Lomidze N B, Akhmeteli T I
Khirurgiia (Mosk). 1999(7):12-5.
Results of treatment in 199 patients were analysed. The patients were divided into 3 groups. In group 1 (80 patients) acute diffuse peritonitis was treated with conventional methods, in group 2 (62 patients) conventional treatment was supplemented by exchange plasmapheresis, in group 3 (57 patients) conventional treatment was used together with extracorporeal detoxication and elective relaparotomies. Plasmapheresis and elective relaparotomies resulted in increase of effectiveness of the treatment in acute diffuse peritonitis. The intervals between the elective relaparotomies and sessions of plasmapheresis depended on the stage and the course of peritonitis. Lethality rate in conventional method of treatment for acute diffuse peritonitis made up 39%, in plasmapheresis 29%, and in combined treatment--24.5%.
分析了199例患者的治疗结果。患者被分为3组。第1组（80例患者）采用传统方法治疗急性弥漫性腹膜炎，第2组（62例患者）在传统治疗基础上辅以血浆置换，第3组（57例患者）采用传统治疗并结合体外解毒和选择性再次剖腹手术。血浆置换和选择性再次剖腹手术提高了急性弥漫性腹膜炎的治疗效果。选择性再次剖腹手术与血浆置换疗程之间的间隔取决于腹膜炎的阶段和病程。急性弥漫性腹膜炎传统治疗方法的死亡率为39%，血浆置换治疗为29%，联合治疗为24.5%。
