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салавате","retina":false,"avatarId":"0","isMacOS":false,"isEmbeddedFuturis":false,"brand":"yazeka","device":{"isIOS":false,"platform":"desktop"},"expFlags":{"isFootnoteDetails":true,"isFootnoteRedesignDivided":true,"futurisMultiqueryFlag":true}},"dialogStoreProps":{"baseUrl":"","orderedPairUUID":["Question"],"requestResponsePairs":{"data":{"Question":{"userMessage":"Абсцесс брюшной полости: что это?","markdown":"**Абсцесс брюшной полости** — это ограниченное гнойное воспаление с образованием полости, внутри которой скапливается гной и некротические ткани [1](https://cmrt.ru/zabolevaniya/vospalitelnye-infektsionnye/abstsess-v-bryushnoy-polosti/)[6](https://assuta.online/medical/absczess-bryushnoj-polosti-prichiny-i-simptomy/). Может локализоваться в любом участке брюшной полости: под диафрагмой, между органами, позади брюшины, в области таза или внутри отдельных органов (почек, печени, поджелудочной железы и др.) [5](https://fdoctor32.ru/reference-book-of-diseases/abscess-of-abdominal-cavity-organs/). \n\nЧаще всего абсцесс развивается как осложнение острых воспалительных или хирургических заболеваний органов живота [1](https://cmrt.ru/zabolevaniya/vospalitelnye-infektsionnye/abstsess-v-bryushnoy-polosti/). Диагностикой и лечением занимается хирург [1](https://cmrt.ru/zabolevaniya/vospalitelnye-infektsionnye/abstsess-v-bryushnoy-polosti/).\n\n\n\n## Причины\nНекоторые причины абсцесса брюшной полости: \n* **Острый аппендицит, холецистит или панкреатит** [1](https://cmrt.ru/zabolevaniya/vospalitelnye-infektsionnye/abstsess-v-bryushnoy-polosti/). \n* **Перфорация желудка или кишечника** с выходом содержимого в брюшную полость [1](https://cmrt.ru/zabolevaniya/vospalitelnye-infektsionnye/abstsess-v-bryushnoy-polosti/). \n* **Кишечная непроходимость**, осложнённая перитонитом [1](https://cmrt.ru/zabolevaniya/vospalitelnye-infektsionnye/abstsess-v-bryushnoy-polosti/). \n* **Воспалительные заболевания органов малого таза** у женщин [1](https://cmrt.ru/zabolevaniya/vospalitelnye-infektsionnye/abstsess-v-bryushnoy-polosti/). \n* **Травмы живота** [1](https://cmrt.ru/zabolevaniya/vospalitelnye-infektsionnye/abstsess-v-bryushnoy-polosti/). \n* **Хирургические вмешательства** (особенно после дренирования кист и гематом) [1](https://cmrt.ru/zabolevaniya/vospalitelnye-infektsionnye/abstsess-v-bryushnoy-polosti/). \n* **Несостоятельность анастомозов** — швов между участками желудка или кишечника [1](https://cmrt.ru/zabolevaniya/vospalitelnye-infektsionnye/abstsess-v-bryushnoy-polosti/).\n\n## Симптомы\nКлиническая картина зависит от размеров и локализации очага [1](https://cmrt.ru/zabolevaniya/vospalitelnye-infektsionnye/abstsess-v-bryushnoy-polosti/). Возможны: \n* повышение температуры тела [1](https://cmrt.ru/zabolevaniya/vospalitelnye-infektsionnye/abstsess-v-bryushnoy-polosti/); \n* признаки интоксикации (слабость, тошнота, головная и мышечная боль) [1](https://cmrt.ru/zabolevaniya/vospalitelnye-infektsionnye/abstsess-v-bryushnoy-polosti/); \n* боли в животе — от тупых и неясных до острых, усиливающихся при движении [1](https://cmrt.ru/zabolevaniya/vospalitelnye-infektsionnye/abstsess-v-bryushnoy-polosti/); \n* напряжение мышц брюшной стенки [1](https://cmrt.ru/zabolevaniya/vospalitelnye-infektsionnye/abstsess-v-bryushnoy-polosti/); \n* при поддиафрагмальной локализации — боли в груди, кашель, одышка [1](https://cmrt.ru/zabolevaniya/vospalitelnye-infektsionnye/abstsess-v-bryushnoy-polosti/); \n* нарушения мочеиспускания и стула [1](https://cmrt.ru/zabolevaniya/vospalitelnye-infektsionnye/abstsess-v-bryushnoy-polosti/). \n\nПри прогрессировании может развиться тяжёлая клиника перитонита [1](https://cmrt.ru/zabolevaniya/vospalitelnye-infektsionnye/abstsess-v-bryushnoy-polosti/).