ABDOME AGUDO PERFURATIVO PDF

A perfurao de vsceras ocas pode ocorrer devido a processos inflamatrios lceras ppticas, doenas inflamatrias intestinais , neoplsicos e infecciosos do aparelho digestivo infeces por Salmonella tiphy, citomegalovrus, tuberculose intestinal etc. Pode ainda ser decorrente da ingesto de corpos estranhos, traumatismos e iatrogenias procedimentos diagnsticos e teraputicos. A intensidade dos sintomas e a gravidade do quadro clnico dependero do local e do tempo de evoluo da perfurao, do tipo de secreo extravasada e das condies do doente. Inicialmente, ocorre uma inflamao peritoneal de natureza qumica, principalmente nas perfuraes altas do trato digestivo, seguida de invaso bacteriana secundria e progressivo processo infeccioso, com repercusses locais e sistmicas. Em relao ao intestino grosso, a peritonite sptica desde o incio. Algumas vezes, a sintomatologia no to exuberante, podendo estar mascarada por sintomas decorrentes de afeces clnicas associadas comuns em doentes idosos e imunossuprimidos.

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