Tuberculosis peritonitis sums up _'s prevention and health care

Tuberculosis peritonitis sums up _'s prevention and health care
Summary
Tuberculosis peritonitis is infected the chronic filling the air peritoneum inflammation that the peritoneum causes by the tubercle bacillus, clinical manifestation mainly can cause complications such as intestinal obstruction, intestinal perforation and form the fistula,etc. for languid, generating heat, abdominal pain and abdominal distension,etc..
Cause of disease
Tuberculosis peritonitis to infect tubercle bacillus peritoneum, cause, continue, send on other the intersection of position and tuberculosis under pulmonary tuberculosis or body mainly, a disease patient of a great part can find tuberculosis has illness coming on in the cooking stove originally at the same time. Tuberculosis peritonitis accounts for 5 of tuberculosis, is second only to pulmonary tuberculosis and tuberculosis of intestine. It is obvious on age any, but with between twenty and fifty to meet more.
Symptom
1.Generating heat, weak, losing the appetite, night sweating, becoming thin, anaemia and edema,etc.;
2.Abdominal pain, abdominal distension, diarrhoea, constipation or diarrhoea constipation appear alternatively;
3.The belly wraps up piece, tenderness, grand and ascites of expanding and solicits the flexible sense of the masculine gender, belly wall;
4.The rectum means that there can be tubercle things on the bladder trough of rectum to examine.
5.Corresponding manifestation of tuberculosis of other positions and complication.
Check
1. have X-ray examination by tuberculosis of intestine, intestinal adhesion,etc. sign;
2.The ascites is checked as oozing out the liquid;
3.Check the masculine gender in ascites P C R;
4.Bacterium trains the ascites and the animal inoculates the masculine gender.
5.Laparoscopy can find abdominal cavity and pelvis tuberculosis and pathological change, can examine alive while needing.
6.Erythrocyte sedimentation rate rises.
Treat
First. Strengthen nutrition, appropriate rest;
Two. Support to the ill;
Three. Antituberculotic:
1.Cure the disease people for the first time:
( 1 ) The course of treatment of six months: 2 SHRZ/ 4 H R, 2 EHRZ/ 4 HR, 2 HRZ/ 4 HR, 2 HRZ/ 4 H3R2, 2 HRZ/ 4 H3R3;
( 2 ) The course of treatment of eight months: 2 SHRZ/ 6 HT;
( 3 ) The course of treatment of nine months: 9 HR;
( 4 ) The course of treatment of 12 months: 2 SHE/ 10HE.
2.Manage the patient failing for the first time: Change the scheme, course of treatment one year at least,it is to the schemes of medicine not to adopt by every day, it is and until administration be lasted the 3 kinds of medicineses of medicine in the past alternately to be had after using or using medicine time getting shorter very before not to take, after the condition is controlled, finish the whole course of treatment with 2 kinds of medicines at least.
3.Poisoned the patient with severe symptoms oozing out type or tuberculosis, while resisting tuberculosis treatment actively, employ the adrenocortical hormone such as prednisone to take orally for 2-3 weeks in succession, has lightened the fiber, the emergence of intestinal adhesion and intestinal obstruction, promote the ascites to subdue.
Four. Adrenocortical hormone;
Five. Surgery treatment.
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