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Péritonite et syndrome du compartiment abdominal chez l’enfant

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Réanimation pédiatrique

Part of the book series: Le point sur … ((POINT))

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Résumé

Chez l’enfant comme l’adulte, la classification de Hambourg distingue les péritonites primitives (encore appelées bactériennes spontanées) et les formes secondaires, qui sont communautaires (PC) ou nosocomiales (PN) mais le plus souvent postopératoires. Les auteurs anglosaxons identifient par ailleurs les péritonites tertiaires (PT), qui correspondent à des péritonites persistantes ou récidivantes en dépit d’un traitement chirurgical et d’une antibiothérapie initiale adéquate. Leur évolution est volontiers émaillée d’abcès ou de fistules digestives nécessitant des reprises itératives [1–2]. De façon pragmatique, ce sont les péritonites compliquées, communautaires ou nosocomiales, qui continuent de poser aux réanimateurs des problèmes de prise en charge et conditionnent le pronostic dans une population d’enfants souvent indemnes de comorbidité.

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Authors and Affiliations

  1. Service de réanimation pédiatrique et Unité de surveillance continue, France

    P. Durand & D. Devictor

  2. Département d’anesthésie réanimation, Groupe hospitalier Bicêtre - Paul Brousse — Antoine Béclère, Assistance publique-hôpitaux de Paris et Université Paris Sud-11, 78, rue du Général Leclerc, 94275, Le Kremlin-Bicêtre, France

    C. Baujard

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  1. P. Durand
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  2. C. Baujard
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  3. D. Devictor
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Correspondence to P. Durand .

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Durand, P., Baujard, C., Devictor, D. (2013). Péritonite et syndrome du compartiment abdominal chez l’enfant. In: Réanimation pédiatrique. Le point sur …. Springer, Paris. https://doi.org/10.1007/978-2-8178-0407-1_10

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  • DOI: https://doi.org/10.1007/978-2-8178-0407-1_10

  • Publisher Name: Springer, Paris

  • Print ISBN: 978-2-8178-0406-4

  • Online ISBN: 978-2-8178-0407-1

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