Berkow A E
Postgrad Med. 1976 Jan;59(1):231-236. doi: 10.1080/00325481.1976.11716541.
Granulomatous inflammation of the peritoneal surfaces resulting from exposure to cornstarch granules from surgical gloves produces a syndrome of abdominal pair, adynamic ileus, fever, peritonitis, variable white blood cell count, and inflammatory ascites. Symptoms develop three to four weeks after a routine abdominal surgical procedure. Recognition of this entity by nonsurgical means is necessary to avoid reoperation. Paracentesis with examination of fluid by polarized light offers the best method of non-surgical diagnosis. Treatment is with steroids or indomethacin or conservative measures. To prevent the disease, gloves must be washed effectively before operation.
接触手术手套中的玉米淀粉颗粒导致腹膜表面的肉芽肿性炎症，可产生腹痛、麻痹性肠梗阻、发热、腹膜炎、白细胞计数可变及炎性腹水等综合征。症状在常规腹部手术后三至四周出现。通过非手术方法识别这一病症对于避免再次手术很有必要。用偏振光检查液体的腹腔穿刺术提供了最佳的非手术诊断方法。治疗方法是使用类固醇、吲哚美辛或采取保守措施。为预防该病，手术前必须有效清洗手套。
