View
941
Download
19
Category
Preview:
DESCRIPTION
- ukážka
Citation preview
1
ZostavovateMilan Dragula
DETSK CHIRURGIAkolektv autorov
Martin 2015
Prinect Color Editor: Page is color controlled with Prinect Color Editor: 3.0.52Copyright 2005 Heidelberger Druckmaschinen AG
To view actual document colors and color spaces,please download free Prinect Color Editor: (Viewer) Plug-In from:http://www.heidelberg.com
Applied Color Management Settings:Output Intent (Press Profile): ISOcoated.icc
RGB Image:Profile: ECI_RGB.iccRendering Intent: PerceptualBlack Point Compensation: no
RGB Graphic:Profile: ECI_RGB.iccRendering Intent: PerceptualBlack Point Compensation: no
Device Independent RGB/Lab Image:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent RGB/Lab Graphic:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent CMYK/Gray Image:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent CMYK/Gray Graphic:Rendering Intent: PerceptualBlack Point Compensation: no
Turn R=G=B (Tolerance 0.5%) Graphic into Gray: yes
Turn C=M=Y,K=0 (Tolerance 0.1%) Graphic into Gray: noCMM for overprinting CMYK graphic: yesGray Image: Apply CMYK Profile: noGray Graphic: Apply CMYK Profile: noTreat Calibrated RGB as Device RGB: noTreat Calibrated Gray as Device Gray: yesRemove embedded non-CMYK Profiles: noRemove embedded CMYK Profiles: yes
Applied Miscellaneous Settings:All Colors to knockout: noPure black to overprint: yes Limit: 100%Turn Overprint CMYK White to Knockout: yesTurn Overprinting Device Gray to K: yesCMYK Overprint mode: set to OPM1 if not setCreate "All" from 4x100% CMYK: yesDelete "All" Colors: noConvert "All" to K: no
2 DETSK CHIRURGIA
Nastupujcej genercii
Prinect Color Editor: Page is color controlled with Prinect Color Editor: 3.0.52Copyright 2005 Heidelberger Druckmaschinen AG
To view actual document colors and color spaces,please download free Prinect Color Editor: (Viewer) Plug-In from:http://www.heidelberg.com
Applied Color Management Settings:Output Intent (Press Profile): ISOcoated.icc
RGB Image:Profile: ECI_RGB.iccRendering Intent: PerceptualBlack Point Compensation: no
RGB Graphic:Profile: ECI_RGB.iccRendering Intent: PerceptualBlack Point Compensation: no
Device Independent RGB/Lab Image:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent RGB/Lab Graphic:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent CMYK/Gray Image:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent CMYK/Gray Graphic:Rendering Intent: PerceptualBlack Point Compensation: no
Turn R=G=B (Tolerance 0.5%) Graphic into Gray: yes
Turn C=M=Y,K=0 (Tolerance 0.1%) Graphic into Gray: noCMM for overprinting CMYK graphic: yesGray Image: Apply CMYK Profile: noGray Graphic: Apply CMYK Profile: noTreat Calibrated RGB as Device RGB: noTreat Calibrated Gray as Device Gray: yesRemove embedded non-CMYK Profiles: noRemove embedded CMYK Profiles: yes
Applied Miscellaneous Settings:All Colors to knockout: noPure black to overprint: yes Limit: 100%Turn Overprint CMYK White to Knockout: yesTurn Overprinting Device Gray to K: yesCMYK Overprint mode: set to OPM1 if not setCreate "All" from 4x100% CMYK: yesDelete "All" Colors: noConvert "All" to K: no
3
Na pamiatku prof. MUDr. Jaroslava Simana, CSc., uitea, priatea, kolegu, vbornho loveka
Prinect Color Editor: Page is color controlled with Prinect Color Editor: 3.0.52Copyright 2005 Heidelberger Druckmaschinen AG
To view actual document colors and color spaces,please download free Prinect Color Editor: (Viewer) Plug-In from:http://www.heidelberg.com
Applied Color Management Settings:Output Intent (Press Profile): ISOcoated.icc
RGB Image:Profile: ECI_RGB.iccRendering Intent: PerceptualBlack Point Compensation: no
RGB Graphic:Profile: ECI_RGB.iccRendering Intent: PerceptualBlack Point Compensation: no
Device Independent RGB/Lab Image:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent RGB/Lab Graphic:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent CMYK/Gray Image:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent CMYK/Gray Graphic:Rendering Intent: PerceptualBlack Point Compensation: no
Turn R=G=B (Tolerance 0.5%) Graphic into Gray: yes
Turn C=M=Y,K=0 (Tolerance 0.1%) Graphic into Gray: noCMM for overprinting CMYK graphic: yesGray Image: Apply CMYK Profile: noGray Graphic: Apply CMYK Profile: noTreat Calibrated RGB as Device RGB: noTreat Calibrated Gray as Device Gray: yesRemove embedded non-CMYK Profiles: noRemove embedded CMYK Profiles: yes
Applied Miscellaneous Settings:All Colors to knockout: noPure black to overprint: yes Limit: 100%Turn Overprint CMYK White to Knockout: yesTurn Overprinting Device Gray to K: yesCMYK Overprint mode: set to OPM1 if not setCreate "All" from 4x100% CMYK: yesDelete "All" Colors: noConvert "All" to K: no
4 DETSK CHIRURGIA
Doc. MUDr. Milan Dragula, PhD., mimoriadny profesorprednosta Kliniky detskej chirurgie JLF UK a UNM
Milan Dragula vytudoval Lekrsku fakultu Univerzity Komenskho v Martine, odbor veobecn lekrstvo. Po ukonen tdia pracoval dva roky ako asistent na Katedre fyziolgie Jesseniovej lekrskej fakulty Univerzity Komenskho (JLF UK), potom ako sekundrny lekr na Chirurgickej klinike Martinskej fakultnej nemocnice (MFN). V roku 1978 zskal atestciu v odbore chirurgia a roku 1983 zskal nadstavbov pecializan atestciu v odbore detsk chirurgia. Od roku 1983 psobil ako ordinr pre detsk chi-rurgiu na Chirurgickej klinike MFN. V roku 1987 obhjil dizertan prcu a bol mu udelen titul kandidt vied. V roku 1992 vzniklo samostatn Oddelenie detskej chirurgie, kde psobil ako primr oddelenia. Ke sa oddelenie v roku 2002 stalo Klinikou detskej chirurgie, bol Milan Dragula vymenovan za prednostu kliniky a v tejto pozcii psob doposia. V roku 2002 po spenej obhajobe prce mu bol udelen titul docent a v roku 2003 bol na zklade konkurznho konania menovan mimoriadnym profesorom JLF UK.
Prinect Color Editor: Page is color controlled with Prinect Color Editor: 3.0.52Copyright 2005 Heidelberger Druckmaschinen AG
To view actual document colors and color spaces,please download free Prinect Color Editor: (Viewer) Plug-In from:http://www.heidelberg.com
Applied Color Management Settings:Output Intent (Press Profile): ISOcoated.icc
RGB Image:Profile: ECI_RGB.iccRendering Intent: PerceptualBlack Point Compensation: no
RGB Graphic:Profile: ECI_RGB.iccRendering Intent: PerceptualBlack Point Compensation: no
Device Independent RGB/Lab Image:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent RGB/Lab Graphic:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent CMYK/Gray Image:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent CMYK/Gray Graphic:Rendering Intent: PerceptualBlack Point Compensation: no
Turn R=G=B (Tolerance 0.5%) Graphic into Gray: yes
Turn C=M=Y,K=0 (Tolerance 0.1%) Graphic into Gray: noCMM for overprinting CMYK graphic: yesGray Image: Apply CMYK Profile: noGray Graphic: Apply CMYK Profile: noTreat Calibrated RGB as Device RGB: noTreat Calibrated Gray as Device Gray: yesRemove embedded non-CMYK Profiles: noRemove embedded CMYK Profiles: yes
Applied Miscellaneous Settings:All Colors to knockout: noPure black to overprint: yes Limit: 100%Turn Overprint CMYK White to Knockout: yesTurn Overprinting Device Gray to K: yesCMYK Overprint mode: set to OPM1 if not setCreate "All" from 4x100% CMYK: yesDelete "All" Colors: noConvert "All" to K: no
5
V rokoch 1992 - 1998 bol Milan Dragula lenom rady a prezdia Slovenskej le-krskej komory (SLK). V rokoch 1994 - 1996 psobil ako len sprvnej rady Nrodnej poisovne za poistencov. Od roku 1999 doposia je podpredsedom Slovenskej spolonosti detskch chirurgov v rmci Slovenskej lekrskej spolonosti (SLS). V roku 2000 sa stal viceprezidentom Slovenskej lekrskej komory a v rokoch 2004 2012 bol jej preziden-tom. Od jna 2012 je lenom Rady SLK. Milan Dragula je lenom vboru Slovenskej spolonosti pre kvalitu a predsedom komisie pre zavdzanie systmov kvality v rezorte zdravotnctva. V jli 2012 bol menovan za lena Zboru poradcov predsedu vldy Slovenskej republiky. V septembri 2012 bol menovan za lena Rady pre informatizciu a elektronick zdravotnctvo.
Od roku 1999 psob ako len komisie pre ttne skky z odboru pediatria a od roku 2001 ako len komisie pre ttne skky z odboru chirurgia. Milan Dragula bol lenom vedeckej rady Slovenskej zdravotnckej univerzity a vedeckej rady JLF UK v Martine. Poas jeho psobenia ukonilo 7 lekrov doktorandsk tdium. Nakoko pracovisko Kliniky detskej chirurgie je od roku 2008 akreditovanm pracoviskom v pecializanom odbore detsk chirurgia, pod vedenm Milana Dragulu doteraz zskalo pecializciu 7 lekrov.
