Peritonitis ( inflammation of the peritoneum ), symptoms
Inflammation of the peritoneum (peritonitis) develops the introduction into it of pathogenic microbes, or hit certain chemicals.The peritoneum is a bilayer membrane that lines the abdominal cavity and surrounding the stomach, intestines and other abdominal organs.This membrane supports the abdominal organs and protects them from infection;but sometimes she peritoneum may become infected by bacteria or other microorganisms.The infection usually spreads from organs within the abdomen.Inflammation can cover the entire peritoneum, or restrict only one abscess.The gap in any part of the intestinal tract is the most common way for the penetration of infection into the peritoneum.In most cases, the germs are transferred to the peritoneum directly from any inflammatory center, located in some of the abdominal cavity (acute appendicitis, cholecystitis, an inflammation of the female genital organs, intestinal volvulus, and so on. D.), As well as penetrating abdominal wounds andwith perforation of hollow organs o
Peritonitis is the cause of the critical situation: the muscles in the walls of the intestine become paralyzed and promotion of intestinal contents stops.However, with the advent of antibiotics, most people recover completely from peritonitis with proper treatment.
There are two forms of peritonitis: spilled when inflammation captures most of the peritoneum, and limited in which the inflammation extends to a relatively limited portion thereof.
most severe form of a diffuse peritonitis, developing as a result of the sudden admission into the peritoneal cavity of gastrointestinal contents (with perforation of a hollow organ), or pus (abscess in the breakout).In these .sluchayah suddenly it appears very strong acute pain in the abdomen.By this soon joined by nausea and vomiting.Vomiting or gagging her constantly repeated.Initially, in the vomit contains leftover food, and then there is a greenish fluid.Abdominal pain is increasing, becoming unbearable.The slightest movement of the patient or touching or abdominal pain is worsening.The abdomen becomes tense.On palpation it is clearly determined by the voltage of the abdominal wall.The general condition of the patient deteriorates, the skin becomes pale, pulse frequent, shallow breathing, abdominal breathing excursions sharply limited or absent.Body temperature rises.Moreover axillary temperature is much lower than in the rectum.Later come the intestinal paresis and bloating.Auscultation bowel sounds in the abdomen is not listening.Dramatically changed the appearance of the patient, his eyes sink, the nose is pointed, his face covered with cold sticky sweat, there is cyanosis, tongue becomes dry.
In cases where peritonitis develops due to inflammation of the transition to a particular organ in the abdomen, and the general state of the patient's subjective complaints are typical for the beginning of the inflamed organ in the abdomen.But then comes the general condition of a sharp deterioration.Abdominal pain become more diffuse, longer auscultated peristaltic noises.Crucial to the diagnosis in these cases have palpation data.Previously, pain and tension of the abdominal wall were determined in the primary inflammatory focus, when peritonitis they quickly captured the entire abdomen.There comes a sharp deterioration in the general condition of the patient.
With limited peritonitis initially determined only symptoms of the inflammation of a particular organ in the abdomen (appendicitis, cholecystitis, adnexitis, and so on. D.).Only after some time there are inherent limitations peritonitis symptoms: pain and tension of the abdominal wall is not observed throughout the abdomen, and on some of its plot.On other parts of the stomach is softer, less painful and tension of the abdominal wall is not expressed, or expressed only slightly.
treatment - emergency surgery, eliminating the cause of peritonitis.Simultaneously intensive therapy: Infusion of isotonic sodium chloride solution, glucose solutions, plasma substitutes, as well as heart and antibiotics.Postoperatively, establishing a permanent aspiration of gastric contents.To excite peristalsis n / to enter Neostigmine, physostigmine, in / in 10-20 mL of hypertonic saline solution.