Thursday, February 28, 2008

Primary peritonitis

Outlined Primary peritonitis pulp cavity is not the original source of morbidity, Pathogens through blood supply, lymphatic, or intestinal wall channels such as female reproductive tract caused by invasive abdominal peritonitis. Most of the patients systemic poor, the girl child and adult chronic nephritis, or cirrhosis with ascites high incidence of patients; pathogens mostly hemolytic streptococcus, Streptococcus pneumoniae and Escherichia coli. The main symptoms of the disease is a sudden onset of acute abdominal pain starting position not clear, quickly spread to the entire abdomen, diagnosis of this disease is the key to exclude secondary peritonitis.
Clinical manifestations 1. Often prior to the onset of upper respiratory tract infection or kidney disease, scarlet fever, liver cirrhosis and ascites occurred when the lower immune function; 2. Main symptoms are sudden onset of acute abdominal pain, starting position is not clear, very quickly diffuse to the whole abdominal 3. associated with nausea and vomiting, fever, systemic poisoning symptoms fast pulse; 4. abdominal distention, abdominal tension-wide, tenderness anti Music weaken or disappear.
Diagnosis 1. Persistent abdominal pain, starting position is not clear, the whole diffuse abdominal soon. 2. Obviously peritoneal irritation sign,sound disappear. 3. Drawn pus abdominal wear thin without the smell, in addition to films that examination Gram-positive cocci.

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