[Diagnosis of postoperative peritonitis].
10-year experience of diagnosis of postoperative peritonitis (POP) in 106 patients is presented. Clinical deterioration, dryness in the mouth and thirst, tachycardia, bloated abdomen, hyperthermia, leukocytosis, positive Blumberg-Shchetkin symptom, intestinal paresis and rigidity of abdominal muscles were the main symptoms of POP which were revealed in 83-100% patients. Absence of drainage secretions and pneumoperitoneum don't exclude POP. Ultrasonic examination is a highly effective additional method in diagnosis of POP. When POP is suspected it makes sense to take into account opinion of surgeons who have not operated this patient.
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Isaev
D000328:Adult; D000368:Aged; D006801:Humans; D008875:Middle Aged; D010538:Peritonitis / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000503:physiopathology; D011183:Postoperative Complications; D014463:Ultrasonography