Milan Dragula psob ako len redaknej rady Konzlium - asopis SLK, len redaknej rady Kvalita a len redaknej rady Pediatria - odborn lekrsky recenzo-van asopis. Je autorom a spoluautorom 209 registrovanch publikcii vydanch doma i v zahrani a 362 prednok doma i v zahrani.
V roku 2008 zskal estn lenstvo Slovenskej lekrskej spolonosti, Zlat medailu SLS, Pamtn medailu Jozefa uchu a Pamtn medailu JLF UK. V roku 2010 zskal medailu prof. Rudnika in memoriam poskej pneumologickej spolonosti. V roku 2014 zskal estn lenstvo v eskej pediatricko-chirurgickej spolonosti.
Kontakt: Doc. MUDr. Milan Dragula, PhD., mim. prof.
Klinika detskej chirurgie JLF UK a UNMKollrova 2, 036 59 Martin
Tel: +421/43/4203 503Fax: +421/43/4220 176dragula@jfmed.uniba.sk
Prinect Color Editor: Page is color controlled with Prinect Color Editor: 3.0.52Copyright 2005 Heidelberger Druckmaschinen AG
To view actual document colors and color spaces,please download free Prinect Color Editor: (Viewer) Plug-In from:http://www.heidelberg.com
Applied Color Management Settings:Output Intent (Press Profile): ISOcoated.icc
RGB Image:Profile: ECI_RGB.iccRendering Intent: PerceptualBlack Point Compensation: no
RGB Graphic:Profile: ECI_RGB.iccRendering Intent: PerceptualBlack Point Compensation: no
Device Independent RGB/Lab Image:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent RGB/Lab Graphic:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent CMYK/Gray Image:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent CMYK/Gray Graphic:Rendering Intent: PerceptualBlack Point Compensation: no
Turn R=G=B (Tolerance 0.5%) Graphic into Gray: yes
Turn C=M=Y,K=0 (Tolerance 0.1%) Graphic into Gray: noCMM for overprinting CMYK graphic: yesGray Image: Apply CMYK Profile: noGray Graphic: Apply CMYK Profile: noTreat Calibrated RGB as Device RGB: noTreat Calibrated Gray as Device Gray: yesRemove embedded non-CMYK Profiles: noRemove embedded CMYK Profiles: yes
Applied Miscellaneous Settings:All Colors to knockout: noPure black to overprint: yes Limit: 100%Turn Overprint CMYK White to Knockout: yesTurn Overprinting Device Gray to K: yesCMYK Overprint mode: set to OPM1 if not setCreate "All" from 4x100% CMYK: yesDelete "All" Colors: noConvert "All" to K: no
6 DETSK CHIRURGIA
Recenzenti:Prof.MUDr.Jlius Vaj, DrSc.Prof.MUDr.Jn Buchanec, DrSc.
Zostavovate Milan DragulaDETSK CHIRURGIAkolektv autorov
Vydavate: P+MGrafick prava: P+M grafick tdioTla: Tlaiare P+M Turany, www.p-mtlac.skNvrh oblky: Jozef vikotaRaba: Coding
Doc. MUDr. Milan Dragula, PhD., mim. prof.
Prv vydanieISBN 978-80-89694-10-5
Prinect Color Editor: Page is color controlled with Prinect Color Editor: 3.0.52Copyright 2005 Heidelberger Druckmaschinen AG
To view actual document colors and color spaces,please download free Prinect Color Editor: (Viewer) Plug-In from:http://www.heidelberg.com
Applied Color Management Settings:Output Intent (Press Profile): ISOcoated.icc
RGB Image:Profile: ECI_RGB.iccRendering Intent: PerceptualBlack Point Compensation: no
RGB Graphic:Profile: ECI_RGB.iccRendering Intent: PerceptualBlack Point Compensation: no
Device Independent RGB/Lab Image:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent RGB/Lab Graphic:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent CMYK/Gray Image:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent CMYK/Gray Graphic:Rendering Intent: PerceptualBlack Point Compensation: no
Turn R=G=B (Tolerance 0.5%) Graphic into Gray: yes
Turn C=M=Y,K=0 (Tolerance 0.1%) Graphic into Gray: noCMM for overprinting CMYK graphic: yesGray Image: Apply CMYK Profile: noGray Graphic: Apply CMYK Profile: noTreat Calibrated RGB as Device RGB: noTreat Calibrated Gray as Device Gray: yesRemove embedded non-CMYK Profiles: noRemove embedded CMYK Profiles: yes
Applied Miscellaneous Settings:All Colors to knockout: noPure black to overprint: yes Limit: 100%Turn Overprint CMYK White to Knockout: yesTurn Overprinting Device Gray to K: yesCMYK Overprint mode: set to OPM1 if not setCreate "All" from 4x100% CMYK: yesDelete "All" Colors: noConvert "All" to K: no
7
Za pomoc a spoluas pri vydan publikcie akujeme
Prinect Color Editor: Page is color controlled with Prinect Color Editor: 3.0.52Copyright 2005 Heidelberger Druckmaschinen AG
To view actual document colors and color spaces,please download free Prinect Color Editor: (Viewer) Plug-In from:http://www.heidelberg.com
Applied Color Management Settings:Output Intent (Press Profile): ISOcoated.icc
RGB Image:Profile: ECI_RGB.iccRendering Intent: PerceptualBlack Point Compensation: no
RGB Graphic:Profile: ECI_RGB.iccRendering Intent: PerceptualBlack Point Compensation: no
Device Independent RGB/Lab Image:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent RGB/Lab Graphic:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent CMYK/Gray Image:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent CMYK/Gray Graphic:Rendering Intent: PerceptualBlack Point Compensation: no
Turn R=G=B (Tolerance 0.5%) Graphic into Gray: yes
Turn C=M=Y,K=0 (Tolerance 0.1%) Graphic into Gray: noCMM for overprinting CMYK graphic: yesGray Image: Apply CMYK Profile: noGray Graphic: Apply CMYK Profile: noTreat Calibrated RGB as Device RGB: noTreat Calibrated Gray as Device Gray: yesRemove embedded non-CMYK Profiles: noRemove embedded CMYK Profiles: yes
Applied Miscellaneous Settings:All Colors to knockout: noPure black to overprint: yes Limit: 100%Turn Overprint CMYK White to Knockout: yesTurn Overprinting Device Gray to K: yesCMYK Overprint mode: set to OPM1 if not setCreate "All" from 4x100% CMYK: yesDelete "All" Colors: noConvert "All" to K: no
8 DETSK CHIRURGIA
Prinect Color Editor: Page is color controlled with Prinect Color Editor: 3.0.52Copyright 2005 Heidelberger Druckmaschinen AG
To view actual document colors and color spaces,please download free Prinect Color Editor: (Viewer) Plug-In from:http://www.heidelberg.com
Applied Color Management Settings:Output Intent (Press Profile): ISOcoated.icc
RGB Image:Profile: ECI_RGB.iccRendering Intent: PerceptualBlack Point Compensation: no
RGB Graphic:Profile: ECI_RGB.iccRendering Intent: PerceptualBlack Point Compensation: no
Device Independent RGB/Lab Image:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent RGB/Lab Graphic:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent CMYK/Gray Image:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent CMYK/Gray Graphic:Rendering Intent: PerceptualBlack Point Compensation: no
Turn R=G=B (Tolerance 0.5%) Graphic into Gray: yes
Turn C=M=Y,K=0 (Tolerance 0.1%) Graphic into Gray: noCMM for overprinting CMYK graphic: yesGray Image: Apply CMYK Profile: noGray Graphic: Apply CMYK Profile: noTreat Calibrated RGB as Device RGB: noTreat Calibrated Gray as Device Gray: yesRemove embedded non-CMYK Profiles: noRemove embedded CMYK Profiles: yes
Applied Miscellaneous Settings:All Colors to knockout: noPure black to overprint: yes Limit: 100%Turn Overprint CMYK White to Knockout: yesTurn Overprinting Device Gray to K: yesCMYK Overprint mode: set to OPM1 if not setCreate "All" from 4x100% CMYK: yesDelete "All" Colors: noConvert "All" to K: no
9
ZOZNAM AUTOROV
MUDr. Peter Gaparec (2013)Detsk klinika anestzie a intenzvnej medicny, DFNsP, BratislavaKlinika detskej anestzie a intenzvnej medicny, JLF UK a UNM, Martin
Prof. MUDr. Andrej Hajtman, PhD.Klinika otorinolaryngolgie a chirurgie hlavy a krku, JLF UK a UNM, Martin
Doc. MUDr. Julin Hamk, PhD.Klinika hrudnkovej chirurgie, JLF UK a UNM, Martin
MUDr. Bronislav HnilikaKlinika detskej chirurgie, ortopdie a traumatolgie, Fakultn nemocnica, Brno
MUDr. Petr HaKlinika detskej chirurgie ortopdie a traumatolgie, Fakultn nemocnica, Brno
MUDr. Boris IvaniDetsk klinika anestzie a intenzvnej medicny, DFNsP, Bratislava
MUDr. Ivan JustanKlinika detskej chirurgie, ortopdie a traumatolgie, Fakultn nemocnica, Brno
Doc. MUDr. Emlia Kaiserov, CSc.Klinika detskej hematolgie a onkolgie, DFNsP, Bratislava
MUDr. Dirk Karovi, PhD.Landesklinikum Wiener Neustadt, Raksko
Prof. MUDr. Milan Kokavec, PhD. Detsk ortopedick klinika, DFNsP, Bratislava
MUDr. Vladimr Bartl, CSc.Klinika detskej chirurgie ortopdie a traumatolgie, Fakultn nemocnica, Brno
MUDr. Igor Bder, PhD.Klinika detskej chirurgie, DFNsP, Bratislava
MUDr. tpnka Bibrov, PhD.Klinika detskej chirurgie, ortopdie a traumatolgie, Fakultn nemocnica, Brno
MUDr. Daniel BonecKlinika detskej chirurgie, JLF UK a UNM, Martin
MUDr. Martin BohKlinika plastickej chirurgie, JFUK a UNB, Bratislava
MUDr. Daniel Csomor Landesklinikum Wiener Neustadt, Raksko, a DKAIM DFNsP, Bratislava
Doc. MUDr. Milan Dragula, PhD., mimoriadny profesorKlinika detskej chirurgie, JLF UK a UNM, Martin
Doc. MUDr. Jozef Fedele, CSc.Klinika plastickej chirurgie JFUK a UNB, Bratislava
MUDr. Jozef Fedele, PhD., ml.Klinika estetickej plastickej chirurgie, Bratislava
Prof. MUDr. Petr Gl, PhD.Klinika detskej chirurgie, ortopdie a traumatolgie, Fakultn nemocnica, Brno
Prinect Color Editor: Page is color controlled with Prinect Color Editor: 3.0.52Copyright 2005 Heidelberger Druckmaschinen AG
To view actual document colors and color spaces,please download free Prinect Color Editor: (Viewer) Plug-In from:http://www.heidelberg.com
Applied Color Management Settings:Output Intent (Press Profile): ISOcoated.icc
RGB Image:Profile: ECI_RGB.iccRendering Intent: PerceptualBlack Point Compensation: no
RGB Graphic:Profile: ECI_RGB.iccRendering Intent: PerceptualBlack Point Compensation: no
Device Independent RGB/Lab Image:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent RGB/Lab Graphic:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent CMYK/Gray Image:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent CMYK/Gray Graphic:Rendering Intent: PerceptualBlack Point Compensation: no
Turn R=G=B (Tolerance 0.5%) Graphic into Gray: yes
