Verkhuletskiĭ I E, Papazov F K, Medvedenko A F, Piliugin G G, Osipov A G
Klin Khir. 2003 Oct(10):9-12.
The results of treatment of 573 patients, operated on the clinic for the period from 1981 to 2000 year for perforative gastroduodenal ulcer were analyzed. In 24 (4.2%) of them the necessity of relaparotomy performance for peritonitis, polyorgan insufficiency had occurred. In all patients complex intensive therapy, intestinal decompression, flowing peritoneal dialysis were conducted, in 10--the governed laparotomy. In 9 patients plasmapheresis was performed, in 8--drainage of ductus thoracicus with lymphosorption, in 7--xenosorption. Application of complex treatment equally with active detoxication in patients with peritonitis, polyorgan insufficiency have allowed to achieve recovery in 66.6% of them.
对1981年至2000年期间在该诊所接受手术治疗的573例穿孔性胃十二指肠溃疡患者的治疗结果进行了分析。其中24例（4.2%）因腹膜炎、多器官功能不全而需要再次剖腹手术。所有患者均进行了综合强化治疗、肠道减压、持续性腹膜透析，10例进行了控制性剖腹手术。9例患者进行了血浆置换，8例进行了带淋巴吸附的胸导管引流，7例进行了异种吸附。在腹膜炎、多器官功能不全患者中应用综合治疗并同时进行积极的解毒治疗，使66.6%的患者康复。
