[수술실 케이스]담낭절제술(Laparoscopic cholecystectomy)
- 최초 등록일
- 2019.11.29
- 최종 저작일
- 2019.03
- 6페이지/ 한컴오피스
- 가격 1,000원
목차
1. Date of operation
2. Preoperative diagnosis
3. Name of operation
4. Postoperative diagnosis
5. Gender, Age of client
6. Review of diagnosis
7. Explanation of surgery
8. Immediate postoperative nursing intervention and nurses’ responsibility of this case
본문내용
1. Date of operation : 2019.00.00.(월)
2. Preoperative diagnosis : calculus of gallbladder with cholecystitis, without mention of obstruction
3. Name of operation : Laparoscopic cholecystectomy
4. Postoperative diagnosis : calculus of gallbladder with cholecystitis, without mention of obstruction
5. Gender, Age of client : F/59세
6. Review of diagnosis
▪ pathophysiology, etiology
(1) Cholesterol stones
1) cholesterol의 과포화(supersaturation)
-cholesterol의 분비 증가(원인: 비만, 고령, high calorie diet, 여성호르몬)
-상대적으로 bile acid의 분비 감소, bile acid pool 감소 (원인: ileal disease or resection, primary billiary cirrhosis)
2) vesicle 형성의 장애
3) cholesterol monohydrate crystal의 nucleation
4) GB hypermortility 예) 수술, 화상, TPN, 임신부, 경구피임약 등
5) Biliary sludge=microlithiasis →향후 14%에서 담석 발생
6) 인종 or 유전요인 : 북유럽, 북/남미 > 아시안, 인디안
(2) Pigment stone(주로 calcium bilirubinate로 구성)
1) black pigment stones (담낭에 주로발생): hard, dense, brittle concretion
-predisposing factor(담즙내 unconjugation bilirubin이 증가하는 상태 (원인: hemolytic anemia, 심장판막 수술, ineffective erythropoiesis )
참고 자료
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