's general knowledge of summary of tuberculosis peritonitis

's general knowledge of summary of tuberculosis peritonitis
Summary
Tuberculosis peritonitis is that the chronic filling the air peritoneum caused by tubercle bacillus is infected. Meet more with children and between twenty and fifty. The woman slightly exceeds men, it is 1.2-2.0: 1.
Cause of disease
The tuberculosis overwhelming majority of peritonitis is continued and taken place at tuberculosis and pathological change of other organs. The intersection of infection and route of disease this can tuberculosis spread directly and blood competent to sow scattered come oning in abdominal cavity. The former is more common, such as tuberculosis of intestine, mesenterium lymphocytic tuberculosis, oviducal tuberculosis,etc., can be for the having illness coming on in the cooking stove directly originally of this disease. Women exceed men, may be caused by the fact that it is infected that pelvis tuberculosis drive in the wrong direction.
Symptom
The cooking stove with having illness coming on originally of clinical manifestation, infecting the difference of routes, pathologic types and organism reactivity of tuberculosis peritonitis is different, disease this get up the intersection of disease and pressing or otherwise differ. Majority get up disease to be relatively slow, but acute persons who have illness coming on fresh also. Get up disease, main symptom languid, generate heat, abdominal distension and suffer from abdominal pain, have, fear cold getting up patienting suddenly by hyperpyrexia also. The light case begins to be presented latently and attacked the state.
First, it is most common to behave and generate heat and night sweat all over, account for 67- 95% , It is hot type and mostly low-heat and medium-sized heat, it is serious to night sweat, there are malnutritive manifestation such as anaemia, becoming thin, edema, glossitis, angular stomatitis and vitamin A deficiency disease on later stage. In the women of child-bearing age, menopause sterility person is relatively common.
Second, suffer from abdominal pain, have 2/3 of the patients can appear abdominal pain at various degrees nearly, mostly the secret anguish or dull pain of continuation, pain lie for umbilicus week more, lower abdomen, on the whole belly sometimes.
Have abdominal distension sense of third, abdominal distension and ascites most patient,can because last symptom or peritonitis tuberculosis with intestines function disorderly cause. Nearly 1/3 of the patients can present the ascites.
Fourth, the flexible sense of flexible sense of belly wall is caused by it is amazing to receive the peritoneum slightly and chronic inflammation.
Fifth, belly of the patient of belly lump adhesion type and cheese type can often touch lump, many lower abdomens while lying.
Sixth, some other patients can suffer from diarrhoea.
Check
First, the blood is like, erythrocyte sedimentation rate and tuberculin test. It is more normal or slightly a bit high that the leucocyte is counted, minority are on the low side. Abdominal cavity the intersection of tuberculosis and the intersection of focus and acute person who spread or cheese type leucocyte of patient can increase to count, the erythrocyte sedimentation rate can be regarded the simple and easy index of the pathological change activity as, move about at this disease one is generally increased fast, pathological change is normal gradually while becoming more and more resting. It is strong and getting positive to diagnose copies of helpful disease for tuberculin test to present, but tuberculosis or serious disease negative very instead in patient in the intersection of millet and grain type.
Second, ascites check ascites to be getting yellow to ooze out the liquid for grass.
Third, the intersection of intestines and stomach and X-ray examination diagnose, have auxiliary value to disease this.
Fourth, taboo inspection of person who has extensive adhesion of peritoneum of laparoscopy.
Treat
Can consult pulmonary tuberculosis while treating principle and medicine, but still need to pay attention to the following several points:
First, anti-tuberculous drug is slightly lower than tuberculosis of intestine to the curative effect of this disease. So use medicine and the course of treatment should be strengthened or lengthened appropriately. Generally jointly employ for being good definitely with Streptomycin, different Yan hydrazine and favourable good fortune, can also add pyrrole piperazine amide or second amine cube alcohol, after the condition is controlled, can change into different Yan hydrazine and favourable good fortune are fixed or different Yan hydrazine's oral administration is added by 2 times every week of Streptomycin, the course of treatment should be in above 12 months.
Second, after the ascites put, inject into medicines such as Streptomycin, acetic acid cortisone,etc. in the abdominal cavity to the ascites type patient, weekly, can accelerate the ascites to absorb and reduce the adhesion.
Third, competent to sow scattered or the intersection of tuberculosis and malicious the intersection of blood and the intersection of disease and serious patient to blood, on the basis of employing valid resisting drug therapy of tuberculosis, can also add and use the adrenocortical hormone, is poisoned symptom in order to lighten, prevent the occurrence of intestinal adhesion and intestinal obstruction.
Fourth, seeing that this disease often continues and sends other tuberculosis in body, most patient already acceptance has resisted the drug therapy of tuberculosis, so, for this kinds of patient,it should choose in the past with or medicine that used little,it is use medicine by scheme jointly not to make.
Fifth, while erupting intestinal obstruction, intestinal perforation, suppurative peritonitis simultaneously, feasible surgery treatment. While distinguishing with tumour in the belly that really there is a difficulty, it is feasible to cut open the belly to ascertain.
Sixth, precautionary measures: See " pulmonary tuberculosis ". To lung, intestines, mesenteric lymph node, oviduct to diagnose with treating actively in early days tuberculosis, it is the important measure which prevents a disease.
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