Assessment of severity of diffuse peritonitis at based on clinical symptoms, laboratory tests and evaluation on the changes detected in the step (a form of appendicitis, the rate of change of the peritoneum, the nature and amount of effusion in the abdomen and the severity of intestinal paresis).
Distinguish 3 stages ATM clinical characteristics. The proposed division stage ATM allows articulate the scope and nature of surgical interventions that facilitates the solution of tactical problems faced by the surgeon during surgery and in the postoperative period. Demarcated appendicular peritonitis (CAP). There are two forms of the CAP: periappetstsikulyar – ing infiltration (PAI), or “cold infiltration” and periappetsdikulyarny abscess (PAA).
“Cold infiltrate” occurs when high body resistance in combination with a small virulent organisms, as well as a tendency to pronounced peritoneum infilyrativno – productive reactions. All this leads to the formation of destructive changes around appendix inflammatory “tumor”, which includes closely spaced abdominal organs (omentum, bowel loops, etc.). Young children are almost no “cold infiltrates” seam near the source of inflammation are loose character, and in the center of the infiltrate usually is pus.