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目的:分析急性弥漫性腹膜炎临床基本情况与治疗效果。方法:选取2011年2月-2013年2月收治的40例患者,均行腹部X线和腹腔穿刺检查,35例患者采用手术治疗,5例患者保守治疗;对所有患者的临床主要表现、相关病因以及治疗情况分别统计分析。结果:40例患者临床均出现腹痛症状,恶心发生率35.0%,相对最高,腹泻发生率10.0%,相对最低;因十二指肠穿孔致病比率明显要高,占37.5%,因外伤、肠梗阻及阑尾炎致病率均在10.0%以上;以上相关比较均有明显差异(P<0.05)。另外,40例患者治愈率90.0%,好转率5.0%;死亡率5.0%;手术方式治愈率94.2%,保守方式治愈率60.0%,手术治疗效果相对更明显(P<0.05)。结论:急性弥漫性腹膜炎一旦患病后应及时诊断,明确病因并对症治疗,以利于治疗效果改善,并减少临床死亡率。
Objective: To analyze the basic clinical situation and therapeutic effect of acute diffuse peritonitis. Methods: Forty patients were selected from February 2011 to February 2013. All patients underwent abdominal X-ray and paracentesis. 35 patients were treated by surgery and 5 patients were treated conservatively. The clinical manifestations of all patients were correlated Etiology and treatment were analyzed statistically. Results: All 40 patients had clinical symptoms of abdominal pain. The incidence of nausea was 35.0%, the highest was relative and the incidence of diarrhea was 10.0%, which was the lowest. The incidence of duodenal perforation was significantly higher, accounting for 37.5% The incidence of obstruction and appendicitis were above 10.0%. The above correlations were significantly different (P <0.05). In addition, the cure rate of 40 patients was 90.0%, the improvement rate was 5.0%; the mortality rate was 5.0%. The cure rate of operation method was 94.2%. The cure rate of conservative method was 60.0%. Surgical treatment effect was relatively more obvious (P <0.05). Conclusion: Acute diffuse peritonitis should be promptly diagnosed after the illness, clear the cause and symptomatic treatment, in order to facilitate the treatment effect and reduce the clinical mortality rate.