Turn C=M=Y,K=0 (Tolerance 0.1%) Graphic into Gray: noCMM for overprinting CMYK graphic: yesGray Image: Apply CMYK Profile: noGray Graphic: Apply CMYK Profile: noTreat Calibrated RGB as Device RGB: noTreat Calibrated Gray as Device Gray: yesRemove embedded non-CMYK Profiles: noRemove embedded CMYK Profiles: yes
Applied Miscellaneous Settings:All Colors to knockout: noPure black to overprint: yes Limit: 100%Turn Overprint CMYK White to Knockout: yesTurn Overprinting Device Gray to K: yesCMYK Overprint mode: set to OPM1 if not setCreate "All" from 4x100% CMYK: yesDelete "All" Colors: noConvert "All" to K: no
10 DETSK CHIRURGIA
Doc. MUDr. Jan Koller, PhD.Klinika poplenn a rekontruknej chirurgie, FNsP Ruinov, Bratislava-Ruinov
MUDr. Adriana Kollerov Detsk klinika anestzie a intenzvnej medicny, DFNsP, Bratislava
MUDr. Jozef Kppl Detsk klinika anestzie a intenzvnej medicny, DFNsP, Bratislava
MUDr. Rastislav KrlikKlinika detskej chirurgie, DFNsP, Bratislava
MUDr. Milo KrikoKlinika estetickej plastickej chirurgie, Bratislava
Prof. MUDr. udovt Laca, PhD.Klinika transplantanej a cievnej chirurgie, JLF UK a UNM, Martin
MUDr. Milica LacovDetsk klinika SZU, DFN, Bansk Bystrica
MUDr. Zuzana Laluhov StrieencovKlinika detskej hematolgie a onkolgie, DFNsP, Bratislava
MUDr. Peter MikolajkKlinika detskej chirurgie, JLF UK a UNM, Martin
MUDr. Jaroslav MolanKlinika pediatrickej urolgie, SZU a DFNsP, Bratislava
MUDr. Marin Molnr, PhD.Klinika detskej chirurgie, JLF UK a UNM, Martin
MUDr. Erich Murr, PhD. Klinika detskej chirurgie, DFNsP, Bratislava
Doc. MUDr. Dalibor Murga, PhD.Klinika detskej chirurgie, JLF UK a UNM, Martin
MUDr. Michaela MurgaovKlinika det a dorastu JLF UK a UNMMartin
MUDr. Kateina NovotnDetsk fakultn nemocnica s poliklinikou, Bansk Bystrica
MUDr. Pavol Omank, PhD.Klinika detskej chirurgie, DFNsP, Bratislava
MUDr. Juraj Payer ml.Prv nitrianska jednodov chirurgia, Nitra
MUDr. ubica Pevalov, CSc.Klinika detskej chirurgie, DFNsP, Bratislava
Prof. MUDr. Ladislav Plnka, PhD.Klinika detskej chirurgie, ortopdie a traumatolgie, Fakultn nemocnica, Brno
MUDr. Branislav PodhoranskLandesklinikum Wiener Neustadt, Raksko Detsk klinika anestzie a intenzvnej medicny, DFNsP, Bratislava
MUDr. Vladimr Polk, PhD.Klinika pediatrickej urolgie, SZU a DFNsP, Bratislava
MUDr. David Star, PhD.Klinika detskej chirurgie, ortopdie a traumatolgie, Fakultn nemocnica, Brno
Doc. MUDr. Juraj Strme, PhD.Klinika detskej chirurgie, ortopdie a traumatolgie, Fakultn nemocnica, Brno
Prinect Color Editor: Page is color controlled with Prinect Color Editor: 3.0.52Copyright 2005 Heidelberger Druckmaschinen AG
To view actual document colors and color spaces,please download free Prinect Color Editor: (Viewer) Plug-In from:http://www.heidelberg.com
Applied Color Management Settings:Output Intent (Press Profile): ISOcoated.icc
RGB Image:Profile: ECI_RGB.iccRendering Intent: PerceptualBlack Point Compensation: no
RGB Graphic:Profile: ECI_RGB.iccRendering Intent: PerceptualBlack Point Compensation: no
Device Independent RGB/Lab Image:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent RGB/Lab Graphic:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent CMYK/Gray Image:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent CMYK/Gray Graphic:Rendering Intent: PerceptualBlack Point Compensation: no
Turn R=G=B (Tolerance 0.5%) Graphic into Gray: yes
Turn C=M=Y,K=0 (Tolerance 0.1%) Graphic into Gray: noCMM for overprinting CMYK graphic: yesGray Image: Apply CMYK Profile: noGray Graphic: Apply CMYK Profile: noTreat Calibrated RGB as Device RGB: noTreat Calibrated Gray as Device Gray: yesRemove embedded non-CMYK Profiles: noRemove embedded CMYK Profiles: yes
Applied Miscellaneous Settings:All Colors to knockout: noPure black to overprint: yes Limit: 100%Turn Overprint CMYK White to Knockout: yesTurn Overprinting Device Gray to K: yesCMYK Overprint mode: set to OPM1 if not setCreate "All" from 4x100% CMYK: yesDelete "All" Colors: noConvert "All" to K: no
11
MUDr. Igor Stupka, PhD.Klinika detskej chirurgie ortopdie a traumatolgie, Fakultn nemocnica, Brno
MUDr. Juraj tovskKlinika neurochirurgie, JLF UK a UNM, Martin
MUDr. Otakar Teyschl, CSc.Klinika detskej chirurgie, ortopdie a traumatolgie, Fakultn nemocnica, Brno
MUDr. Zuzana TomovDetsk klinika anestzie a intenzvnej medicny, DFNsP, BratislavaKlinika detskej anestzie a intenzvnej medicny, JLF UK a UNM, Martin
Doc. MUDr. Jn Trnka, CSc.Klinika detskej chirurgie, DFNsP, Bratislava
MUDr. Ji VentrubaKlinika detskej chirurgie, ortopdie a traumatolgie, Fakultn nemocnica, Brno
Prof. MUDr. Ji Vesel, CSc.Klinika detskej chirurgie, ortopdie a traumatolgie, Fakultn nemocnica, Brno
MUDr. Nadeda ViovcovKlinika detskej chirurgie, JLF UK a UNM, Martin
MUDr. Peter iakKlinika plastickej chirurgie, LFUK a UNB, Bratislava
Prinect Color Editor: Page is color controlled with Prinect Color Editor: 3.0.52Copyright 2005 Heidelberger Druckmaschinen AG
To view actual document colors and color spaces,please download free Prinect Color Editor: (Viewer) Plug-In from:http://www.heidelberg.com
Applied Color Management Settings:Output Intent (Press Profile): ISOcoated.icc
RGB Image:Profile: ECI_RGB.iccRendering Intent: PerceptualBlack Point Compensation: no
RGB Graphic:Profile: ECI_RGB.iccRendering Intent: PerceptualBlack Point Compensation: no
Device Independent RGB/Lab Image:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent RGB/Lab Graphic:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent CMYK/Gray Image:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent CMYK/Gray Graphic:Rendering Intent: PerceptualBlack Point Compensation: no
Turn R=G=B (Tolerance 0.5%) Graphic into Gray: yes
Turn C=M=Y,K=0 (Tolerance 0.1%) Graphic into Gray: noCMM for overprinting CMYK graphic: yesGray Image: Apply CMYK Profile: noGray Graphic: Apply CMYK Profile: noTreat Calibrated RGB as Device RGB: noTreat Calibrated Gray as Device Gray: yesRemove embedded non-CMYK Profiles: noRemove embedded CMYK Profiles: yes
Applied Miscellaneous Settings:All Colors to knockout: noPure black to overprint: yes Limit: 100%Turn Overprint CMYK White to Knockout: yesTurn Overprinting Device Gray to K: yesCMYK Overprint mode: set to OPM1 if not setCreate "All" from 4x100% CMYK: yesDelete "All" Colors: noConvert "All" to K: no
12 DETSK CHIRURGIA
OBSAH
ZOZNAM AUTOROV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9VOD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
1. DETSK ANESTZIOLGIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29Prprava pacienta pred anestziou . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Anestziologick ambulancia . . . . . . . . . . . . . . . . . . . . . . . . . . . 31Predoperan vyetrenie . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Anamnza . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35Fyziklne vyetrenie . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35Laboratrne vyetrenia . . . . . . . . . . . . . . . . . . . . . . . . . . . 37Snmka hrudnka . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41In vyetrenia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
Predoperan prprava . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41Zdrav diea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41Komplikovan diea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42Anmia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42Prematrne diea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42Prevajce predasne naroden diea . . . . . . . . . . . . . . . . . . . 42Novorodenec . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43Ochorenia pc . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43Aktny respiran infekt . . . . . . . . . . . . . . . . . . . . . . . . . . 44Astma bronchiale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44Kardiologick ochorenia . . . . . . . . . . . . . . . . . . . . . . . . . . 45Diabetes mellitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45Diabetes insipidus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45Intrakranilne ochorenia . . . . . . . . . . . . . . . . . . . . . . . . . . . 46Meningomyelokla . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46Zchvatov ochorenia . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46Instabilita krnej chrbtice . . . . . . . . . . . . . . . . . . . . . . . . . . 46Neuromuskulrne ochorenia . . . . . . . . . . . . . . . . . . . . . . . . 47Malgne ochorenie . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47Ochorenie obliiek a hypertenzia . . . . . . . . . . . . . . . . . . . . . . 48Ochorenia peene a poruchy zrania krvi . . . . . . . . . . . . . . . . . 48Kosikovit anmia . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48Hemoflia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49Von Willebrandova choroba . . . . . . . . . . . . . . . . . . . . . . . . . 49Deti svedkov Jehovovch . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Premedikcia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50Klasick poiadavky . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51Ordincia premedikcie . . . . . . . . . . . . . . . . . . . . . . . . . . . 51Naasovanie a spsob . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51Vagolytick zloka . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52Anxiolytick a sedatvna zloka . . . . . . . . . . . . . . . . . . . . . . . 52Analgetick zloka . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52Bez premedikcie . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
Prinect Color Editor: Page is color controlled with Prinect Color Editor: 3.0.52Copyright 2005 Heidelberger Druckmaschinen AG
To view actual document colors and color spaces,please download free Prinect Color Editor: (Viewer) Plug-In from:http://www.heidelberg.com
Applied Color Management Settings:Output Intent (Press Profile): ISOcoated.icc
RGB Image:Profile: ECI_RGB.iccRendering Intent: PerceptualBlack Point Compensation: no
RGB Graphic:Profile: ECI_RGB.iccRendering Intent: PerceptualBlack Point Compensation: no
