Treatment of peritonitis

Once the diagnosis of peritonitis is clear, the treatment is divided into two aspects: non-operative and operative treatment. The vast majority of patients use a comprehensive treatment based on surgical treatment, thus once there is a clear diagnosis of peritonitis, which is a surgical emergency abdomen, surgical open abdominal exploration, non-surgical treatment is mainly applicable to the early stage of peritonitis, the condition is mild or inflammation limited patients, as follows: 1, correct water-electrolyte disorders, supplement a certain amount of fluid including crystals, colloids, in order to maintain water-electrolyte and acid-base The cephalosporin antibiotics can be given when the infection is more serious to prevent mixed infection of anaerobic bacteria, and metronidazole should be administered at the same time. Surgical treatment is suitable for those whose diagnosis of the primary lesion is unclear, or those who cannot exclude intra-abdominal organ damage, necrosis or perforation, and those whose non-surgical treatment is ineffective, can undergo abdominal dissection to avoid delaying treatment, surgical treatment, mainly including treatment of the primary lesion and abdominal flushing and abdominal drainage.