Acute peritonitis

I think we should be familiar with acute peritonitis, which is a common and serious surgical disease usually caused by bacterial infection, irritation or injury. The pathological changes of acute peritonitis often vary significantly due to the source and method of infection, the virulence and quantity of the pathogens, and the patient's immunity. Acute peritonitis often affects the entire abdominal cavity, so we still need timely treatment.

If acute peritonitis is severe, it may cause reactions such as low blood pressure. If it is not treated in time, the consequences will be very serious. The worst case may be death from toxic shock. Of course, there are many causes of acute peritonitis. Next, I will tell you some relevant knowledge about acute peritonitis and some prevention methods.

The main clinical manifestations of acute peritonitis include abdominal pain, abdominal tenderness, abdominal muscle tension and rebound pain, often accompanied by nausea, vomiting, abdominal distension, fever, hypotension, rapid pulse, shortness of breath, leukocytosis and other poisoning phenomena. Because this disease is mostly a complication of a certain disease in the abdominal cavity, there are often symptoms of the primary disease before and after onset.

Once the infection enters the abdominal cavity, the peritoneum immediately experiences an inflammatory response, manifested as congestion, edema, and exudate. Fibrin in the exudate can promote the adhesion of intestinal loops, omentum and other internal organs in the area of ​​peritoneal inflammation and limit the spread of inflammation. However, if the infected lesion is not removed, the perforated internal organs are not repaired, or the abdominal cavity is not drained, or if the bacteria are too virulent or too numerous, or if the patient's immune function is weakened, the infection will spread and form diffuse peritonitis.

After treatment, the inflammation of peritonitis can be gradually absorbed, and the exuded fibrin can be organized, causing adhesions between the peritoneum, intestinal loops, and omentum, which may lead to mechanical intestinal obstruction.

Early and appropriate treatment of intra-abdominal inflammatory diseases that may cause peritonitis is a fundamental measure to prevent peritonitis. Any abdominal surgery, including abdominal puncture, should be performed strictly according to aseptic techniques. Oral antibiotics should be given before intestinal surgery to reduce the occurrence of peritonitis.

Patients with acute peritonitis should also pay more attention to their diet, avoid eating raw, cold and irritating foods, eat small meals frequently and eat regularly; avoid heavy physical labor; keep a good mood; and seek follow-up treatment as soon as possible if they experience abdominal discomfort. Early and appropriate treatment of intra-abdominal inflammatory diseases that may cause peritonitis is a fundamental measure to prevent peritonitis.