Diagnosis _'s symptom of colon peritonitis

Diagnosis _'s symptom of colon peritonitis
Tuberculosis peritonitis is that the chronic filling the air peritoneum caused by tubercle bacillus is infected, focus spread directly and blood competent to sow scattered to peritoneum due to from internal tuberculosis often, this disease is relatively common, but there is much and non- typical clinical manifestation, can be divided into oozing out type, adhesion type and cheese type according to the pathologic characteristic. Disease this can take place on age any, but annual to meet woman exceed men more with blue and green form, men and women to about 1: 1.8.
[Diagnose the main point ]
First, clinical manifestation
1. Whole body symptom: Tuberculosis and virus blood disease are common, mainly generate heat and night sweat. It is most many with low-heat and medium-sized and hot to be getting hot, about 1/3 have remittent fever, a few can have continued fever, can be malnutritive on later stage.
2. Suffer from abdominal pain: Early, can also have abdominal pain or the intersection of continuation and secret anguish or dull pain, suffer from abdominal pain, lie in more week such as umbilicus, lower abdomen, often accompany abdominal distension.
3. Palpation of belly; There is a flexible sense in the belly wall. There can be belly pieces in adhesion type and cheese type, lie for umbilicus week more.
4. Ascites: Can present the voiced sound of the mobility when exceeding 1000ml in ascites.
5. Suffer from diarrhoea: Do not generally exceed 3 - - 4 times d day, relieve oneself for the pastel.
6. Intestinal obstruction is its common complication.
Second, laboratory and auxiliary examination
1. Blood routine: Some patients are light to intermediate anaemia.
2. Erythrocyte sedimentation rate: The person who has pathological change of activities increase fast more.
3. Tuberculin test: The strong and positive one is briefed on the body there is active tuberculosis.
4. The ascites is checked: In order to ooze out liquids, the grass is yellow, proportion is greater than or equal to 1.016, in 25g more than of liter, Li Fan tests the masculine gender in albumen content, cell gts; 0.5* 109 liter, take lymphocyte as the core. A few slides or training tubercle bacillus.
5. X-ray barium meal: Can find signs such as the lump,etc. outside intestinal adhesion, tuberculosis of intestine, ascites, intestines Lou, intestines.
6. Laparoscopy: It it is obvious peritoneum, omentum, viscera surface is scattered without being had in or millet grain yellow or tubercles ashen that be gathered, the surface of serous coat loses normal gloss.
7. Supersonic wave and CT: Can survey the ascites and cheese type and wrap up the piece.

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