Device Independent RGB/Lab Image:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent RGB/Lab Graphic:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent CMYK/Gray Image:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent CMYK/Gray Graphic:Rendering Intent: PerceptualBlack Point Compensation: no
Turn R=G=B (Tolerance 0.5%) Graphic into Gray: yes
Turn C=M=Y,K=0 (Tolerance 0.1%) Graphic into Gray: noCMM for overprinting CMYK graphic: yesGray Image: Apply CMYK Profile: noGray Graphic: Apply CMYK Profile: noTreat Calibrated RGB as Device RGB: noTreat Calibrated Gray as Device Gray: yesRemove embedded non-CMYK Profiles: noRemove embedded CMYK Profiles: yes
Applied Miscellaneous Settings:All Colors to knockout: noPure black to overprint: yes Limit: 100%Turn Overprint CMYK White to Knockout: yesTurn Overprinting Device Gray to K: yesCMYK Overprint mode: set to OPM1 if not setCreate "All" from 4x100% CMYK: yesDelete "All" Colors: noConvert "All" to K: no
13
Mierna sedcia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53Opioidy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53Benzodiazepny . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53Chloralhydrt . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54Neuroleptik . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54Barbiturty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54Anticholnergik . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54Bazlna anestzia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55Predoperan poiadavka krvnch derivtov . . . . . . . . . . . . . . . . 55Predoperan lanenie . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56Chronick medikcia . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
Perioperan zabezpeenie pacienta . . . . . . . . . . . . . . . . . . . . . . . . . . . 56Monitorovanie respircie . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57Prstrojov monitorovanie . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Pulzn oxymetria . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57Kapnometria a kapnografia . . . . . . . . . . . . . . . . . . . . . . . . . 63Elektrokardiografia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67Meranie krvnho tlaku . . . . . . . . . . . . . . . . . . . . . . . . . . . 68Invazvne monitorovanie arterilneho tlaku . . . . . . . . . . . . . . . . . 69Relaxometria . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69Monitorovanie telesnej teploty . . . . . . . . . . . . . . . . . . . . . . . 70Monitorovanie hbky anestzie . . . . . . . . . . . . . . . . . . . . . . . 70
Monitorovanie intraabdominlneho tlaku . . . . . . . . . . . . . . . . . . . . . 75Intraabdominlny tlak . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75Abdominlny perfzny tlak . . . . . . . . . . . . . . . . . . . . . . . . . 76Intraabdominlna hypertenzia . . . . . . . . . . . . . . . . . . . . . . . . 76Abdominlny kompartmentov syndrm . . . . . . . . . . . . . . . . . . 76Intraveziklny tlak (IVP) . . . . . . . . . . . . . . . . . . . . . . . . . . 78
Cievne prstupy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87Perifrne cievne prstupy . . . . . . . . . . . . . . . . . . . . . . . . . . 88Chirurgick preparcia cievy . . . . . . . . . . . . . . . . . . . . . . . . 92Centrlny venzny prstup . . . . . . . . . . . . . . . . . . . . . . . . . 92Intraoselny venzny prstup . . . . . . . . . . . . . . . . . . . . . . . . 102Zabezpeenie urgentnho cievneho prstupu . . . . . . . . . . . . . . . . 103Starostlivos o perifrne a centrlne vstupy . . . . . . . . . . . . . . . . . 105
Tekutinov manament . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106Rozdelenie telovch tekutn . . . . . . . . . . . . . . . . . . . . . . . . . 106Monitorovanie hydratcie . . . . . . . . . . . . . . . . . . . . . . . . . . 106Poruchy hydratcie . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107Fyziolgia preoperanho hladovania . . . . . . . . . . . . . . . . . . . . 111Perioperan infzna terapia v pediatrii . . . . . . . . . . . . . . . . . . . 113
Zabezpeenie pacienta poas operanho vkonu . . . . . . . . . . . . . . . . . 119Poloha . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120Poloha na chrbte . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120Poloha na bruchu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121Poloha na boku . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 122Trendelenburgova poloha . . . . . . . . . . . . . . . . . . . . . . . . . . 124Litotomick poloha . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 124
Prinect Color Editor: Page is color controlled with Prinect Color Editor: 3.0.52Copyright 2005 Heidelberger Druckmaschinen AG
To view actual document colors and color spaces,please download free Prinect Color Editor: (Viewer) Plug-In from:http://www.heidelberg.com
Applied Color Management Settings:Output Intent (Press Profile): ISOcoated.icc
RGB Image:Profile: ECI_RGB.iccRendering Intent: PerceptualBlack Point Compensation: no
RGB Graphic:Profile: ECI_RGB.iccRendering Intent: PerceptualBlack Point Compensation: no
Device Independent RGB/Lab Image:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent RGB/Lab Graphic:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent CMYK/Gray Image:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent CMYK/Gray Graphic:Rendering Intent: PerceptualBlack Point Compensation: no
Turn R=G=B (Tolerance 0.5%) Graphic into Gray: yes
Turn C=M=Y,K=0 (Tolerance 0.1%) Graphic into Gray: noCMM for overprinting CMYK graphic: yesGray Image: Apply CMYK Profile: noGray Graphic: Apply CMYK Profile: noTreat Calibrated RGB as Device RGB: noTreat Calibrated Gray as Device Gray: yesRemove embedded non-CMYK Profiles: noRemove embedded CMYK Profiles: yes
Applied Miscellaneous Settings:All Colors to knockout: noPure black to overprint: yes Limit: 100%Turn Overprint CMYK White to Knockout: yesTurn Overprinting Device Gray to K: yesCMYK Overprint mode: set to OPM1 if not setCreate "All" from 4x100% CMYK: yesDelete "All" Colors: noConvert "All" to K: no
14 DETSK CHIRURGIA
Lumbotomick poloha . . . . . . . . . . . . . . . . . . . . . . . . . . . 125Operan polohy pacientov uplatovan v jednotlivch chirurgickch odboroch 127Komplikcie z nesprvnej operanej polohy . . . . . . . . . . . . . . . . 130
Celkov anestzia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 134Anestetick techniky . . . . . . . . . . . . . . . . . . . . . . . . . . . . 134Inhalan anestzia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 136Umel ventilcia pc v detskej anestziolgii . . . . . . . . . . . . . . . 138Inhalan versus intravenzna anestzia . . . . . . . . . . . . . . . . . . 142
Diea s plnm aldkom a anestzia . . . . . . . . . . . . . . . . . . . . . . . 144Aspircia ako nebezpen komplikcia . . . . . . . . . . . . . . . . . . . 145Profylaktick opatrenia . . . . . . . . . . . . . . . . . . . . . . . . . . . 148Prprava pacienta s plnm aldkom . . . . . . . . . . . . . . . . . . . . 149vod do celkovej anestzie . . . . . . . . . . . . . . . . . . . . . . . . . 150Voba svalovho relaxans . . . . . . . . . . . . . . . . . . . . . . . . . . 150Vedenie celkovej anestzie a extubcia . . . . . . . . . . . . . . . . . . . 151Postup v prpade aspircie . . . . . . . . . . . . . . . . . . . . . . . . . . 152
pecilne postupy a situcie pri anestzii . . . . . . . . . . . . . . . . . . . . . . . . 153Celkov anestzia u prematrnych det . . . . . . . . . . . . . . . . . . . . . . 153Vroden vvojov chyby . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 155
Syndrm krtkeho reva . . . . . . . . . . . . . . . . . . . . . . . . . . 156Atrzie gastrointestinlneho traktu . . . . . . . . . . . . . . . . . . . . . 157Pylorostenza . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 157revn obtrukcia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 157Gastroschza a omfalokla . . . . . . . . . . . . . . . . . . . . . . . . . 158Diafragmatick hernia (CDH) . . . . . . . . . . . . . . . . . . . . . . . . 160Atrzia ezofgu (EA) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 163
Torakoskopick vkony . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 167Laparoskopick vkony . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 182Trauma a polytrauma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 186
Detsk ambulantn anestziologick starostlivos . . . . . . . . . . . . . . . . . . . 193Spektrum vhodnch chirurgickch zkrokov . . . . . . . . . . . . . . . . . . . 195Predoperan prprava . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 195Prprava dieaa na zkrok . . . . . . . . . . . . . . . . . . . . . . . . . . . . 197Indukcia ako hladk vod do celkovej anestzie . . . . . . . . . . . . . . . . . 197Zabezpeenie dchacch ciest . . . . . . . . . . . . . . . . . . . . . . . . . . . 197Vedenie celkovej anestzie . . . . . . . . . . . . . . . . . . . . . . . . . . . . 197Pooperan komplikcie a lieba bolesti . . . . . . . . . . . . . . . . . . . . . 198Perioperan a pooperan analgzia . . . . . . . . . . . . . . . . . . . . . . . 198Kritri na prepustenie pacienta . . . . . . . . . . . . . . . . . . . . . . . . . . 198
2. ANTIINFEKN ANTIBIOTICK LIEBA V DETSKEJ CHIRURGII 205Antibiotick profylaxia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 208Perioperan starostlivos v detskom veku . . . . . . . . . . . . . . . . . . . . . . . 209Predoperan starostlivos . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 210Peroperan starostlivos . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 211Pooperan starostlivos . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 214Pooperan komplikcie . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 218
Prinect Color Editor: Page is color controlled with Prinect Color Editor: 3.0.52Copyright 2005 Heidelberger Druckmaschinen AG
To view actual document colors and color spaces,please download free Prinect Color Editor: (Viewer) Plug-In from:http://www.heidelberg.com