\n\n## Диагностика\nДля постановки диагноза используют: \n* **Сбор анамнеза** (данные о перенесённых операциях, воспалениях, травмах) [1](https://cmrt.ru/zabolevaniya/vospalitelnye-infektsionnye/abstsess-v-bryushnoy-polosti/). \n* **Физикальное обследование** (пальпация живота, выявление симптомов раздражения брюшины) [1](https://cmrt.ru/zabolevaniya/vospalitelnye-infektsionnye/abstsess-v-bryushnoy-polosti/). \n* **Лабораторные анализы** (повышение лейкоцитов, маркеров воспаления) [1](https://cmrt.ru/zabolevaniya/vospalitelnye-infektsionnye/abstsess-v-bryushnoy-polosti/). \n* **Инструментальные методы**: УЗИ органов брюшной полости, КТ или МРТ для уточнения локализации, рентгенография (может показать скопление газа под диафрагмой) [1](https://cmrt.ru/zabolevaniya/vospalitelnye-infektsionnye/abstsess-v-bryushnoy-polosti/).\n\n## Лечение\nЛечение абсцесса брюшной полости всегда проводится в условиях стационара [1](https://cmrt.ru/zabolevaniya/vospalitelnye-infektsionnye/abstsess-v-bryushnoy-polosti/). Оно может включать: \n* малоинвазивное или открытое вскрытие и дренирование абсцесса [1](https://cmrt.ru/zabolevaniya/vospalitelnye-infektsionnye/abstsess-v-bryushnoy-polosti/); \n* массивную антибактериальную терапию [1](https://cmrt.ru/zabolevaniya/vospalitelnye-infektsionnye/abstsess-v-bryushnoy-polosti/); \n* детоксикационные методы (инфузионная терапия, плазмаферез при тяжёлом течении) [1](https://cmrt.ru/zabolevaniya/vospalitelnye-infektsionnye/abstsess-v-bryushnoy-polosti/); \n* симптоматическую терапию (жаропонижающие, обезболивающие) [1](https://cmrt.ru/zabolevaniya/vospalitelnye-infektsionnye/abstsess-v-bryushnoy-polosti/). \n\n**Без своевременного лечения** абсцесс опасен прорывом в брюшную полость, грудную клетку или забрюшинное пространство с развитием разлитого перитонита, образованием свищей и тяжёлым спаечным процессом, сепсисом (заражением крови), который может привести к летальному исходу [1](https://cmrt.ru/zabolevaniya/vospalitelnye-infektsionnye/abstsess-v-bryushnoy-polosti/).","linksData":[{"sourceId":1,"url":"https://cmrt.ru/zabolevaniya/vospalitelnye-infektsionnye/abstsess-v-bryushnoy-polosti/","shownUrl":"https://cmrt.ru/zabolevaniya/vospalitelnye-infektsionnye/abstsess-v-bryushnoy-polosti/","title":"Абсцесс в брюшной полости, причины, симптомы и лечение | Воспалительные, инфекционные заболевания","shortUrl":"cmrt.ru","isTranslated":false,"description":"","greenUrl":"cmrt.ru"},{"sourceId":2,"url":"https://semeynaya.ru/directions/khirurgiya/abstsess-bryushnoy-polosti/","shownUrl":"https://semeynaya.ru/directions/khirurgiya/abstsess-bryushnoy-polosti/","title":"Абсцесс брюшной полости","shortUrl":"semeynaya.ru","isTranslated":false,"description":"","greenUrl":"semeynaya.ru"},{"sourceId":3,"url":"https://n-d-c.ru/publications/vospalitelnye-infekczionnye-zabolevaniya/absczess-v-bryushnoj-polosti/","shownUrl":"https://n-d-c.ru/publications/vospalitelnye-infekczionnye-zabolevaniya/absczess-v-bryushnoj-polosti/","title":"Абсцесс в брюшной полости: симптомы, причины и лечение гнойного скопления","shortUrl":"n-d-c.ru","isTranslated":false,"description":"","greenUrl":"n-d-c.ru"},{"sourceId":4,"url":"https://marino-medicina.ru/poleznaya-informaciya/hirurgiya/abscess-bryushnoj-polosti/","shownUrl":"https://marino-medicina.ru/poleznaya-informaciya/hirurgiya/abscess-bryushnoj-polosti/","title":"Абсцесс брюшной полости: причины, симптомы и терапия","shortUrl":"marino-medicina.ru","isTranslated":false,"description":"","greenUrl":"marino-medicina.ru"},{"sourceId":5,"url":"https://fdoctor32.ru/reference-book-of-diseases/abscess-of-abdominal-cavity-organs/","shownUrl":"https://fdoctor32.ru/reference-book-of-diseases/abscess-of-abdominal-cavity-organs/","title":"Абсцесс органов брюшной полости - 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