Relief of pelvic peritonitis

Patients suffering from pelvic peritonitis often have severe abdominal pain and need to rest in bed at home. At this time, in addition to taking medicine, scientific and standardized care can reduce a lot of pain for patients and enable them to recover as soon as possible. So how to relieve pelvic peritonitis?

⑴ Close observation:

This is especially important during the conservative treatment stage. Observing the abdominal pain and the patient's demeanor can determine whether the condition is progressing or improving, so that emergency rescue can be carried out in a timely manner when danger signals appear. In addition, in patients with closed injuries, rupture of substantial organs such as the liver and spleen is sometimes incomplete, with only the center of the organ ruptured while its capsule is intact, which is called subcapsular rupture. Such patients do not have obvious internal bleeding after injury and do not have symptoms of peritoneal irritation, but based on their injury history, they should be taken seriously. Once the capsule ruptures, massive bleeding will occur, and shock symptoms will appear immediately. Therefore, during the observation period, measure the pulse and blood pressure once every 30 minutes, observe the patient's facial color, ask and check whether there are any changes in abdominal signs, and record them in detail on the nursing sheet.

⑵ Abdominal puncture cooperation:

Abdominal puncture is based on the fluid extracted by puncture to clarify the nature of pelvic peritonitis, understand whether the abdominal organs are ruptured or which organ is ruptured, etc. Items to prepare: Put a pair of 10ml syringes, a No. 8 or No. 9 needle, a sterile towel, a curved tray and tweezers, a glass test tube, several pieces of sterile gauze, a pair of sterile hemorrhoids, and a bottle of new chlorhexidine tincture cotton balls. During the puncture, the patient takes a 45° side-lying position. The puncture point is generally at the outer edge of the rectus abdominis muscle connecting the anterior superior iliac spine and the umbilicus. The needle is inserted into the abdominal cavity. If blood, bile or intestinal fluid is extracted, it proves that there is visceral damage and surgical treatment should be performed immediately.

⑶ Lying position and abdominal drainage care:

Under stable conditions, patients with abdominal inflammation should generally take a semi-recumbent position, with the patient's upper body at a 30-40° angle to the edge of the bed, and soft pillows under the knees and soles of the feet to prevent slipping. This can prevent the accumulation of inflammatory exudate under the abdomen, and allow the inflammatory exudate to flow to the bladder-rectal fossa, which can reduce poisoning due to the poor absorption capacity of the pelvic peritoneum. If the patient has an abdominal drainage tube, pay attention to the color and quality of the drainage fluid. If a drainage tube is placed for visceral bleeding, the bleeding gradually decreases within 48 hours after surgery, and the tube can be removed. If the drainage tube is blocked, it can be flushed with a small amount of sterile saline. If necessary, replace the drainage tube and record the drainage volume daily, but the flushing fluid volume should be deducted. The drainage bottle should be disinfected and replaced daily.