What are the treatments for pelvic peritonitis?

The key to the treatment of pelvic peritonitis is to insist on early, combined, appropriate, regular and full-course anti-tuberculosis chemotherapy to achieve early recovery, avoid recurrence and prevent complications. During treatment, attention should be paid to rest and nutrition as important auxiliary measures to adjust the overall condition and enhance disease resistance.

Systemic supportive care

For patients with good general condition and only fever, abdominal distension, and indigestion, they can be given easily digestible semi-liquid food. Once the digestive tract symptoms are alleviated, they can be given a high-calorie, high-protein diet to strengthen the body and increase resistance. For patients with adhesive or caseous tuberculous peritonitis, they can be given a high-calorie semi-liquid diet with less fiber and rich in protein and vitamins.

Chinese medicine treatment

The treatment of tuberculous peritonitis with Zengye Chengqi Decoction plus anti-tuberculosis drugs is better than the simple Western medicine anti-tuberculosis treatment. The symptoms such as abdominal pain and constipation are significantly relieved, and the course of the disease is shortened. It greatly relieves the pain of patients. Treatment method: On the basis of conventional anti-tuberculosis treatment, take Chinese herbal medicine at the same time. Basic formula: Scrophularia 15g, Rehmannia glutinosa 10g, Ophiopogon japonicus 10g, Rhubarb (later) 5g, Glauber's salt (taken with water) 4g, Citrus aurantium 10g, Magnolia officinalis 10g, Angelica sinensis 10g, Peach kernel 10g, Fried Areca nut 10g.

(VI) Surgical treatment

It is mainly used in some serious complications or in a small number of patients with tuberculous peritonitis. The main indications for surgical treatment are:

⒈ Intestinal obstruction, mainly partial intestinal obstruction that is not effectively treated with conservative treatment and gradually worsens, and complete intestinal obstruction. Surgical methods include adhesion lysis, intestinal drainage, intestinal lining, partial intestinal resection and anastomosis, adhesion mass resection, etc.

⒉ When intestinal perforation or abdominal lymph node rupture causes purulent peritonitis or acute tuberculous peritonitis, the intestinal perforation can be repaired, the diseased intestine can be removed, and the purulent substances in the abdominal cavity can be cleared.

⒊ When abdominal wall fistula is formed, the fistula tract can be removed and the abscess cavity in the abdominal cavity can be cleared of lesions.

⒋ When fecal fistula is formed, the fistula tract of the abdominal wall in the affected area can be removed, the perforation of the intestine can be repaired, or the intestine in the affected area can be removed.