Primary peritonitis

We often hear people complaining of abdominal pain. There are many types of abdominal pain. For women, there are secondary or primary dysmenorrhea, appendicitis, enteritis and other diseases. However, if the patient suddenly develops acute abdominal pain and the location is unclear at first, and then quickly spreads to the entire abdomen, accompanied by nausea and vomiting, fever, tension in the entire abdominal muscles, tenderness and rebound pain, etc., it is the onset of primary peritonitis.

When we encounter such patients around us, we should not panic, but respond calmly. For primary peritonitis, non-surgical treatment is available, so we can send the patient to the hospital for infusion therapy. How does primary peritonitis occur?

The cause of primary peritonitis is mainly bacterial infection, so the cause is easy to find. The main pathogens are Gram-negative bacteria. The most common ones are Escherichia coli, Pneumococcus, Streptococcus, Klebsiella pneumoniae, etc., with a few being Staphylococcus aureus and anaerobic bacteria.

The main transmission routes of bacteria: 1. Blood-borne infection accounts for the vast majority. Among them, streptococci and pneumococci may be transmitted by blood from respiratory or urinary tract infections. 2. Ascending infections such as female genital inflammation can spread directly upward through the fallopian tubes to the abdominal cavity. 3. Direct spread of infection in adjacent tissues or organs. In case of lung, pancreatic or urinary tract infection, bacteria can spread to the peritoneal cavity through the visceral peritoneum. 4. Intestinal bacteria spread into the abdominal cavity through the intestinal wall. Primary peritonitis causes extensive abdominal infection that may affect the entire abdomen. Pus may spread between the intestinal loops, and the intestinal wall becomes congested and edematous and loses its luster. If the disease lasts for a long time, pus may appear on the intestinal wall. In patients infected with Staphylococcus aureus or Escherichia coli, abdominal inflammation tends to be localized, and the pus is thick, yellow, and odorless. In patients with hemolytic streptococcal infection, there is no fibrin formation in the intestines, and the pus is thin and has no odor. Pneumococcal infection is manifested by the formation of large amounts of cellulose between the intestines, thick pus, and a light yellow-green color. After recovery, intestinal adhesions remain.

It can be seen that the transmission routes of primary peritonitis are still very wide, and we should do a good job of prevention in advance. Whether at work or in life, we should pay attention to the spread of the disease. Caring for health is everyone’s responsibility. We should constantly strengthen our physical fitness and increase exercise. Diseases always plague those with low resistance, which is the best place for germs to parasitize. Stay away from diseases, start with yourself!