钝性腹部创伤患儿的腹腔灌洗

Peritoneal lavage in children with blunt abdominal trauma.

作者信息

Powell R W, Smith D E, Zarins C K, Parvin S, Virgilio R W

出版信息

J Pediatr Surg. 1976 Dec;11(6):973-7. doi: 10.1016/s0022-3468(76)80076-0.

Abstract

Quantitative peritoneal lavage was performed in 52 children with blunt abdominal trauma to determine the presence of intraabdominal injuries. A strongly positive lavage was 100% accurate in diagnosing an intraabdominal injury requiring operation. A negative lavage demonstrated absence of a significant intraperitoneal injury with 100% accuracy. A weakly positive lavage was not diagnostic and required additional evaluation including intravenous pyelography echography, and arteriography. Diagnosis and treatment was prompt, and in 20 of 21 cases, operation was performed within 4 hr. Peritoneal lavage was found to be safe and much more accurate than physical examination in diagnosing significant intraabdominal injury.

摘要

对52名腹部钝性创伤患儿进行了定量腹腔灌洗，以确定是否存在腹内损伤。灌洗结果呈强阳性时，对诊断需要手术的腹内损伤的准确率为100%。灌洗结果为阴性时，诊断无明显腹腔内损伤的准确率为100%。灌洗结果呈弱阳性时无法诊断，需要进一步评估，包括静脉肾盂造影、超声检查和动脉造影。诊断和治疗及时，21例中有20例在4小时内进行了手术。结果发现，腹腔灌洗在诊断明显腹内损伤方面比体格检查更安全、更准确。