Applied Color Management Settings:Output Intent (Press Profile): ISOcoated.icc
RGB Image:Profile: ECI_RGB.iccRendering Intent: PerceptualBlack Point Compensation: no
RGB Graphic:Profile: ECI_RGB.iccRendering Intent: PerceptualBlack Point Compensation: no
Device Independent RGB/Lab Image:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent RGB/Lab Graphic:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent CMYK/Gray Image:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent CMYK/Gray Graphic:Rendering Intent: PerceptualBlack Point Compensation: no
Turn R=G=B (Tolerance 0.5%) Graphic into Gray: yes
Turn C=M=Y,K=0 (Tolerance 0.1%) Graphic into Gray: noCMM for overprinting CMYK graphic: yesGray Image: Apply CMYK Profile: noGray Graphic: Apply CMYK Profile: noTreat Calibrated RGB as Device RGB: noTreat Calibrated Gray as Device Gray: yesRemove embedded non-CMYK Profiles: noRemove embedded CMYK Profiles: yes
Applied Miscellaneous Settings:All Colors to knockout: noPure black to overprint: yes Limit: 100%Turn Overprint CMYK White to Knockout: yesTurn Overprinting Device Gray to K: yesCMYK Overprint mode: set to OPM1 if not setCreate "All" from 4x100% CMYK: yesDelete "All" Colors: noConvert "All" to K: no
15
3. HEMOTERAPIA V PEDIATRII . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 221Kompatibilita . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 222Transfzne lieky . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 223Indikcie hemoterapie v pediatrii . . . . . . . . . . . . . . . . . . . . . . . . . . . . 224Krvn prpravky na autolgnu transfziu . . . . . . . . . . . . . . . . . . . . . . . . 228Podvanie transfznych liekov . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 228Transfzne reakcie . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 229
4. RNTGENOLOGICK VYETROVACIE METDY V DETSKEJ CHIRURGII 231Skiagrafia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 232
Pri ochoreniach skeletu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 232Pri ochoreniach hrudnka . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 232Pri ochoreniach gastrointestinlneho traktu . . . . . . . . . . . . . . . . . . . . 232Pri ochoreniach uropoetickho systmu . . . . . . . . . . . . . . . . . . . . . . 233
Skiaskopia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 233Vyetrenie gastrointestinlneho traktu . . . . . . . . . . . . . . . . . . . . . . . 233
CT vyetrovacie metdy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 235CT v oblasti hlavy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 236CT v oblasti krku . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 236CT v oblasti hrudnka . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 237CT v oblasti brucha . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 237
MR vyetrovacie metdy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 238MR v oblasti hlavy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 238MR v oblasti axilneho skeletu . . . . . . . . . . . . . . . . . . . . . . . . . . 238MR v oblasti hrudnka a brucha . . . . . . . . . . . . . . . . . . . . . . . . . . 238Digitlna subtrakn angiografia (DSA) . . . . . . . . . . . . . . . . . . . . . 239
Ultrasonografia v detskej chirurgii . . . . . . . . . . . . . . . . . . . . . . . . . . . 244Sonografick prstroj . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 244USG abdomenu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 246
Vyetrenie lnka a lovch ciest . . . . . . . . . . . . . . . . . . . . . 246Vyetrenie peene . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 247Vyetrenie pankreasu . . . . . . . . . . . . . . . . . . . . . . . . . . . . 248Vyetrenie sleziny . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 248Vyetrenie urotraktu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 249Vyetrenie malej panvy u dievat . . . . . . . . . . . . . . . . . . . . . . 250Vyetrenie malej panvy u chlapcov . . . . . . . . . . . . . . . . . . . . . 251Vyetrenie nadobliiek . . . . . . . . . . . . . . . . . . . . . . . . . . . 251Vyetrenie gastrointestinlneho traktu . . . . . . . . . . . . . . . . . . . 251Vyetrenie peritonelnej dutiny, retroperitonea . . . . . . . . . . . . . . . 253
USG krku . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 254Vyetrenie ttnej azy . . . . . . . . . . . . . . . . . . . . . . . . . . . 254Vyetrenie lymfatickch uzln . . . . . . . . . . . . . . . . . . . . . . . . 254Vyetrenie mkkch ast . . . . . . . . . . . . . . . . . . . . . . . . . . 255
USG hrudnka . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 255USG inch oblast . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 255USG mozgu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 255
5. NDOROV OCHORENIA V DETSKOM VEKU . . . . . . . . . . . . . . . . . . . . 263
Prinect Color Editor: Page is color controlled with Prinect Color Editor: 3.0.52Copyright 2005 Heidelberger Druckmaschinen AG
To view actual document colors and color spaces,please download free Prinect Color Editor: (Viewer) Plug-In from:http://www.heidelberg.com
Applied Color Management Settings:Output Intent (Press Profile): ISOcoated.icc
RGB Image:Profile: ECI_RGB.iccRendering Intent: PerceptualBlack Point Compensation: no
RGB Graphic:Profile: ECI_RGB.iccRendering Intent: PerceptualBlack Point Compensation: no
Device Independent RGB/Lab Image:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent RGB/Lab Graphic:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent CMYK/Gray Image:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent CMYK/Gray Graphic:Rendering Intent: PerceptualBlack Point Compensation: no
Turn R=G=B (Tolerance 0.5%) Graphic into Gray: yes
Turn C=M=Y,K=0 (Tolerance 0.1%) Graphic into Gray: noCMM for overprinting CMYK graphic: yesGray Image: Apply CMYK Profile: noGray Graphic: Apply CMYK Profile: noTreat Calibrated RGB as Device RGB: noTreat Calibrated Gray as Device Gray: yesRemove embedded non-CMYK Profiles: noRemove embedded CMYK Profiles: yes
Applied Miscellaneous Settings:All Colors to knockout: noPure black to overprint: yes Limit: 100%Turn Overprint CMYK White to Knockout: yesTurn Overprinting Device Gray to K: yesCMYK Overprint mode: set to OPM1 if not setCreate "All" from 4x100% CMYK: yesDelete "All" Colors: noConvert "All" to K: no
16 DETSK CHIRURGIA
Wilmsov ndor (nefroblastm) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 265Neuroblastm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 268Ndory peene . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 271Sarkmy mkkch tkanv . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 274Ndory zo zrodkovch buniek (germinatvne ndory) . . . . . . . . . . . . . . . . . 277Sarkmy kost . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 280
Osteosarkm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 280Ewingov sarkm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 283
6. DARCOVSTVO A TRANSPLANTCIE ORGNOV U DET . . . . . . . . . . 287Histria oblikovch transplantci . . . . . . . . . . . . . . . . . . . . . . . . . . . 288Prvne a etick aspekty transplantci . . . . . . . . . . . . . . . . . . . . . . . . . 290
Prvna defincia mozgovej smrti ako smrti jedinca . . . . . . . . . . . . . . . . 290Shlas na odber orgnov po smrti . . . . . . . . . . . . . . . . . . . . . . . . . 291Odbery orgnov od ijcich darcov . . . . . . . . . . . . . . . . . . . . . . . . 293
Imunobiolgia, vber prov: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 294HLA typizcia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 295Vber prov: darca prjemca (alokan kritri) . . . . . . . . . . . . . . . . 296Imunosupresvna lieba . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 297
pecifik transplantci v detskom veku . . . . . . . . . . . . . . . . . . . . . . . . 299Technick chirurgick faktory a dysfunkcia tepu . . . . . . . . . . . . . . . . . 299Rast a vvoj dieaa . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 300Nespoluprca pediatrickho pacienta po transplantcii . . . . . . . . . . . . . . 300
Odbery orgnov . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 300Legislatva darcovstva . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 300Indikcie a kontraindikcie odberov orgnov . . . . . . . . . . . . . . . . . . . 304
Veobecn kontraindikcie . . . . . . . . . . . . . . . . . . . . . . . . . 304Orgnovopecifick kontraindikcie . . . . . . . . . . . . . . . . . . . . 305
Technika odberu orgnov a ich konzervcia . . . . . . . . . . . . . . . . . . . . 306Poiadavky na kvalitu odberov a technika odberu orgnov . . . . . . . . . 306tandardn odber orgnov . . . . . . . . . . . . . . . . . . . . . . . . . 307Chirurgick aspekty odberu a transplantcie obliky od ijceho darcu . . 312Komplikcie poas odberu orgnov . . . . . . . . . . . . . . . . . . . . 316
Konzervcia orgnov a konzervan roztoky . . . . . . . . . . . . . . . . . . . 318Transplantcie orgnov . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 320
Transplantcia obliiek . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 320Chirurgick predtransplantan prprava . . . . . . . . . . . . . . . . . . 320Technika transplantcie obliiek . . . . . . . . . . . . . . . . . . . . . . 322
Transplantcie peene . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 326Transplantcie srdca . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 328Transplantcia pc . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 329Transplantcie tenkho reva . . . . . . . . . . . . . . . . . . . . . . . . . . . 330
Pooperan starostlivos a komplikcie po transplantcii . . . . . . . . . . . . . . . 330Bezprostredn potransplantan starostlivos . . . . . . . . . . . . . . . . . . . 330Komplikcie po transplantcii . . . . . . . . . . . . . . . . . . . . . . . . . . . 331
Chirurgick komplikcie . . . . . . . . . . . . . . . . . . . . . . . . . . 331Afunkcia a dysfunkcia tepu . . . . . . . . . . . . . . . . . . . . . . . . 333Imunologick komplikcie . . . . . . . . . . . . . . . . . . . . . . . . . 336
