http://www.urowiki.or.kr/wiki/index.php?action=history&feed=atom&title=Intestinal_obstruction_vs_paralytic_ileus 2026-05-06T07:22:49Z 이 문서의 편집 역사 MediaWiki 1.35.11 http://www.urowiki.or.kr/wiki/index.php?title=Intestinal_obstruction_vs_paralytic_ileus&diff=2983&oldid=prev 2019-06-26T06:06:25Z

<p>새 문서: === 원인 === (1) Mechanical obstruction ① small intestine: adhesion (m/c), hernia, volvulus, crohn disease, intestinal Tb, radiation enteritis, neoplasm ② large intestine: car...</p> <p><b>새 문서</b></p><div>=== 원인 ===<br /> (1) Mechanical obstruction<br /> <br /> ① small intestine: adhesion (m/c), hernia, volvulus, crohn disease, intestinal Tb, radiation enteritis, neoplasm<br /> <br /> ② large intestine: carcinoma (m/c, Lt&gt;Rt), diverticulitis, volvulus, hernia<br /> <br /> (2) Paralytic ileus: Peritonitis, post-op, retroperitoneal hematoma, lower lobe pneumonia, rib Fx, MI, hypokalemia, hypocalcemia, hypomagnesemia, morphine, intestinal ischemia, appendicitis<br /> <br /> === 임상양상 ===<br /> (1) Mechanical obstruction: Cramping abdominal pain, vomiting (not colon obstruction), gas passage (-), fluid &amp; Elctro loss (small bowel 때 더 심함.)<br /> <br /> (2) Paralytic ileus: Pain 보다는 distension으로 인한 discomfort<br /> <br /> === 치료 ===<br /> fluid and electrolyte balance, L-tube insertion, simple abdomen f/u, therapeutic NPO, 48시간 이상 호전 없을 때는 op 고려</div>

Sjlee