How should tuberculosis peritonitis treat? 's treatment
How should tuberculosis peritonitis treat?
Tuberculosis peritonitis is a chronic disease, it is to strive for early, capacity, long Cheng to treat the principle, make every effort to reach and cure, prevent recuring or complication. Pay attention to strengthening nutrition at the same time, prevent overworking.
A commonly used one is to resist the tuberculosis treatment: Isonicotinyl hydrazine 0.3, the intersection of rifampin and 0.45 time get up of clothes, the intersection of Streptomycin and once a day 0.75 intramuscular injection, Streptomycin changes into every week 2 times after using medicine for 1- 2 months, lengthen its course of treatment appropriately under the prerequisite of causing toxicity to react.
The condition changes into isonicotinyl hydrazine and rifampin oral administration keep treating after controlling, and monitor the liver work regularly, such as damaging the liver work, rifampin can change into already amine cube alcohol has been taken orally. The course of treatment answers for 1- 1.5 years, it takes 2 years if necessary. To there is blood that walks and sows the serious patient of of scattered or poisonous blooding, while the valid one resist drug therapy of tuberculosis, can add and use the adrenocortical hormone, in order to lighten the poisonous blood disease. Amalgamate the person who has suppurative peritonitis, should add and use other antibiotic. Complete intestinal obstruction and acute persons who punch should consider the surgical treatment to amalgamate.
Tuberculosis peritonitis patient should strengthen nutrition, appropriate rest. Unite, should use many kinds of antituberculotic, such as Streptomycin and different the intersection of Yan and hydrazine, use the intersection of Yan and hydrazine instead after the February - March and to the intersection of ammonia water and sour sodium Yang, the course of treatment is no less than 1 and a half years. Such as being able to bear nature and side reaction, Shang Ke selects medicines such as rifampin, B amine cube alcohol, thiacetazone, third sulphur different smoke amine,etc. for use.
Can put the ascites in essential fashion after resisting the tuberculosis treatment actively in ascites type tuberculosis peritonitis, and the one that injected into mould plain, different Yan hydrazine, hydrogenated doing in the test in the abdominal cavity is loose, can promote the ascites to absorb.
Adhesion type abdominal cavity's tuberculosis erupts acute complete intestinal obstruction simultaneously, the cheese type erupts intestinal perforation simultaneously, or limitation peritonitis causes parcels to accumulate suppuration, or when producing the belly wall Lou, vaginal Lou, need the surgery. When the adhesion is loosened and limited, it is feasible to loosen. When the adhesion is limited but very close, should not separate by force, can excise this section of intestines, or will obstruct the intestines of upper and lower ends will do the side identically. Abdominal cavity's primary tuberculosis focus, such as oviducal tuberculosis, tuberculosis of intestine, if can excise, should try to excise. The cheese venereal disease cooking stove that can't be excised can be cut and rejected or scratched and shaved, and put antituberculotic. Chronic the intersection of incompleteness and intestinal obstruction, should try hard, adopt fasting, fluid infusion, intestines and stomach reduce pressure, take the intersection of Chinese and Western and medicine,etc., perform the operation treatment, much work is effective.
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