Prinect Color Editor: Page is color controlled with Prinect Color Editor: 3.0.52Copyright 2005 Heidelberger Druckmaschinen AG
To view actual document colors and color spaces,please download free Prinect Color Editor: (Viewer) Plug-In from:http://www.heidelberg.com
Applied Color Management Settings:Output Intent (Press Profile): ISOcoated.icc
RGB Image:Profile: ECI_RGB.iccRendering Intent: PerceptualBlack Point Compensation: no
RGB Graphic:Profile: ECI_RGB.iccRendering Intent: PerceptualBlack Point Compensation: no
Device Independent RGB/Lab Image:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent RGB/Lab Graphic:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent CMYK/Gray Image:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent CMYK/Gray Graphic:Rendering Intent: PerceptualBlack Point Compensation: no
Turn R=G=B (Tolerance 0.5%) Graphic into Gray: yes
Turn C=M=Y,K=0 (Tolerance 0.1%) Graphic into Gray: noCMM for overprinting CMYK graphic: yesGray Image: Apply CMYK Profile: noGray Graphic: Apply CMYK Profile: noTreat Calibrated RGB as Device RGB: noTreat Calibrated Gray as Device Gray: yesRemove embedded non-CMYK Profiles: noRemove embedded CMYK Profiles: yes
Applied Miscellaneous Settings:All Colors to knockout: noPure black to overprint: yes Limit: 100%Turn Overprint CMYK White to Knockout: yesTurn Overprinting Device Gray to K: yesCMYK Overprint mode: set to OPM1 if not setCreate "All" from 4x100% CMYK: yesDelete "All" Colors: noConvert "All" to K: no
17
Infekn komplikcie . . . . . . . . . . . . . . . . . . . . . . . . . . . . 337
7. POPLENINY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 341vod do problematiky . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 342
Defincia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 342Vskyt detskch poplenn a ich priny . . . . . . . . . . . . . . . . . . . . . 342Patofyziolgia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 343Popleninov ok . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 346Popleninov choroba (popleninov syndrm) . . . . . . . . . . . . . . . . . 347
Prv pomoc a prvotn oetrenie . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 348Lieenie popleninovho oku . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 359Aktne obdobie: celkov starostlivos, komplikcie . . . . . . . . . . . . . . . . . . 364Metdy loklnej lieby poplenn . . . . . . . . . . . . . . . . . . . . . . . . . . . . 365
Konzervatvne metdy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 365Obvz rany a jeho loha . . . . . . . . . . . . . . . . . . . . . . . . . . . 366Topick prostriedky . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 367Prpravky na odstrnenie nekrz . . . . . . . . . . . . . . . . . . . . . . 368
Chirurgick metdy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 368Spsoby chirurgickej exczie poplenej koe . . . . . . . . . . . . . . . . 369Metdy krytia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 370Stratgia a taktika chirurgickej lieby . . . . . . . . . . . . . . . . . . . . 370
Obdobie retitcie a rehabilitcie . . . . . . . . . . . . . . . . . . . . . . . . . . . . 374Mal popleniny ambulantn lieenie . . . . . . . . . . . . . . . . . . . . . . . . 375Nsledn starostlivos, monosti rekontrukcie . . . . . . . . . . . . . . . . . . . . . 377
8. KRN CHIRURGIA V DETSKOM VEKU . . . . . . . . . . . . . . . . . . . . . . . . 381Medilna krn fistula . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 382Medilna krn cysta . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 383Laterlna bronchilna krn fistula . . . . . . . . . . . . . . . . . . . . . . . . . . . 383Laterlna cysta krku . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 384Choroby ttnej azy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 385
9. TRAUMATOLOGIE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 391Traumatologie nauka o razech . . . . . . . . . . . . . . . . . . . . . . . . . . . . 392
Rny . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 392Rozdlen ran dle rznch aspekt . . . . . . . . . . . . . . . . . . . . . 392Oteven rny . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 392Oeten ran . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 393Hojen ran . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 393Faktory ovlivujc hojen ran . . . . . . . . . . . . . . . . . . . . . . . . 395
Porann sval a lach . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 395Porann il . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 395Porann tepen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 396Porann nerv . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 396Dtsk zlomeniny . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 396
Hojen zlomenin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 396Hojen a stabilita . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 397Reposice . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 397
Prinect Color Editor: Page is color controlled with Prinect Color Editor: 3.0.52Copyright 2005 Heidelberger Druckmaschinen AG
To view actual document colors and color spaces,please download free Prinect Color Editor: (Viewer) Plug-In from:http://www.heidelberg.com
Applied Color Management Settings:Output Intent (Press Profile): ISOcoated.icc
RGB Image:Profile: ECI_RGB.iccRendering Intent: PerceptualBlack Point Compensation: no
RGB Graphic:Profile: ECI_RGB.iccRendering Intent: PerceptualBlack Point Compensation: no
Device Independent RGB/Lab Image:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent RGB/Lab Graphic:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent CMYK/Gray Image:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent CMYK/Gray Graphic:Rendering Intent: PerceptualBlack Point Compensation: no
Turn R=G=B (Tolerance 0.5%) Graphic into Gray: yes
Turn C=M=Y,K=0 (Tolerance 0.1%) Graphic into Gray: noCMM for overprinting CMYK graphic: yesGray Image: Apply CMYK Profile: noGray Graphic: Apply CMYK Profile: noTreat Calibrated RGB as Device RGB: noTreat Calibrated Gray as Device Gray: yesRemove embedded non-CMYK Profiles: noRemove embedded CMYK Profiles: yes
Applied Miscellaneous Settings:All Colors to knockout: noPure black to overprint: yes Limit: 100%Turn Overprint CMYK White to Knockout: yesTurn Overprinting Device Gray to K: yesCMYK Overprint mode: set to OPM1 if not setCreate "All" from 4x100% CMYK: yesDelete "All" Colors: noConvert "All" to K: no
18 DETSK CHIRURGIA
Fixace zlomenin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 397Stabilita lomk zlomenin . . . . . . . . . . . . . . . . . . . . . . . . . 398Typy dtskch zlomenin . . . . . . . . . . . . . . . . . . . . . . . . . . . 398
Kompartmentov syndrom . . . . . . . . . . . . . . . . . . . . . . . . . . . . 399Mechanismus vzniku . . . . . . . . . . . . . . . . . . . . . . . . . . . . 399Piny vzniku . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 400Dlen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 400Rozdlen dle anatomickch pomr . . . . . . . . . . . . . . . . . . . . 400Pznaky kompartment syndromu . . . . . . . . . . . . . . . . . . . . . 401Sledovn a men dleitch hodnot . . . . . . . . . . . . . . . . . . . 401Lba . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 402
Kraniocerebrln porann v dtskm vku . . . . . . . . . . . . . . . . . . . . . . . 402Porann skalpu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 405Kefalhematom . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 405Zlomeniny lebky . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 407
Vpen zlomenina . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 408Ping-pong zlomenina . . . . . . . . . . . . . . . . . . . . . . . . . . . 409Rostouc zlomenina (growing fracture) . . . . . . . . . . . . . . . . . 409Linern fraktury base lebn . . . . . . . . . . . . . . . . . . . . . . . . . 409
Zlomeniny onice . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 410Otes mozku (commotio cerebri) . . . . . . . . . . . . . . . . . . . . . . . . . 411Zhmodn mozku (contusio cerebri) a mozkov edm . . . . . . . . . . . . . . 411Epidurln hematom . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 411Porann mozkovch ilnch splav . . . . . . . . . . . . . . . . . . . . . . . 413Subdurln hematom . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 414
Akutn subdurln hematom . . . . . . . . . . . . . . . . . . . . . . . . . 414Extraaxiln kolekce tekutiny (efze) u dt . . . . . . . . . . . . . . . . . 415Traumatick hemocefalus novorozenc . . . . . . . . . . . . . . . . . . . 416Syndrom tranho dtte (battered child) . . . . . . . . . . . . . . . . . 416Dt tesen (shaken baby) . . . . . . . . . . . . . . . . . . . . . . . . 417
Prognza dtskch porann . . . . . . . . . . . . . . . . . . . . . . . . . . . . 417Porann hrudnku . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 417
Anatomick poznmky . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 417Kostra hrudnku . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 417Mkk tkn . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 418Svaly hrudnku (musculi thoracis) . . . . . . . . . . . . . . . . . . . . . 418Brnice (diaphragma) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 418
Rozdlen porann hrudnku . . . . . . . . . . . . . . . . . . . . . . . . . . . 418Kontuze plce . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 418Pneumothorax zaven . . . . . . . . . . . . . . . . . . . . . . . . . . 419Oteven pneumothorax . . . . . . . . . . . . . . . . . . . . . . . . . . 420Tenzn pneumothorax . . . . . . . . . . . . . . . . . . . . . . . . . . . . 421Hemothorax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 421Traumatick asfyxie . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 421Chylothorax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 422
