title: [Pathogenesis of visceral functions disorder in diffuse peritonitis].
abstract: Clinical and laboratory signs of abdominal sepsis and endotoxicosis were noted in 194 examined patients with diffuse peritonitis. It was stated that pathogenesis of visceral functions mainly expressed as a splanchnic blood circulation disturbance, massive translocation of gut organisms in portal bloodstream and the functional liver insufficiency particularly marked as form of macrophage liver insufficiency. The complex program of liver rehabilitation should be included in standards of treatment of the patients with diffuse peritonitis. It should be based on preventive measures of the enteral detoxication and microbial decontamination of small intestine and at the same time the intraportal transsubilical infusion correcting therapy has to be applied.
authors.forename: V N
authors.initials: VN
authors.lastname: Chernov
authors.forename: B M
authors.initials: BM
authors.lastname: Belik
authors.forename: S Iu
authors.initials: SIu
authors.lastname: Efanov
mesh_terms: D013505:Digestive System Surgical Procedures / Q000009:adverse effects / Q000379:methods; D019446:Endotoxemia / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D005260:Female; D006801:Humans; D007263:Infusions, Parenteral / Q000379:methods; D007421:Intestine, Small / Q000382:microbiology; D008099:Liver / Q000473:pathology; D008297:Male; D008875:Middle Aged; D009102:Multiple Organ Failure / Q000209:etiology / Q000503:physiopathology / Q000517:prevention & control; D019990:Perioperative Care / Q000379:methods; D010538:Peritonitis / Q000150:complications / Q000382:microbiology / Q000401:mortality / Q000503:physiopathology / Q000628:therapy; D012720:Severity of Illness Index; D016060:Sorption Detoxification / Q000379:methods*; D013152:Splanchnic Circulation; D016019:Survival Analysis; D007507:Therapeutic Irrigation / Q000379:methods*; D016896:Treatment Outcome