Resumo

ROQUE GONZALEZ, Rosalba et al. Peritonitis difusas: Actualización y tratamiento. Rev Cubana cir [online]. 2000, vol.39, n.2, pp. 131-135. ISSN 1561-2945.

Despite the progress made in the intensive treatment of operated patients, the introduction of new antimicrobials and the betterment of surgical techniques, mortality rates from diffuse peritonitis are still alarmingly elevated. A better understanding of physiopathological phenomena which accompany an infective peritoneal process and knowledge of the chemical inflammatory mediators have not yet led to a substantial improvement in the survival rate of these patients. The diagnosis is mainly based on a clinical assessment aided by supplementary methods and predictive indexes. Early surgical managment in any form is a basic foundation for a successful treatment backed up by an effective general support. The treatment fails due to a persistent peritoneal infection and dehiscence in intestinal sutures. The first causes of death are fistulae, multiple organ failure and .high digestive bleeding

Palavras-chave : PERITONITIS [physiopathology]; PERITONITIS [therapy]; PERITONITIS [diagnosis].

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