Friday, February 22, 2013

What signs does pelvis peritonitis have? 's general knowledge

What signs does pelvis peritonitis have? 's general knowledge
Women's pelvis genitals inflammation, often pelvis peritonitis with various intensity. Whole the intersection of pelvis and peritoneum take place inflammatory change, even but from disperse to the whole belly a few case, become filling the air peritonitis. Because of pelvis peritonitis or abdominal cavity's other internal organs inflammation pathological changes sometimes, the liquid of suppuration is gathered on the lowest position of the abdominal cavity - -The uterus rectum nest, and form uterus rectum nest abscess. Because acute pelvis peritonitis seldom takes place originally, so there is medical history of acute pelvis organ inflammation more before having illness coming on.
Patient's hyperpyrexia, shiver with cold, the body temperature can reach or more 40 . One kind of lower abdomens of violent convulsion pains, it is the continuation, disgusting and vomiting, aggravate at the time of the activity; Urinate, stool hour pain, diarrhoea or constipation occasionally. The patient likes to fetch two legs to flex horizontally, in order to lighten the tense pain of belly wall. The serious one, can have the fidgets, whole body is depleted, even clouded in mind, delirium, going into a coma,etc..
Physical sign: Belly wall better and frank nervous, tabular belly, serious tenderness and jumping and aching instead, the patient refuses to press, the following belly is very particularly. Therefore it is impossible for the gynaecology to check several, even it is also unsatisfied to check. The whole palace necks, domes touch a tender spot obviously. At this stage, doctors should not impose and do pair and examine the inspection jointly. It is ashen that the serious patient can present shock, blood pressure and dropping, complexion, something shaped like a tongue is done, the cold sweat appears etc., collapsing, lung edema in heart failure,etc. happens later. Can be obtained and diagnosed according to the above-mentioned clinical symptom. Leucocyte, neutral leucocyte number increase, the obvious acceleration rate of erythrocyte sedimentation rate.
Chronic one can touch genitals and big omentum, intestines glueing into the surface to be not smooth, bag piece not of uniform size, tenderness, fixing.
Because the intersection of pelvis and peritonitis have oneself protect function, should walk operation while being excessive, cause, destroy and make inflammation spread instead, so the therapeutic principle is completely different from filling the air peritonitis. Should adopt and support treatment and control to infected etc. and does not perform the operation the treatment all over. But if there is abscess to take shape, should cut and guide through the belly or by the vagina.
|

0 comments:

Post a Comment