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[Experience in intensive therapy of diffuse peritonitis in children]
Insights
This study details intensive therapy for diffuse peritonitis in 51 children, combining antibacterial drugs, infusion, and specialized treatments. All patients recovered gastrointestinal function and were discharged in good health.
Area of Science:
- Pediatric Surgery
- Intensive Care Medicine
- Infectious Diseases
Background:
- Diffuse peritonitis presents a significant challenge in pediatric critical care.
- Effective management requires a multimodal intensive therapy approach.
Purpose of the Study:
- To analyze the outcomes of intensive therapy for diffuse peritonitis in children.
- To identify key components of successful treatment protocols.
Main Methods:
- Retrospective analysis of 51 pediatric cases with diffuse peritonitis.
- Implementation of comprehensive intensive care: antibacterial therapy, infusion/parenteral nutrition, peridural/sympathetic blockade, UV-blood autotransfusion, and hemoperfusion.
Main Results:
- Successful gastrointestinal tract activity recovery in all 51 patients.
- Normalization of clinical and laboratory parameters across the cohort.
- All children were discharged in stable condition.
Conclusions:
- The integrated intensive therapy approach is effective for treating diffuse peritonitis in children.
- Key therapeutic components contribute to favorable patient outcomes and recovery.
Abstract:
The authors analyze their experience gained in the treatment of diffuse peritonitis in 51 children. The principal components of intensive therapy were effective antibacterial therapy, infusion therapy and parental feeding, prolonged peridural blocking and drug-induced sympathetic blocking, autotransfusions of UV-irradiated blood, and hemoperfusion. The activity of the gastrointestinal tract recovered in all the 51 patients, their clinical and laboratory parameters normalized, and the children were discharged in good condition.