the Current tubercular ileotiflita. The general symptoms

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the Current tubercular ileotiflita is characterised by alternation of the periods of remission and aggravations, and the last quite often proceed is long and it is heavy enough, as at a sharp stomach and partial impassability. Simultaneously in specific process are involved bryzheechnye limfouzly. Disease develops gradually. The general symptoms - weakness, fast fatigue, subfeb-rilnaja temperature - are expressed in the disease beginning to a lesser degree, than at the ulcer form. It is sometimes fished early stages of process the nausea, fall of appetite and a painful syndrome, mainly in ileotsekalnoj areas are marked, quite often disease is shown by persistent locks or, on the contrary, intermittirujushchimi diarrheas. In process of progressing of disease diarrheas alternate with locks, intensity of a pain which quite often carries shvatkoobraznyj character accrues, is accompanied meteorizmom.

At considerable aggravations of illness the sharp stomach in svjazis by occurrence of signs of intestinal impassability sometimes is wrongly diagnosed. With the diagnosis terminal ileita or an appendicitis of patients even operate (E. 3. Mirzojan, 1957; S.A.Geshelin, 1961). At objective inspection at sick of the hypertrophic form that berkuleza guts is defined morbidity in ileotsekal th area: much more often, than at the ulcer form, consolidation in this department of guts is probed, and is frequent and in an ascending part of a thick gut. A surface of the amazed department of a gut the rough. In some cases vsvjazi with the advent of the limited peritonitis or irritation brjushiny pressure of muscles of a forward belly wall is marked.