Then the sending _ prevention and health care of peritonitis

Then the sending _ prevention and health care of peritonitis
Summary Continuing taking place peritonitis often causes by abdominal cavity's internal organs inflammation, punch or after damaging breaking and operation,etc., it causes peritoneum acute inflammation that the digestive tract content thing with bacterium and toxin flows into the abdominal cavity. Clinical manifestation, mainly for the intersection of continuation and abdominal pain, sick to vomit companion, infect with, poison symptom. Pathogens are mostly the large intestine fungus, generally more in order to mix and infect, virulence is relatively strong. This disease can diagnose early, define the cause of disease, is chosen the rational healing solution (including surgery) ,The cure rate is relatively high, otherwise cause the bad consequence. Clinical manifestation 1.Suffer from abdominal pain, as main symptom, present continuation and ache, relatively violent, ache and aggravate while moving the body, but still in order to have illness coming on originally the source is. 2.It is vomited that disgusting: Early diastaltic vomiting stomach content thing, it is frequent to vomit in later period, there is much quantity, includes the bile or excrement and urine. 3.Poisoned symptom, shown as the hyperpyrexia, profuse sweating, thirsty, pulse waits quickly, serious disease can present infective shock. 4.Abdominal distension, the abdominal muscle is tight, tenderness and jumping and aching instead, the source is obvious that have illness coming on originally. 5.The voiced sound circle of liver can shrink or disappear, the gurgling sound weakens or disappears. Diagnose the basis 1.Abdominal pain of the continuation, stimulate and solicit the peritoneum, the gurgling sound weakens or disappears. 2.The whole body infection is poisoned and behaved. 3. brief X-ray examination on abdominal cavity inflammation or gases free under diaphragm. 4.The abdominal cavity punctures and smokes to the liquid of suppuration. Treat the principle 1.Half sit or sleep in the location; 2.Fasting, intestines and stomach reduce pressure; 3.Correct water electrolyte and acid-base balance and lack proper care in infusion; 4.Application of antibiotic; 5.Support the treatment; 6.Deal with to the ill; 7.Surgery treatment: Indication: It is clear to diagnose, the serious one of pathological change in the abdominal cavity; Various bleeding peritonitis in belly, the unstable one of blood pressure; Peritoneum inflammation serious, abdominal cavity accumulate liquid more, physical sign to treat peritonitis reduce, persons who aggravate instead. The operation principle is required: Deal with and have illness coming on originally the source clears up the abdominal cavity to guide rationally. Principle of using medicine 1.Early light disease case, penicillin of intravenous bit, gentamicin, resist infection and treat to observe. 2.Peritoneum inflammation is and poisoned the obvious one and should perform the operation the treatment, and strengthen and resist infection, correct water electrolyte balanced and supporting to treat. (including new special medicine and albumin of human blood) Auxiliary examination 1.Checking the special project to acute early peritonitis, in order to check the limit " A " of the frame It is a main fact; 2.The person who obviously unsure peritonitises cause of disease can include checking the limit " A " of the frame to check the special project With " B " . Curative effect is appraised 1.Cure: The physical sign of clinical symptom disappears, the cause of disease heals. 2.Take a favorable turn: Have illness coming on and basically heal originally, clinical symptom and persons who are improving of physical sign. 3.Have not healed: Had illness coming on and has not healed or remained abdominal cavity's abscess, the person who needs the second stage of operation originally.
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