How To Treat Peritonitis

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How To Treat Peritonitis
How To Treat Peritonitis
Video: How To Treat Peritonitis
Video: Peritonitis, Causes, Signs and Symptoms, Diagnosis and Treatment. 2023, February

Peritonitis is a purulent inflammation of the peritoneum or membrane that covers and lines the internal organs of the abdominal cavity. Despite the formidable diagnosis, timely detected peritonitis is completely cured with the help of a correctly performed operation.

How to treat peritonitis
How to treat peritonitis


Step 1

The peritoneum is most often inflamed due to bacterial infection, as well as the non-infectious effects of internal fluids that enter the abdominal cavity (urine, blood, bile, pancreatic or gastric juice). Usually, the development of peritonitis is caused by the destruction or perforation of the abdominal organs (appendicitis, rupture of the colon diverticulum, acute pancreatitis, intestinal obstruction, and so on). Less commonly, peritonitis is caused by penetrating wounds of the abdomen, in which the infection is introduced into the peritoneum from the outside or from damaged organs.

Step 2

Symptoms of peritonitis usually appear quickly and acutely - in the absence of timely treatment, from its development to death, it often takes no more than two to three days. These include sharp abdominal pain, which increases with a change in position, nausea, vomiting, a sharp jump in temperature with sweating and chills. When examining the patient, there is an increase in heart rate, soreness and firmness of the abdomen, a decrease in blood pressure and an increase in leukocytes in the blood test. An abdominal x-ray may show distended bowel loops filled with fluid, as well as air accumulation under the diaphragm, indicating perforation of the internal hollow organs.

Step 3

In the presence of the above symptoms, the patient needs to be urgently hospitalized in a hospital, where he will be given an ultrasound scan, an X-ray and a complete blood count. Diagnostic laparoscopy or laparotomy helps to confirm peritonitis. It is strictly forbidden to stay at home and take painkillers - if the pain is not relieved even by strong antispasmodics and analgesic drugs, it may take minutes.

Step 4

Because peritonitis is considered a severe and rapidly progressive disease, it must be diagnosed as soon as possible and treated within the first twelve hours after symptoms appear. The choice of treatment in this case will depend on the cause of the development of peritonitis, but most often it requires surgical intervention and massive antibiotic therapy. The postoperative period is characterized by intensive observation in the intensive care unit - to exclude possible complications.

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