急性弥漫性腹膜炎综合治疗5例体会

Acute proliferating peritonitis complex therapy 5 example experiences

肠穿孔、肠漏所致继发性急性弥漫性腹膜炎由于肠内容物外溢,伴有食物、粪便残渣、异物等腹腔污染严重.腹膜、肠管表面呈急性充血、水肿,脓苔覆盖,肠管水肿、肥厚等改变十分突出.对于这些炎性渗、漏出液、异物的妥善处理.决定着对病情的转归和预后.是抗生素或其他措施无法替代的.采用大量温生理盐水冲洗能够去除腹腔污染,减少残余细菌量.

The intestinal perforation, the intestines leak the result secondary acute proliferating peritonitis as a result of the intestines contents overflow, is accompanied by abdominal cavity pollution and so on food, excrement residual, foreign matter is serious. The peritoneum, the intestines surface assume the acute hyperemia, dropsy, the pus liver moss cover, intestines dropsy, plump and so on the changes are extremely prominent. Inflammatory infiltrates, the transudate, foreign matter properly processing regarding these. Was deciding turns over to the condition extension with the prognosis. Is the antibiotic or other measures is unable to substitute. Uses the massive warm physiological saline flushing to he ahle to remove the abdominal cavity pollution, reduces the remaining bacterium quantity,