:'굴림', gulim, AppleGothic, sans-serif;font-size:13px;line-height:23px;" target="_blank">복부팽만</a><span style="color:#2f2f2f;font-family:'굴림', gulim, AppleGothic, sans-serif;font-size:13px;line-height:23px;">, </span><a target="_blank" href="http://terms.naver.com/entry.nhn?docId=492163&ref=y" style="color:#0047b6;text-decoration:none;font-family:'굴림', gulim, AppleGothic, sans-serif;font-size:13px;line-height:23px;" target="_blank">복부</a><span style="color:#2f2f2f;font-family:'굴림', gulim, AppleGothic, sans-serif;font-size:13px;line-height:23px;">전체에 미치는 </span><a target="_blank" href="http://terms.naver.com/entry.nhn?docId=492179&ref=y" style="color:#0047b6;text-decoration:none;font-family:'굴림', gulim, AppleGothic, sans-serif;font-size:13px;line-height:23px;" target="_blank">복수</a><span style="color:#2f2f2f;font-family:'굴림', gulim, AppleGothic, sans-serif;font-size:13px;line-height:23px;">. </span><a target="_blank" href="http://terms.naver.com/entry.nhn?docId=491722&ref=y" style="color:#0047b6;text-decoration:none;font-family:'굴림', gulim, AppleGothic, sans-serif;font-size:13px;line-height:23px;" target="_blank">백혈구</a><span style="color:#2f2f2f;font-family:'굴림', gulim, AppleGothic, sans-serif;font-size:13px;line-height:23px;"> 특히 </span><a target="_blank" href="http://terms.naver.com/entry.nhn?docId=484136&ref=y" style="color:#0047b6;text-decoration:none;font-family:'굴림', gulim, AppleGothic, sans-serif;font-size:13px;line-height:23px;" target="_blank">호중구</a><span style="color:#2f2f2f;font-family:'굴림', gulim, AppleGothic, sans-serif;font-size:13px;line-height:23px;">증가가 나타난다. 가장 문제가 되는 것은 복강장기의 </span><a target="_blank" href="http://terms.naver.com/entry.nhn?docId=480025&ref=y" style="color:#0047b6;text-decoration:none;font-family:'굴림', gulim, AppleGothic, sans-serif;font-size:13px;line-height:23px;" target="_blank">천공</a><span style="color:#2f2f2f;font-family:'굴림', gulim, AppleGothic, sans-serif;font-size:13px;line-height:23px;">에 의해 내용이 누출하고 그 때문에 복막의 </span><a target="_blank" href="http://terms.naver.com/entry.nhn?docId=500613&ref=y" style="color:#0047b6;text-decoration:none;font-family:'굴림', gulim, AppleGothic, sans-serif;font-size:13px;line-height:23px;" target="_blank">자극</a><span style="color:#2f2f2f;font-family:'굴림', gulim, AppleGothic, sans-serif;font-size:13px;line-height:23px;">ㆍ감염이 일어나는 천공성복 막염의 경우이다. 그 경우, </span><a target="_blank" href="http://terms.naver.com/entry.nhn?docId=479404&ref=y" style="color:#0047b6;text-decoration:none;font-family:'굴림', gulim, AppleGothic, sans-serif;font-size:13px;line-height:23px;" target="_blank">증상</a><span style="color:#2f2f2f;font-family:'굴림', gulim, AppleGothic, sans-serif;font-size:13px;line-height:23px;">도 중증이며 </span><a target="_blank" href="http://terms.naver.com/entry.nhn?docId=494702&ref=y" style="color:#0047b6;text-decoration:none;font-family:'굴림', gulim, AppleGothic, sans-serif;font-size:13px;line-height:23px;" target="_blank">쇼크</a><span style="color:#2f2f2f;font-family:'굴림', gulim, AppleGothic, sans-serif;font-size:13px;line-height:23px;">상태에 빠지는 경우가 있어 신속하게 외과적 수술을 하고 원인을 제거해야만 한다.</span><br><div><br></div> <div><br></div> <div>국과수 발표.요약</div> <div><br></div> <div>소장 절재한후 봉합한것으로 보인다.</div> <div><br></div> <div>위를 줄이는 수술시행한것.</div> <div><br></div> <div>위밴드 링모양의 수술 흔적 있음.위밴드 했던것으로 보임.</div> <div><br></div> <div>횡경막 0.3센치 부위 천공 발견.</div> <div><br></div> <div>소장에 1센치가량 천공 </div> <div><br></div> <div>천공 두개.</div> <div><br></div> <div>심낭내 화농성 삼출액 심낭염 소견</div> <div><br></div> <div>복막염+심낭염에 의한 패혈증= 적합한 사인으로 보임.</div> <div><br></div> <div>-</div></div> <div>내 일반적인 상식으로는 보통 패혈증까지 가려면 염증이 상당한 시간동안 진행되어야 하는데</div> <div><br></div> <div>보통 작은 염증이라할지라도 의료진은 환자상태만뵈도 염증이 생겼는지 아닌지 알수있습니다.</div> <div><br></div> <div>보통 염증이 광범위하게 일어나면 발열과 통증 호흡 등 모든 부분에서 </div> <div><br></div> <div>겉으로 증상이 보이고 환자본인이 일상생활에 </div> <div><br></div> <div>문제가 이미 진작에 생기기 때문에 ..입원을 해도 진작에 입원을 했을 상황인데 말입니다...</div> <div><br></div> <div>본인이 병원 진료를 거부하지않는이상..</div> <div><br></div> <div>염증이 퍼지면 그냥 겉으로도 보이기때문에 정밀검사도 필요없는부분이기에</div> <div><br></div> <div>바로 입원시킬수있는데..왜 병원이 통원치료 개념으로 놔뒀는지 의문이네요.</div> <div><br></div> <div><br></div>
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