Monday, February 18, 2008
Some suffering from pelvic peritonitis performance
Abdominal pain and fever is suffering from peritonitis after pelvic see most of the performance. General performance for the first patients with fever after flu abdominal pain due to different pathogenic factors, but also at the same time two patients with symptoms of fever and high fever before there can be fear of phenomena. Abdominal pain for more bilateral performance of the lower abdominal pain, and sometimes the side of the abdominal pain was more severe patients often have severe abdominal press pain, and refused to conduct checks on hand. If the right is likely to be heavier misdiagnosed as acute inflammation. The initial onset patients showed Kouanguasao, headache, to drink, when the pulse of a normal acceleration, but also increased Leucorrhea, menstrual disorders, such as irregular bleeding or vaginal symptoms appeared a few patients have symptoms of abdominal distention, a frequency, urgency and other symptoms of bladder stimulation. Check patients in acute capacity, the temperature in the 38 ℃ above 40 ℃ or even be higher, the entire lower abdomen with tenderness and anti-Tiaotong. Gynecological examination showed; organizations seem to have pelvic edema flu, and there is a strong tenderness; Palace purulent secretions from the mouth, give cervical pain, muscle tension caused by uterine size, location difficult investigation, tenderness obvious. Carry out blood tests check: leukocytes and neutrophils up to 2.5 × 109L, the cells increased significantly, Shen accelerated, 20-30 mm per hour can be achieved. After the puncture can be a dome out of inflammatory exudate.
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