The reason of tuberculosis peritonitis which are there to behave and how to diagnose? 's general knowledge

The reason of tuberculosis peritonitis, which are there to behave and how to diagnose? 's general knowledge
From what reason was tuberculosis peritonitis caused?
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.
Which tuberculosis peritonitis are to behave and how to diagnose?
1. The medical history questions
Children and between twenty and fifty, have medical history of tuberculosis or with the tuberculosis evidence person outside the peritoneum. The unidentified reason generates heat for nearly more than two weekses, weak, receive difference, become thin companion's abdominal distension, abdominal pain, diarrhoea,etc. behave, and leucocyte and classification increase normally and slightly, erythrocyte sedimentation rate should be highly suspected fast person while increasing. In addition should inquire whether a patient will have tuberculosis to contact the history in the near future, and take hormone or because such situations as other factors cause resistance to be low.
2. The physical examination is found
Generate heat as the main fact, when can partly show as with the afternoon low-heat, hyperpyrexia. Can accompany, night sweat night, weight lighten, edema, anaemia, glossitis, angular stomatitis, vitamin A scarce, etc. The palpation of belly presents the flexible sense, there can be tenderness, have not danced and ached instead more. Some patients can touch the belly piece, solicit the masculine gender in about 1/3 of the patient ascites. Amalgamating the person who has intestines or mesenterium lymphocytic tuberculosis can present the manifestation of intestinal obstruction. To married women patient should conventionally if you can't carry on by gynaecology, check,with except pelvis tuberculosis.
3. Check in the laboratory
The patient can accompany light, intermediate anaemia, leucocyte and classification are normal or slightly high much. Most patient erythrocyte sedimentation rate increases fast. Belly wear can take the intersection of grass and getting yellow liquid out, quiet to solidify naturally put, minority are light blood color, accidental chyle kind. Ascites test mostly liquid, some serious patient for ooze out low the intersection of albumen and the intersection of blood and disease or amalgamate, have liver cirrhosis disease person can show as, leak liquid. Ascites cause of disease learn, check positive rate, support, concentrate, check, resist sour bacillus relatively difficult. The intersection of tubercle bacillus and PCR find law, raise the positive rate greatly in the ascites that launch in recent years, but can also appear falsely and positively. Ultrasonography B and CT are checked and can be briefed on signs such as intestinal adhesion,etc., X-ray examination can find that wrap up signs such as the piece,etc. outside intestinal obstruction, colon Lou and colon. Laparoscopy is worth making a definite diagnosis of, but is only limited to there are free ascites patientsing.
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