Porann skeletu hrudnku . . . . . . . . . . . . . . . . . . . . . . . . . . . . 422Zlomeniny sterna . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 422Zlomeniny eber . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 422
Prinect Color Editor: Page is color controlled with Prinect Color Editor: 3.0.52Copyright 2005 Heidelberger Druckmaschinen AG
To view actual document colors and color spaces,please download free Prinect Color Editor: (Viewer) Plug-In from:http://www.heidelberg.com
Applied Color Management Settings:Output Intent (Press Profile): ISOcoated.icc
RGB Image:Profile: ECI_RGB.iccRendering Intent: PerceptualBlack Point Compensation: no
RGB Graphic:Profile: ECI_RGB.iccRendering Intent: PerceptualBlack Point Compensation: no
Device Independent RGB/Lab Image:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent RGB/Lab Graphic:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent CMYK/Gray Image:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent CMYK/Gray Graphic:Rendering Intent: PerceptualBlack Point Compensation: no
Turn R=G=B (Tolerance 0.5%) Graphic into Gray: yes
Turn C=M=Y,K=0 (Tolerance 0.1%) Graphic into Gray: noCMM for overprinting CMYK graphic: yesGray Image: Apply CMYK Profile: noGray Graphic: Apply CMYK Profile: noTreat Calibrated RGB as Device RGB: noTreat Calibrated Gray as Device Gray: yesRemove embedded non-CMYK Profiles: noRemove embedded CMYK Profiles: yes
Applied Miscellaneous Settings:All Colors to knockout: noPure black to overprint: yes Limit: 100%Turn Overprint CMYK White to Knockout: yesTurn Overprinting Device Gray to K: yesCMYK Overprint mode: set to OPM1 if not setCreate "All" from 4x100% CMYK: yesDelete "All" Colors: noConvert "All" to K: no
19
Porann bicha a retroperitonea . . . . . . . . . . . . . . . . . . . . . . . . . . . . 423Porann bin stny . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 424Porann parenchymatznch orgn . . . . . . . . . . . . . . . . . . . . . . . 425
Porann sleziny . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 425Porann jater . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 428Porann pankreatu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 431
Porann orgn GIT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 432Porann aludku . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 432Porann duodena . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 432Porann jejuna a ilea . . . . . . . . . . . . . . . . . . . . . . . . . . . . 433Porann tlustho steva . . . . . . . . . . . . . . . . . . . . . . . . . . . 434Porann perinea a anlnho otvoru . . . . . . . . . . . . . . . . . . . . . 435Porann omenta . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 435Porann cv . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 435
Porann retroperitonea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 435Porann ledvin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 435Porann nadledvin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 436Porann moovodu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 437Porann moovho mche . . . . . . . . . . . . . . . . . . . . . . . . 437Porann moov trubice . . . . . . . . . . . . . . . . . . . . . . . . . . 438
Poleptn GIT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 438Porann horn konetiny . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 439
Zlomeniny kln kosti . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 439Luxace kln kosti . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 440Zlomenina lopatky . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 441Porann ramennho kloubu . . . . . . . . . . . . . . . . . . . . . . . . . . . . 441Zlomeniny pan kosti . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 442
Zlomeniny hornho konce pan kosti . . . . . . . . . . . . . . . . . . . . 442Zlomeniny diafzy pan kosti . . . . . . . . . . . . . . . . . . . . . . . 444Zlomeniny dolnho konce pan kosti . . . . . . . . . . . . . . . . . . . 445
Luxace lokte . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 448Porann pedlokt . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 448
Porann hornho konce pedloketnch kost . . . . . . . . . . . . . . . . 448Zlomeniny pedloketnch kost . . . . . . . . . . . . . . . . . . . . . . . 450
Porann ruky . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 453Pokozen nehtovho komplexu . . . . . . . . . . . . . . . . . . . . . . . 453Pokozen struktur souvisejcch s nehtovm komplexem . . . . . . . . . 453lachov porann . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 454Dislokace . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 456Porann skeletu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 456Zlomeniny karplnch kost . . . . . . . . . . . . . . . . . . . . . . . . . 456Zlomeniny metakarplnch kost . . . . . . . . . . . . . . . . . . . . . . 456Zlomeniny falangln . . . . . . . . . . . . . . . . . . . . . . . . . . . . 457Porann nerv . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 457
Amputace a ztrtov porann . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 458Replantace . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 458
Replantace prst, ruky a pae . . . . . . . . . . . . . . . . . . . . . . . . 458Rekonstrukce chopov schopnosti ruky . . . . . . . . . . . . . . . . . . 460
Prinect Color Editor: Page is color controlled with Prinect Color Editor: 3.0.52Copyright 2005 Heidelberger Druckmaschinen AG
To view actual document colors and color spaces,please download free Prinect Color Editor: (Viewer) Plug-In from:http://www.heidelberg.com
Applied Color Management Settings:Output Intent (Press Profile): ISOcoated.icc
RGB Image:Profile: ECI_RGB.iccRendering Intent: PerceptualBlack Point Compensation: no
RGB Graphic:Profile: ECI_RGB.iccRendering Intent: PerceptualBlack Point Compensation: no
Device Independent RGB/Lab Image:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent RGB/Lab Graphic:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent CMYK/Gray Image:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent CMYK/Gray Graphic:Rendering Intent: PerceptualBlack Point Compensation: no
Turn R=G=B (Tolerance 0.5%) Graphic into Gray: yes
Turn C=M=Y,K=0 (Tolerance 0.1%) Graphic into Gray: noCMM for overprinting CMYK graphic: yesGray Image: Apply CMYK Profile: noGray Graphic: Apply CMYK Profile: noTreat Calibrated RGB as Device RGB: noTreat Calibrated Gray as Device Gray: yesRemove embedded non-CMYK Profiles: noRemove embedded CMYK Profiles: yes
Applied Miscellaneous Settings:All Colors to knockout: noPure black to overprint: yes Limit: 100%Turn Overprint CMYK White to Knockout: yesTurn Overprinting Device Gray to K: yesCMYK Overprint mode: set to OPM1 if not setCreate "All" from 4x100% CMYK: yesDelete "All" Colors: noConvert "All" to K: no
20 DETSK CHIRURGIA
Replantace skalpu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 460Replantace boltce . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 461Replantace nosu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 461
Rekonstrukce konch defekt . . . . . . . . . . . . . . . . . . . . . . . . . . . 462Porann doln konetiny . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 463
Zlomeniny pnve . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 463Zlomeniny acetabula . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 466Porann kyelnho kloubu . . . . . . . . . . . . . . . . . . . . . . . . . . . . 468Zlomeniny stehenn kosti . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 468
Zlomeniny proximlnho konce femuru . . . . . . . . . . . . . . . . . . . 468Zlomeniny krku stehenn kosti . . . . . . . . . . . . . . . . . . . . . . . 469Zlomeniny diafzy femuru . . . . . . . . . . . . . . . . . . . . . . . . . 470
Porann kolennho kloubu . . . . . . . . . . . . . . . . . . . . . . . . . . . . 472Porann mkkho kolena . . . . . . . . . . . . . . . . . . . . . . . . . . 472Porann menisk . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 473Porann vaz . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 474Porann kloubnho pouzdra . . . . . . . . . . . . . . . . . . . . . . . . 475Porann nitrokloubnch as . . . . . . . . . . . . . . . . . . . . . . . . . 476Porann tvrdho kolene . . . . . . . . . . . . . . . . . . . . . . . . . . . 476Osteochondrln zlomeniny kolennho kloubu . . . . . . . . . . . . . . . 477Souasn monosti lby porann kloubn chrupavky . . . . . . . . . . . 477
Porann pately . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 478Zlomeniny diafzy brce . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 479Poranenia lenkov . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 480
Fyziologick anatmia . . . . . . . . . . . . . . . . . . . . . . . . . . . 480Poranenia lenkovch vzov . . . . . . . . . . . . . . . . . . . . . . . . 481Zlomeniny lenkov . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 482
Poranenia nohy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 488Fyziologick anatmia . . . . . . . . . . . . . . . . . . . . . . . . . . . 488Poranenie vzov nohy . . . . . . . . . . . . . . . . . . . . . . . . . . . . 488Zlomeniny kalkanea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 489Zlomeniny talu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 489Zlomeniny navikularis . . . . . . . . . . . . . . . . . . . . . . . . . . . 490Zlomeniny kuboidea . . . . . . . . . . . . . . . . . . . . . . . . . . . . 490Tarzometatarzlne zlomeniny . . . . . . . . . . . . . . . . . . . . . . . 490Zlomeniny lnkov prstov . . . . . . . . . . . . . . . . . . . . . . . . . . 491Filozofia lieby poranen lenka a nohy . . . . . . . . . . . . . . . . . . 492
10. HRUDN CHIRURGIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 497Vroden deformity hrudnka . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 498
Pectus excavatum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 498Pectus carinatum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 503Polandov syndrm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 505
