急性化脓性腹膜炎Acute suppurative peritonitis.ppt

clinical features the onset may be sudden or mild 1、pain：the most important constant and unendurable and unmovable assistant examinations 1、Rt of blood：leukocytosis 2、X-Ray findings ：distention of both large and small bowel with fluid levels .air seen under diaphragm 3、B-ultras：fluid in abdominal cavity diagnosis history and clinical signs wbc x-ray b-ultras and so on。 treatment non-operative methods：mild，over 24h，signs of abdominal relieve。 1、position： 2、fast 、gastrointestinal drainage 3、correct water and electrolytic disturbance 4、antibiotics abdominal abscess subphrenic abscess conception of subphrenic abscess pathology：low position accumulation or caused by portal vene and lymph system pelvic abscess Clinical situation interintestinal abscess * * Acute suppurative peritonitis Applied anatomy and physiology acute diffuse peritonitis secondary peritonitis:perforation of the intestine tract;caused by acute abdominal infection;postoperative contamination bacterial E.Coli etiology primary peritonitisNo any apparent intraabdominal sourcegram-positive organisms gram-negative organismsBacterial accesses to peritoneal cavity： 1、diffuse by blood：infant and children 2、retroinfection 3、direct diffuse 4、wall perforative infection pathology results depend on source of infection and response of the patient 2、nausea and vomiting：reflex vomiting paralysis 3、high fever 、rapid pulse ： 4 、toxic symptoms:general collapse infectious shock signs： 1、diffuse exquisite abdominal tenderness and broadlike rigidity 2、signs of peritoneal stimulus sever in original sites 3、 percussion 4、auscultation 5、PR 4、abdominal paracentesis： 5、CT： 6、PR：