Pelviperitonitis
Contents:
Description:
Allocate a serous and fibrous and purulent pelviperitonitis. The first of them has more favorable current and a tendency to process restriction with limits of a small pelvis. It is promoted by development of commissures between parietal layers of a peritoneum of a small pelvis, a uterus, uterus appendages, and also an epiploon, loops of a small bowel, a sigmoid gut and a bladder. At a purulent pelviperitonitis the otgranicheniye of process occurs much more slowly, is followed by pus flowing in дугласово space and formation of Douglas abscesses.
Pelviperitonitis symptoms:
The clinic is typical for an acute inflammation: febrile temperature, severe pain in a stomach bottom, its inflation, a protective muscle tension of a front abdominal wall, at a purulent pelviperitonitis is noted a positive symptom of Shchetkin — Blyumberg. The peristaltics of intestines is weakened, there can be a delay of a chair and gases, language dry, nausea and vomiting are noted. In SOE blood it is sharply accelerated, the high leukocytosis with neutrophylic shift is expressed to the left.
The condition of the patient heavy, however at the correct and full treatment comes considerable improvement within 1 — 2 days.
Pelviperitonitis reasons:
The pelviperitonitis — an inflammation of a peritoneum of a small pelvis — develops for the second time at damage of a uterus, uterine tubes and ovaries. A preferential way of penetration of microorganisms to a peritoneal cavity — through uterine tubes. Besides, the infection can arrive lymphogenous and hematogenous in the ways, and also contact (for example, at appendicitis).
Treatment of the Pelviperitonitis:
Treatment — only in the conditions of a hospital. Sick appoint a high bed rest, rest, cold to a stomach bottom, antibiotics of a broad spectrum of activity or drugs of a ftorkhinolonovy row in combination with metronidazole. Infusional детоксикационная therapy is performed in the volume corresponding to weight of a condition of the patient. At formation of a Douglas abscess emptying by a puncture or a colpotomy with the subsequent introduction to a cavity of antibiotics is shown.