Vroden diafragmatick hernia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 508Vroden vvojov chyby pc a dchacch ciest . . . . . . . . . . . . . . . . . . . . 520
Vroden anomlie spojen s obtrukciou dchacch ciest . . . . . . . . . . . . . 521Tracheomalcia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 521Vroden trachelna membrna . . . . . . . . . . . . . . . . . . . . . . . 523
Prinect Color Editor: Page is color controlled with Prinect Color Editor: 3.0.52Copyright 2005 Heidelberger Druckmaschinen AG
To view actual document colors and color spaces,please download free Prinect Color Editor: (Viewer) Plug-In from:http://www.heidelberg.com
Applied Color Management Settings:Output Intent (Press Profile): ISOcoated.icc
RGB Image:Profile: ECI_RGB.iccRendering Intent: PerceptualBlack Point Compensation: no
RGB Graphic:Profile: ECI_RGB.iccRendering Intent: PerceptualBlack Point Compensation: no
Device Independent RGB/Lab Image:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent RGB/Lab Graphic:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent CMYK/Gray Image:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent CMYK/Gray Graphic:Rendering Intent: PerceptualBlack Point Compensation: no
Turn R=G=B (Tolerance 0.5%) Graphic into Gray: yes
Turn C=M=Y,K=0 (Tolerance 0.1%) Graphic into Gray: noCMM for overprinting CMYK graphic: yesGray Image: Apply CMYK Profile: noGray Graphic: Apply CMYK Profile: noTreat Calibrated RGB as Device RGB: noTreat Calibrated Gray as Device Gray: yesRemove embedded non-CMYK Profiles: noRemove embedded CMYK Profiles: yes
Applied Miscellaneous Settings:All Colors to knockout: noPure black to overprint: yes Limit: 100%Turn Overprint CMYK White to Knockout: yesTurn Overprinting Device Gray to K: yesCMYK Overprint mode: set to OPM1 if not setCreate "All" from 4x100% CMYK: yesDelete "All" Colors: noConvert "All" to K: no
21
Vroden stenza trachey . . . . . . . . . . . . . . . . . . . . . . . . . . 523Agenza trachey . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 524
Vroden anomlie spojen s opakovanmi aspirciami . . . . . . . . . . . . . 525Tracheoezofaglna fistula (H-fistula) . . . . . . . . . . . . . . . . . . . . 526Laryngotracheoezofaglny rztep . . . . . . . . . . . . . . . . . . . . . 527
Vroden anomlie spojen s vysokm rizikom vzniku infekcie . . . . . . . . . . 529Vroden cystick adenomatoidn malformcia pc . . . . . . . . . . . . 529Bronchopulmonlna sekvestrcia . . . . . . . . . . . . . . . . . . . . . . 530Chronick atelektza (middle lobe syndrome) . . . . . . . . . . . . . . . 532
Chirurgick ochorenia mediastna u det . . . . . . . . . . . . . . . . . . . . . . . . 533Cysty medzihrudia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 535
Bronchognne cysty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 536Enterognne, ezofaglne, gastroenterick a neurenterick cysty . . . . . . 537Mezotelov cysty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 538Lymfatick cysty mediastna . . . . . . . . . . . . . . . . . . . . . . . . 538Tymick cysty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 539
Tumory medzihrudia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 540Ndory tmusu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 542Mediastinlne lymfmy . . . . . . . . . . . . . . . . . . . . . . . . . . . 544Neurognne tumory autonmneho nervovho systmu a paraganglimy . . 546Mediastinlne tumory zo zrodonch buniek . . . . . . . . . . . . . . . 548
Zpalov procesy mediastna . . . . . . . . . . . . . . . . . . . . . . . . . . . 550Pooperan mediastinitda . . . . . . . . . . . . . . . . . . . . . . . . . 551Mediastinitda po perforcii paerka alebo trachey . . . . . . . . . . . . 552Descendentn nekrotizujca mediastinitda . . . . . . . . . . . . . . . . . 553
Ndory hrudnka u det . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 555Klinick manifestcia ndorov hrudnka . . . . . . . . . . . . . . . . . . . . . 555Ndory hrudnej steny . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 559
Bengne ndory hrudnej steny . . . . . . . . . . . . . . . . . . . . . . . . 559Malgne ndory hrudnej steny . . . . . . . . . . . . . . . . . . . . . . . . 562
Ndory mlienej azy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 564Bengne ndory mlienej azy . . . . . . . . . . . . . . . . . . . . . . . 565Malgne ndory mlienej azy . . . . . . . . . . . . . . . . . . . . . . . 565
Ndory pcneho parenchmu . . . . . . . . . . . . . . . . . . . . . . . . . . 566Bengne ndory pc . . . . . . . . . . . . . . . . . . . . . . . . . . . . 566Malgne ndory pc . . . . . . . . . . . . . . . . . . . . . . . . . . . . 568
Ndory srdca . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 570Ndory vyrastajce z pleury . . . . . . . . . . . . . . . . . . . . . . . . . . . . 571Neskor komplikcie lieby ndorov hrudnka . . . . . . . . . . . . . . . . . . 571
Pneumotorax v detskom veku . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 575Pneumotorax novorodencov . . . . . . . . . . . . . . . . . . . . . . . . . . . . 575Pneumotorax det . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 586
Fluidotorax v detskom veku . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 593Empym . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 609Chylotorax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 610
Pcne cysty v detskom veku . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 625Vroden cystick ochorenia pc . . . . . . . . . . . . . . . . . . . . . . . . . 625
Vroden lobrny emfyzm . . . . . . . . . . . . . . . . . . . . . . . . . 625
Prinect Color Editor: Page is color controlled with Prinect Color Editor: 3.0.52Copyright 2005 Heidelberger Druckmaschinen AG
To view actual document colors and color spaces,please download free Prinect Color Editor: (Viewer) Plug-In from:http://www.heidelberg.com
Applied Color Management Settings:Output Intent (Press Profile): ISOcoated.icc
RGB Image:Profile: ECI_RGB.iccRendering Intent: PerceptualBlack Point Compensation: no
RGB Graphic:Profile: ECI_RGB.iccRendering Intent: PerceptualBlack Point Compensation: no
Device Independent RGB/Lab Image:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent RGB/Lab Graphic:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent CMYK/Gray Image:Rendering Intent: PerceptualBlack Point Compensation: no
Device Independent CMYK/Gray Graphic:Rendering Intent: PerceptualBlack Point Compensation: no
Turn R=G=B (Tolerance 0.5%) Graphic into Gray: yes
Turn C=M=Y,K=0 (Tolerance 0.1%) Graphic into Gray: noCMM for overprinting CMYK graphic: yesGray Image: Apply CMYK Profile: noGray Graphic: Apply CMYK Profile: noTreat Calibrated RGB as Device RGB: noTreat Calibrated Gray as Device Gray: yesRemove embedded non-CMYK Profiles: noRemove embedded CMYK Profiles: yes
Applied Miscellaneous Settings:All Colors to knockout: noPure black to overprint: yes Limit: 100%Turn Overprint CMYK White to Knockout: yesTurn Overprinting Device Gray to K: yesCMYK Overprint mode: set to OPM1 if not setCreate "All" from 4x100% CMYK: yesDelete "All" Colors: noConvert "All" to K: no
22 DETSK CHIRURGIA
Vroden pcne cysty . . . . . . . . . . . . . . . . . . . . . . . . . . . . 626Zskan cystick ochorenia . . . . . . . . . . . . . . . . . . . . . . . . . . . . 627
Emfyzm z cudzieho telesa . . . . . . . . . . . . . . . . . . . . . . . . . 627Parazitrne cysty pc . . . . . . . . . . . . . . . . . . . . . . . . . . . . 628Cystick tvary pri bronchiektzich . . . . . . . . . . . . . . . . . . . . 628Absces pc . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 628
Resekcie pc v detskom veku . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 630Indikcie na resekciu pc . . . . . . . . . . . . . . . . . . . . . . . . . . . . 630Resekcie pc z otvorenho prstupu . . . . . . . . . . . . . . . . . . . . . . . 631Videotorakoskopick resekcie pc . . . . . . . . . . . . . . . . . . . . . . . . 632Predoperan prprava pred resekciou pc . . . . . . . . . . . . . . . . . . . . 634Ventilcia detskho pacienta pri pcnych resekcich . . . . . . . . . . . . . . 635Komplikcie pcnych resekci . . . . . . . . . . . . . . . . . . . . . . . . . . 635Perioperan rehabilitcia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 636
11. BRUN CHIRURGIA V DETSKOM VEKU . . . . . . . . . . . . . . . . . . . . . . 639Bolesti brucha . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 640Chronick bolesti brucha . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 645Diferencilna diagnostika vracania . . . . . . . . . . . . . . . . . . . . . . . . . . . 652Cudzie teles v trviacom trakte . . . . . . . . . . . . . . . . . . . . . . . . . . . . 664Refluxn choroba paerka . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 670Endoluminlne metdy lieby GERD . . . . . . . . . . . . . . . . . . . . . . . . . . 679Vroden vvojov chyby prednej brunej steny . . . . . . . . . . . . . . . . . . . . 685
Perzistujci omfaloenterick duktus . . . . . . . . . . . . . . . . . . . . . . . 686Perzistujca urachlna fistula . . . . . . . . . . . . . . . . . . . . . . . . . . . 687Diastza rektlnych svalov . . . . . . . . . . . . . . . . . . . . . . . . . . . . 689Gastroschza . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 689Omfalokla . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 691Medilna fisra trbina epigastria . . . . . . . . . . . . . . . . . . . . . . . . 694Vezikointestinlna fisra . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 695Manament pacientov s defektmi brunej steny . . . . . . . . . . . . . . . . . . 696
Hernia inguinalis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 701Atrzia paerka a tracheoezofaglne malformcie . . . . . . . . . . . . . . . . . . . 704Vroden obtrukcia aldka . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 720Volvulus aldka . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 721Atrzia pyloru . . . . . . . . . . . . . . . . . . . . . .
Recommended