TREATMENT OF DIFFUSE PERITONITIS

From study of the values of central and peripheral hemodynamics in 369 patients with peritonitis of the diffuse form, it may be concluded th at they reflect objectively the degree of intoxication. A hypodynamic reaction of the blood-vascular system is a poor prognostic sign indica tive of progressing peritonitis. Much significance is attached to morp holocal and microbiological study of the biopsy material of the pariet al peritoneum, which allows judgement of the stage of peritonitis. Alo ng with the traditional infusion and antibacterial therapy in peritoni tis, UVI of autoblood and intravenous lasser irradiation of the blood in stages IIA and IIB are applied. This should be followed by hemosorp tion which contributes to the active excretion of toxins from the orga nism. The authors recommend the method of programmed relaparotomy in s tage IIB when there is a large amount of exudate with a collibacillary odour and a tendency to the formation of unterintestinal abscesses. I ntraaortal infusion of medicinal agents is recommended in this clinica l group marked by a tendency towards hypotension. In the group of 369 patients who underwent operation 112 (29.5%) died.