Tuberculosis peritonitis and _'s symptom of pathologic cause of disease

Tuberculosis peritonitis and _'s symptom of pathologic cause of disease
Tuberculosis peritonitis (Tuberculous peritonitis) It is the most common chronic peritonitis on the clinic, the overwhelming majority continues the hair in other tuberculosis focuses, such as tuberculosis of intestine, mesenterium scrofula, oviducal tuberculosis,etc..

Cause of disease
The infection route of tuberculosis peritonitis relies mainly on the fact that the tuberculosis focus in the abdominal cavity spreads directly. Tuberculosis of intestine tuberculosis focuses such as mesenteric lymph node, oviduct,etc.. A few pathology can be sown by blood group scatteredly and causing. Patient, women of disease, this exceed man, in young reproduction age being particularly obvious in issue, mainly because genital the intersection of tuberculosis and relatively more common reason in the women.

Pathology
Tuberculosis peritonitis change, can divide into three type according to pathology their, the oozing out type is the most common, secondly it is a adhesion type, have the most rare cheese type. But in the course of having illness coming on, often overlap of this three type pathological change appears and takes some type pathological change as the core, also called the phenotype.

First, oozing out type
Can also be called the ascites type, it features that there is a large number of slurry fibrin that oozes out the liquid in the abdominal cavity. Ooze out the liquid and present grasses yellow, take the blood occasionally. Acute issues of peritoneum congest, edema, the surface covers and oozes out things with the fibrin, and there are a grain of grayish yellow tuberculosis and tubercle not of uniform size of countless millet, or merge into a bigger tubercle spot piece. In the chronic case, organize hyperplasia with the progress of the course of disease, fiber, the peritoneum can be increased thick notably, tubercle also increases, and the fiber.

Second, adhesion type
Does not have in the abdominal cavity or only a few slurry fibrin ooze out the liquid, but a large number of fibrin makes the adhesion take place in mesenterium, mesenteric lymph node and intestines one, form lump. Peritoneum organize hyperplasia and increase because of fiber thick obviously. The abdominal cavity often stops up because of extensive adhesion; All viscera are intricate to glue twining together when being serious, difficult to separate. Fetter the intestines because of the lump oppression or adhesion, can cause chronic intestinal obstruction. Originally type often formed after the ascites is absorbed from the oozing out type, but may begin to take adhesion as the core too.

Third, cheese type
Regard a kind of necrosis of cheese as main pathological change, with the adhesion at various degrees at the same time. Because the mutual adhesion of other internal organs in intestines song, big omentum, mesenterium or abdominal cavity, can divide into a lot of cellules, so a disease is also called the small house type. Ooze out the liquid as muddiness or suppuration. There is tuberculosis piece quality of the cluster among the adherent enteric songs, become one kind of focuses of cheese, when the liquefaction of focus forms tuberculosis abscess of limitation, can corrode intestines wall, vagina and Lou while forming, can also corrode the belly wall and form other Lou. Originally type develop from the oozing out type or adhesion type more.






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