Then sending peritonitis sums up _'s general knowledge

Then sending peritonitis sums up _'s general knowledge
Summary
Continue person who send peritonitis to continue, take place on inflammatory punch of organ under abdominal cavity, damage breaking, or peritoneum inflammation of necrosis of obstacle,etc. that the blood is transported.
Cause of disease
A most common one have illness coming on until acute appendicitis punch and the intersection of duodenum and perforated ulcer, acute cholecystitis erupt punch simultaneously, entangle getting narrow intestinal obstruction, acute pancreatitis originally, in addition still gastrointestinal tumour necrosis punching, ulcer colitis punching, necrosis enteritis, intestines punching, diverticulum inflammation punching, gastrointestinal tract due to wound of typhoid fever are worn Identical the intersection of position and leak or the intersection of end and Lou that operation cause, biliary tract leak continue cause of disease of peritonitis of sending etc., once gastrointestinal content thing enters the abdominal cavity, must cause chemical or bacterial peritoneum inflammation. Peritoneum congestion edema, oozing out in a large amount, suppuration liquid take shape, production and absorption of the toxin, then clinical symptom appears.
Symptom
Always have manifestation having illness coming on originally first, traumatism has traumatic history; Also there are persons who broke out of obvious medical history suddenly, if acute bleeding necrosis pancreatitis, a few twelve pointed the intestines perforated ulcer. Clinic is mainly shown as that the position is identical to suffer from abdominal pain, begin the position and have illness coming on originally, the disperse soon, this is a characteristic of peritonitis, but might not expand to the whole belly. Pain turns into continuation, painful properties are another characteristic after changing to have illness coming on originally. Generally is very violent, cough, stand up, can aggravate, so patient fetch, lie location or edgewise side while being flat often.
Gastrointestinal symptom can have illness coming on all originally, such as vomit, not sick, may obvious either continue peritonitis of sending etc.. Abdominal distension is often very outstanding, or the patient swells consciously, treat paralysis intestinal obstruction and develop into later stage, abdominal distension is often a serious problem. Body temperature rise and the intersection of pulse and rate become, fast, it poisons symptoms, dehydration to be the common behavior in symptom, little urine,etc..
Check
1,Blood routine, urine routine.
2,The whole one of biochemistry.
3,Ultrasonography B, X-ray.
Treat
It needs complex treatment relying mainly on surgery to continue taking place peritonitis, only under a few situations, allow to adopt and does not perform the operation the treatment, such as having deterioration to transfer to surgery treatment rapidly.
(1) Generally support the treatment: Must also strengthen, infusion, blood transfusion and blood plasma, supplement the blood capacity, keep water and electrolyte balanced, keep acid-base balance, resist shock, improve, circulate, improve the intersection of oxygen deficiency and situation, intestines and stomach, reduce pressure, employ effective antibiotic include, employ, direct medicine of anaerobe against a little, need to try hard to consider in an all-round way. But base adopts the surgery treatment after planning appropriately.
(2) Surgery treatment.
Operation purpose Guide the liquid of suppuration, dispel the source of poisoning, shock; Find and have illness coming on originally, and deal with, the appendix, gallbladder substantially as excising and already punching, guide the biliary tract that necrosis punched, excise the intestine of necrosis, excise the pancreas tissue of necrosis, excise the gastrointestinal tumour that necrosis punches, mend 12 and point intestinal perforation,etc.; Prevent from amalgamating disease, wash the abdominal cavity, places such as guiding under the diaphragm apt to form abscess, under the liver, small omentum bag, pelvis,etc., whether it is not without exception to wash or not; The intestines and stomach reduce pressure and make Lou, or make jejunum and make Lou for nutrition of intestines and stomach in the future; Diagnose clearly.
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