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Page 1: Cirurgia 1 Med 15

7/26/2019 Cirurgia 1 Med 15

http://slidepdf.com/reader/full/cirurgia-1-med-15 1/20

Page 2: Cirurgia 1 Med 15

7/26/2019 Cirurgia 1 Med 15

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Es"ô,agK ()g#J)s a!a"ô,#+as;

• Ca('#a +,5)< )s9!+")(#a!• F$!'• C(5

o I!+#s$(a a!g$a(; "(a!s#%& ' +(5 +, a!"( !a 5)6$)!a +$(/a"$(a – s)') ')$+)(a 5B5"#+a ) Ca gas"(#+

A!"(• P#( +,5)< )s9!+")(#a!Vas+$a(#:a%&

• P(/, ' "(!+ +).a+• Gas"(#+a D* (a, 'a Aa 7)5"#+a 5(35(#a• Gas"(#+a E* (a, D ' "(!+ +).a+* a !g 'a 5)6$)!a +$(/a"$(a• Gas"()5#5#+as '#()#"a* (a, 'a Aa gas"('$)')!a• Gas"()5#5#+as E* (a, ")(,#!a 'a Aa )s5!#+a g' +$(/a"$(a• Aa gs"(#+as +$("as* (a,s 'a )s5!#+a* #((#ga, f$!'

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• s$5)(#( =$=; 5(#!+#5a s)') ') $+)(a '$')!a* #((#ga' 5)a Aa gas"('$')!a

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• ')s+)!')!"); ()+)=) =#) +B'+ ) s$+ 5a!+()"#+ '$+" Q#(s$!g !a 5a5#a*)!/"a 5)a a,5a ') Va")( '$+" 5a!+()"#+ a+)ss3(# Sa!"(#!#* /#a 5a5#a '$')!a,)!(

• 7(#:!"a ) as+)!')!")Ca,a'as; ,$+sa* s$=,$+sa* ,$s+$a(* a'/)!".+#aVas+$a(#:a%&

• Pa!+()a"#+'$')!a#s s$5)(#()s ) #!f)(#()sSNDROME DISFGICA

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• Ca$sas ,$s+$a()s; ,#as")!#a g(a/#s* ,#5a"#as #!a,a"3(#as #'#5"#+as ')(,a",#s#")*5#,#s#") ) !as ,#5a"#as 5(#,(#as '#s"(39+a ,#+ô!#+a* '#s"(9a +$fa(.!g)a

• O=s"($%& ,)+!#+a a"a; =s"($%J)s #!"(a$,#!a#s T$ +a=)%a* 5)s+%* a=s+)ss5)(#a,#g'a#a! ) )<"(.!s)+as '#/)(".+$ ') W)!)(* a=s+)ss ()"(a,#g'a#a!*+,5()ss& /as+$a( $ "$,(a* s"39" +)(/#+a* =3+#

D#sfag#a ') +!'$%& =a#<a* )sfag#a!a• XE!"aa'Y* '#9+$'a') ' )sôfag a )s",ag• S3#'s )<+$s#/a,)!"); 5(/a/),)!") ,)+!#+a 5( )s")!s) 5B5"#+a ) !)5as#a• S3#'s ) .6$#'s; ,)+!#+a s)/)(a $ ,"(* +, a+aas#a* )s5as, )sfag#a! '#f$s*

)+)(')(,#a• O=s"($%& ,)+!#+a ! )sôfag; TU ,a#g!s ) =)!#g!s* )s")!s) 5B5"#+a* a!B#s )

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• S$g)(), '<;

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o R< "<; a$s!+#a ') +a,a(a ') a( gs"(#+a* ,assa ,)'#as"#!#+a "$=$a( a a' 'aA* !./) 7#'(aB() ! ,)'#as"#! !a 5s#%& )()"a

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o Ca('#,#",#a ') ))( ,'#9+a'ao R)ss)+%& "(a!s87#a"a ' )sôfago Esfag)+",#a; '#+,)ga)sôfag

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• D( #!")!sa* #((a'#a%& 5a(a "<* '(s* =(a%s ) ,a!'.=$a* '$(a!' ') s)g$!'s a /(#s,#!$"sH G)(a,)!") ! ()5$s* ,as 5') ass+#a(s) a ')g$"#%&* ")!s& ),+#!a ))<)(+#+#s

D#ag!3s"#+; +, ")s") 5(/+a"#/* 5a(a 5)ga( )s5as,s !s )<a,)s a=a#<• Esfag,a!,)"(#a; ()/)a +!"(a%J)s !& 55$s#/as – 5a'(& $(?• F$(s+5#a >a(#"a'a; )sôfag ), sa+a8(7a $ +!"as ') (sa(#

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Esfôfag ), 6$)=(a8!:)s• A")(a%& 'a ,"##'a') )sfg#+a; !'as 5)(#s""#+as efcazes ') a".ss#,as a,5#"$')s

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• A")(a%J)s 'a +$!a /)(")=(a; )s5!'##") +)(/#+a* s"39"s /)(")=(a#s• A=s+)sss ) ,assas ()"(fa(#!g)as• D#/)(".+$s• G!'$a "#()#') a$,)!"a'a• C,5()ss& +a('#/as+$a(

o A$,)!" ') AE 5( )s")!s) ,#"(ao A!)$(#s,a Ao D)<"(5s#%& ') Ao Aa s$=+/#a '#()#"a a=)((a!")o Massas ), ,)'#as"#! 5s")(#(

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• V)('a')#(s; "'as +a,a'as 'a 5a()')• Fass; 7)(!#a%& 'a ,$+sa ) =$s,$+sa• I!"(a,$(a#s; ,$+sa ) s$=,$+sa 7)(!#a, 5a(a ')!"( 'a ,$s+$a(

D#/)(".+$ ') W)!)(• Ma#s +,$, fas '#/)("#+$a ') 7#5fa(#!g)

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• F(,a' a 5a("#( 'a f(ag##'a') 'a 5a()') 5s")(#( 'a fa(#!g) '#s"a "(#a!g$ ') ##a!

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P(#!+#5a#s;• S' ') P$,,)(8V#!s! P)")(s!8)^; a!) 7#5fa(.!g) Z a!),#a f)((5(#/a a"• A!) ') S+7a":# S' S")a7$s); ,af(,a%& ' )sôfag ")(,#!a =a#< 40 a!s*

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o ,a#s +,$,o fa"()s ') (#s+; "a=ag#s,* )"##s,* #!g)s"& ') =)=#'as 6$)!")s* 5()s)!%a ')

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• C#($(g#+o S); 7),((ag#a* 5)(f$(a%&* =s"($%&* !& +#+a"(#:a%&* ()+#'#/as +!s"a!")so UD;

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