THE NATURE OF THE MICROFLORA OF THE ABDOMINAL CAVITY DEPENDING ON THE РH VALUES IN PERFORATED DUODENAL ULCER

Аннотация

The study included 102 patients with duodenal ulcer complicated by perforation. A pattern of changes in the nature of the microflora of the abdominal cavity with its pH has been established. When the pH of the abdominal exudate was 6.4 or less, bacillary microflora was detected in 100% of patients, while, depending on the timing of perforation, up to 24 hours in 19.4%, over 24 hours – 54.2%. The pH of the abdominal exudate allows to determine the possibility of performing pathogenetically justified primary surgery. At a pH of more than 6.4, pathogenetically justified surgical intervention is possible, a pH of less than 6.4 should be limited to excision of the ulcer with pyloroplasty or its suturing.