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[腹膜灌洗透析作为全身急性腹膜炎治疗的补充手段]

[Peritoneal irrigation-dialysis as a complement to the treatment of systemic acute peritonitis].

作者信息

Sibilly A, Jung F, Chemorin C, Mathey B

出版信息

Nouv Presse Med. 1976 Oct 30;5(36):2371-4.

PMID:1068624
Abstract

A series of 30 cases of post-operative peritoneal irrigation dialysis for generalised peritonitis. In the light of peritoneal physiology, details are given of the technique for insertion of the peritoneal drains as well as the composition of the dialysate. In addition to its mechanical role, continuous lavage of this type is useful in restoring and maintaining water and electrolyte balance, the limitations of which are described, together with a direct anti-infectious action and temperature equilibration. P.I.D. seems to be associated with a considerable reduction in mortality from acute generalised peritonitis (1 case out of 30). It also limits morbidity, since only 5 minor complications were seen. The simplicity and harmlessness of the method makes it possible to widen, without major reservations, the scope of therapeutic solution to the problem of acute generalised peritonitis.

摘要

30例因弥漫性腹膜炎行术后腹膜冲洗透析的病例。根据腹膜生理学,详细介绍了腹膜引流管的插入技术以及透析液的成分。除了其机械作用外,这种持续灌洗有助于恢复和维持水和电解质平衡,文中描述了其局限性,同时还具有直接抗感染作用和温度平衡作用。术后腹膜冲洗透析似乎与急性弥漫性腹膜炎死亡率的显著降低有关(30例中有1例死亡)。它还能减少发病率,因为仅出现了5例轻微并发症。该方法的简单性和安全性使得在没有重大保留的情况下扩大急性弥漫性腹膜炎问题的治疗解决方案范围成为可能。

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