Thursday, March 6, 2008
The clinical manifestations of peritonitis what?
Bacterial peritonitis symptoms often invasive bacteria in the abdominal cavity after 12 ~ 24 hours there, dialysate of the opacity of the earliest and most common symptom, and even before that in abdominal pain. Persistent pain is a common symptoms, abdominal pain gradually increased over a partial and generalized. A few patients accompanied by nausea and vomiting. Most patients had fever, chills minority patients, a few days after the swelling can occur and gastrointestinal dysfunction. In CAPD, which always smooth dialysis tube sudden obstruction, also hinted that it might happen peritonitis. Some patients are not obvious clinical manifestations, laboratory tests showing the need to assist with the diagnosis. CAPD4 ~ 6 hours after the dialysate of the inspection should be less than normal leukocyte 0.1 × 109 / L, Monocytes "50%, but in peritonitis, leukocyte number much higher than normal, classification mainly polymorphonuclear (" 50%), Protein content, plasma protein-positive. Diagnosed bacterial peritonitis can rely on the dialysate of positive bacterial cultures, each 1 ~ 2 weeks for a meeting of bacterial culture, contribute to the timely detection of peritonitis. Fungal peritonitis with the clinical manifestations of bacterial similar, characterized by persistent fever and intestinal obstruction, showing positive fungal culture fluid. Chemical peritonitis clinical performance resembles bacterial peritonitis, but the fever lighter and shorter hours, even without fever, dialysis fluid protein, cells in a relatively small increase, showing no permanent solution culture bacteria. The same group of dialysis fluid often number of the patients while the incidence and switch to another group of dialysis fluid symptoms disappeared. Tuberculous peritonitis mainly for dialysate of turbidity, showing fluid leukocyte "0.1 × 109 / L, Monocytes "50% of the general culture-negative bacteria, Mycobacterium tuberculosis culture positive TB patients usually have the history.
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