A CASE STUDY OF MANNHEIM PERITONITIS INDEX ROLE IN PREDICTING MORTALITY IN CASE OF PERFORATIVE PERITONITIS

Dr. Upendra Kumar, Dr. Milandeep, Dr. Gajendra Pandit, Prof. Dr. Sudhir Khichy, Prof. Dr. R. S. Sharma

Abstract


Background: A scoring system which can compare patient populations and severity of illness, objectively
predict mortality, morbidity and can help to evaluate the treatment strategy is the dire need for evaluative
research of intensive care.
Methods: The study is done after obtaining a detailed history, complete general physical examination and systemic
examination. The patients are subjected to relevant investigations like X-ray erect abdomen, CXR, USG and routine
investigations like Hb, TC, urea, creatinine, serum electrolytes.
Results: The study was conducted in a population of 50 patients who had been diagnosed as having peritonitis secondary to
hollow viscous perforation. It was observed that perforated appendix was most common cause of peritonitis in our study
accounting for 26 percent of the cases.
Conclusions: Despite advancements in the realm of medical science, the management of patients with peritonitis continues to
be demanding. In our study it was found that appendicular perforation was the most common cause followed by gastro
duodenal perforation.


Keywords


Multi organ failure, MPI scoring system, Peritoneum, Perforation peritonitis

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References


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