First aid to the patient with peritonitis is to relieve pain. For anesthesia, you can put the heating on the belly with cold water and a bubble with ice. It is categorically prohibited. Let's analgesics, as this will lead to an imaginary improvement of the condition, which will significantly wake up the picture of the main disease.
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The concept of acute peritonitis
Acute peritonitis occurs during damage or disease of the abdominal wall, body of the abdominal or when transitioning inflammation from the organ. It may occur if the blood enters an infection from extra-abrupt organs. Most often, this severe disease cause staphylococci, streptococci, intestinal sticks.
Peritonean - serous shell, lining the inner surface of the abdominal wall and located in the cavity of the abdomen organs. It consists of a fine transparent film, smooth, brilliant and moisturized.
The total surface of it is approximately equal to the total surface of the skin. The main function of the peritoneum - barrier. This organ, filtering biological fluids, delays various foreign substances and neutralizes them. The permah ensures the safety of the abdominal organs, protects them from physical injuries.
In addition to various diseases, the peritoneum is subject to damage: closed (when stupid items) and open (when injured by sharp objects and bullets). Inflammation or breakdowns of peritoneous can lead to the development of peritonitis (both acute and chronic). Most often found spilled sharp purulent peritonitis. Often the reasons for it - the soda ulcer of the stomach and the duodenum, as well as open injuries of the peritoneum.
Complaints of patients are diverse and depend on the localization of the painful process in the abdominal cavity. Symptoms also depends on the phase of the disease.
In the first hours, painful syndrome prevails. Patients complain not only on growing abdominal pain, but also on nausea, latency of chair and gases. Temperature rises to 38 °C and higher. Pulse is read up to 100-110 shots per minute. Language becomes dry. When feeling belly, the abdominal wall is tense.
On the 2-3rd day the condition worsens. The patient is disturbed, shortness of breath appears, heartbeat is rapidly, the features of the face are sharpened. Language becomes even more dry. Belly will take off, which is usually associated with a latency of stool and gases. Vomiting enhanced, vomiting masses acquire a coffee tint. Due to the increasing of intoxication, functions and other bodies are disturbed, which leads to the phenomena of hepatic renal failure. There are exchange disorders, primarily due to the increasing of acidosis. Urination decreases.
As inxication increases, imaginary improvement of the overall state occurs, which can be misleading the patient himself and its loved ones. Although abdominal pain is subsided, objective signs indicate serious condition. Face features sharpen, eyes are wade. The face acquires an increasingly sufferent expression. Patient chained to bed. Vomiting is expensive. In the vomit masks prevails bile. The smell is usually rotten. Starts vomiting of the exhausting nature, which leads to dehydration. Reception of food and liquid is impossible, although the patient is worried about the painful thirst.
The stomach becomes even more swollen, soft, but weakly heated when feeling. Language covered, dry. Breathing superficial, abdominal wall in breathing does not participate. With unconstitution of timely assistance in the first days of the disease, death occurs on the 4-7th day. At the first symptoms «acute belly» Should call «ambulance».
Correctly diagnosing acute peritonitis during the first day, you will save the life of a person. When the reactive stage of the disease is developing, you need to pay attention to the main symptoms: sharp, constant abdominal pain, increasing when changing the position of the body, cough, movements. The patient usually lies on the back or on the side with his legs given to the belly, gently stomach, avoids extra movements. Vomiting gastric content usually does not benefit. Pulse is rapid up to 100-110 shots per minute. Here in this watch and you should urgently call a doctor.
Require special attention to patients with peptic ulcer of the stomach and duodenum, since it is possible to break ulcers. In this case, the contents of the stomach or duodenum penetrate into the abdominal cavity, which leads to the development of peritonitis. The main symptoms of the sink: sudden sharp («Kinjal») Pain in the upper belly. The patient takes a forced position, raises his knees to the belly, tries not to move. When feeling the abdomen, there is a sharply pronounced muscle tension (pro-eyed abdomen). Urgent hospitalization of the patient and emergency operation will save him life.
First aid for the treatment of the disease
How to help the patient with sharp peritonitis before the arrival of the doctor? It is impossible to give painkillers, as they will lead to imaginary improvement of the state, lubricate the picture of the hard process. It is strictly forbidden to introduce antibiotics, despite the high temperature: it will make it difficult for diagnosis in the hospital and will prevent the surgeon to determine the nature of the surgical intervention.
To facilitate pain you can put on the stomach warmer with cold water or ice bubble. The patient should strictly stick to beddown. Before the arrival of the doctor in no way feed and not give to drink. Do not apply, repeat, no drugs, do not put the heating and blast. If the patient complains about the bloating of the abdomen and that gases do not move, put the gas pipe.
