Bivins B A, Zona J Z, Belin R P
J Trauma. 1976 Sep;16(9):739-42. doi: 10.1097/00005373-197609000-00010.
The accuracy of diagnostic peritoneal lavage is compared to that of initial clinical evaluation in 46 pediatric patients with blunt abdominal trauma. The peritoneal lavage accuracy was 97.8%; the clinical accuracy was 71%. The use of a specially prepared 14-gauge trocar has made this technique safe for even very small children. The reliability and safety of diagnostic peritoneal lavage in this as well as in other series suggests that nonoperative or expectant treatment of the patient with blunt abdominal trauma can be safely substituted when peritoneal lavage is negative.
对46例小儿钝性腹部创伤患者，将诊断性腹腔灌洗的准确性与初始临床评估的准确性进行了比较。腹腔灌洗的准确性为97.8%；临床评估的准确性为71%。使用特制的14号套管针使该技术对甚至非常小的儿童也很安全。本系列以及其他系列中诊断性腹腔灌洗的可靠性和安全性表明，当腹腔灌洗结果为阴性时，可以安全地采用非手术或观察性治疗来替代钝性腹部创伤患者的治疗。
