Simple and effective treatment for pelvic peritonitis

The principle of treatment is to actively eliminate the cause of pelvic peritonitis, and thoroughly clean and absorb the pus and exudate in the abdominal cavity, or promote the absorption and limitation of exudate as soon as possible. In general, the treatment of acute pelvic peritonitis can be divided into non-surgical treatment and surgical treatment.

1. Non-surgical treatment 1. When the patient is not in shock, he should take a semi-recumbent position, move his lower limbs frequently, and change the pressure points to prevent venous thrombosis and pressure sores.

2. Fasting: Patients with gastrointestinal perforation must absolutely fast to reduce continued leakage of gastrointestinal contents.

3. Gastrointestinal decompression can reduce gastrointestinal distension and improve gastrointestinal wall blood circulation. It is a necessary treatment for patients with pelvic peritonitis.

4. Intravenous infusion: Fasting patients with pelvic peritonitis must receive infusion to correct water electrolyte and acid-base imbalance.

5. Supplement calories and nutrition. Acute pelvic peritonitis requires a large amount of calories and nutrition to supplement its needs.

6. In the early stage of antibiotic use, a large amount of broad-spectrum antibiotics should be selected, and then adjusted according to the results of bacterial culture. Intravenous drip is the best route of administration.

7. Analgesia: For patients whose diagnosis has been clear and treatment has been decided, it is necessary to appropriately use sedatives and analgesics to relieve the patient's pain.

2. Surgical treatment

1. Lesion treatment: Eliminating the cause of pelvic peritonitis is the main purpose of surgical treatment.

2. Clean the abdominal cavity. After eliminating the cause of the disease, the abdominal pus should be sucked out as much as possible, and the food and residue, feces, foreign matter, etc. in the abdominal cavity should be removed. 3. Drainage is performed so that the remaining inflammation can be controlled, limited, and eliminated.