Tuberculosis peritonitis and clinical manifestation _ symptom

Tuberculosis peritonitis and clinical manifestation _ symptom
Because it have illness coming on that route it and not infect cooking stove originally with, difference reacting at organism, and pathologic difference of type, tuberculosis peritonitis get up disease can pressing or otherwise differs. The disease is slow that the majority arises, but the acute persons who have illness coming on are not small number. Clinical manifestation lack characteristic get up disease, for generate heat, abdominal distension or abdominal pain at various degrees main symptom at majority get up disease. Have, get up suddenly the intersection of hyperpyrexia and companion fear cold, like acute the intersection of whole body and the infeted very also.

First, generate heat
Generate heat with the intermittent low-heat in order to see at most. Often the late one type appears hotly in the oozing out type, cheese type case, tall and big 40 sometimes, with obvious poisoning symptom. There can be night sweat at various degrees at the serious patient night.

Second, suffer from abdominal pain, suffer from diarrhoea
Suffer from abdominal pain until disease obvious early period, with the intersection of continuation and secret anguish or dull pain for meet more, can also present popping pain. Suffer from abdominal pain and lie in umbilicus week, the whole belly, lower abdomen or active sick position more, often cause because of the activity venereal disease cooking stove of other internal organs in peritoneum inflammation, some intestinal obstruction, intestinal adhesion and abdominal cavity. Suffer from diarrhoea can caused by peritoneum pathological change neuropathy cut, reflect, impel the intestines to take exercises disorderlily, can also produce because the fistula among ulcer tuberculosis of intestine or intestines song takes shape; Generally 2-4 times a day, mostly excrement and urine of pastel. In the adhesion type case, constipation is comparatively common too.

Third, abdominal distension, ascites
The patient often has a abdominal distension sense, can be by tuberculosis and poisonous blood disease or peritonitis, with disorderly intestines function, can also produce because of a large amount of ascites. Generally a small amount of ascites is difficult to perceive in clinical examination. The water yield of belly exceeds 1000-2000 ml, through checking and finding that there are voiced sounds of mobility carefully. The ascites of the oozing out type is generally to see more with small and medium-sized quantity.
Fourth, belly piece
See more the adhesion type with the cheese type patient, often lie in umbilicus week, can also be on other positions. The belly piece was often assembled by big omentum, mesenteric lymph node, adherent intestines song, one kind of lymph nodes of cheese; Come in different sizes, the edge is not whole, the surface is not smooth, take the form of tubercle sometimes, how fixed a quality is, huge pain pressed.

Ascites type patient's belly swells gradually, there are voiced sounds of mobility in the percussion, the whole belly has intermediate tenderness. If belly water yield heavy, belly the intersection of wall and skin can have smoothness and the intersection of gestation and one kind of stripes.

Adhesion getting more obvious more in patient physical sign,belly wall palpation but last strength senses and rubbers flexibles special. When it is extensive without being taken place in internal organs at belly adhesion can laying one's hand on and masses irregular,lay one's hand on there are omentums big that adhesion shrink often on mass after walking crosswise to one that arrive at belly top. Can see intestines peristaltic wave while erupting intestinal adhesion or intestinal obstruction simultaneously, and gurgling sound increases. Cheese kinds of patient present more serious illness faces, become thin notably, the belly swells but flexible, the tenderness is obvious. And. How fixed this kind of piece thing is, the huge pain pressed, hear the voiced sound in percussion.

|