《腹膜炎腹腔脓肿基础医学课件》由会员分享，可在线阅读，更多相关《腹膜炎腹腔脓肿基础医学课件（28页珍藏版）》请在金锄头文库上搜索。
1、 ACUTE ABSCESS1 2 直 Anatomy and Physiology of the Peritoneal CavityThe parietal peritoneum, which covers theabdominal cavity, including the anteriorabdominal wall, diaphragm, and pelvis, isimmediately-adjacent to and reinforced by thetransversalis fascia. The visceral peritoneumcoVers all the intrap
2、eritoneal viscera, creating 3NSperitoneum is innervated by both somatic andVisceral afferent nerves. The peritoneum of theanterior abdominal wall is the areaimnostisensitiveto stimuli, and the pelvic peritoneumis the arealeast sensitive.Anatomy and Physiology of the Peritoneal CavityPatients with ab
3、dominal pain may ShowSi ELOIEO EDperitoneal ifritation exists, they have reboundtenderness. Localized inflammation of the anteriorparietal peritoneum may lead to voluntary muscleguardin 本| 1sTTE 5 罗9 ERtivelyinsensitive and receives afferentimnervation onlyfrom the autonomic nervous System Stiinuli
4、fromthe visceral peritoneum are often poorly localizedand are perceived as dull or interimittent 本 四Anatomy and Physiology of the Peritoneal Cavity_The visceral afferent nerves have no receptorsto mediate 人 and temperature but do respond todistention, traction and pressure. The biliary tractand mese
5、n盾he 臣华 ELsmall intestine. Thus, pain fromlthe gallbladderjealized Eand common duct is more 共、ETAcute Generalized Peritonitis1. Definition: Acute abscess peritonitis pervaded allperitoneal cavity is called acute generalized peritonitis(AGP). Peritonitis， classified as Primary orSpontaneous peritonit
6、is and secondary peritonitis.2. EtiologySecondary defuse peritonitis (the most common)9) AcutejheuUPEGAicenddaqdenal 1)Gall bladder perforation follbwing acutelowG) Traumatic rupture of intestine amadblaader人 Severe acute appendicitis andpancreatitis) Anastomotic leakage following OperationaPrimary
7、defuse peritonitis”1 Through blood route2 Upwardinfection from female oviduct3. Direct TS Urinary tractmectoginC4. Conditional bacteria in Divhen the function of intestinal membranedecrease. Figure 25-2，Common primary causes of peritonitisOutcome of acute defuse peritonitisTwo factors decide the out
8、come of acutedefuse peritonitis:One isSthe ability ofbody”s defense systemAnother is bacterias quality, number andEtwf锅虽 9 WU 申国en 所 LN 开 the defense Systemability-infective shock,Clinical findings1. Abdominal pain”The main complaint is abdominal, which isAN generally Spreadingfrom the lesion point
9、to the whole abdomen.re 辣TITLIS| ae Because stimulation ioneum，thecontent inside the stomachbe vomited out reflectively.3. Fever and tachycardiaThe result of reaction to both infectiveETlower temperature means that patient?sconditions is Poor or the infection has2 pulse，lower blood PressiConsciousnesS.
