《外科学》12、Acute suppurativeperitonitis急性化脓性腹膜炎-教学课件（非AI生成）.ppt

Acutesuppurative化脓的peritonitis腹膜炎1

PeritoneumPeritoneumisamembranethatcoversthesurfaceofboththeorgansthatlieintheabdominalcavityandtheinnersurfaceoftheabdominalcavityitself.2

Peritoneum3

PeritoneumSecreteAbsorbDefenseRehablubricatetheinternalorgans(150ml)1effusionbloodair2phagocyticcell3anti-infectionoffibrin44

DefinitionAkindofacuteinflammationresultedfromthestimulationwhichcausedbybacterialinfection,injuryordigestivejuices,urine,bloodandsoon.Itisacommonsurgicalcriticalillnesswhichmostlyrequiressurgicaltreatmenttosavepatients’lives.5

ClassificationBacterialnonbacterialAcutesubacutechronicPrimarysecondaryDiffusivitylimitation(aquarterquadrant)Abdomenzoning6

2MajorTypesPrimaryThereisnoprimarydiseaseinperitonealcavityorwithunknownetiologyofperitonitiscalledprimaryperitonitisalsoknownasspontaneousbacterialperitonitis.Thepathogensmostlyarehemolyticstreptococci,streptococcuspneumonia【溶血链球菌】orE.coil.引起的腹腔渗液不同7

Haematogenous—upperrespiratorytract,urinarytractinfection→thebacteremia→peritonitis(childrenandinfants)Retrogradeinfection—reproductivetract→abdominalcavityDirectdiffusion—peritoneallayer→peritonealcavity(urinarytractisinfected)Transmuralinfection—intestinalwall→theabdominalcavity(cirrhosis,kidneydisease,scarletfeverormalnutrition)?2MajorTypes8

2MajorTypesSecondaryAkindacuteperitonitiswhichsecondaryinjuriesintheabdominalvisceralperforationdamage,ruptureandinflammationwhichaccountedfor98%oftheperitonitis.Thepathogensmainlyareintestinalfloras,suchasthemostcase-Escherichiacoli,streptococcus,proteus,andanaerobicbacteroides.9

2MajorTypesInflammatoryperforationofholloworgansInjuryruptureofholloworgansTheproliferationofinflammationinintra-abdominalorgansOperationpollutionandcomplication10

2MajorTypes11

PathologySecretionFunction：digestive