Winkeltau G, Winkeltau G U, Klosterhalfen B, Niemann H, Treutner K H, Schumpelick V
Chirurgische Klinik, RWTH Aachen.
Chirurg. 1992 Dec;63(12):1035-40.
96 patients were operated on for diffuse peritonitis from January 1986 to June 1990. They underwent a differentiated therapeutical concept according to the severity of the underlying peritonitis. Mild forms were handled with the standard approach, while mid-severe cases were treated by continuous postoperative peritoneal lavage. Patients with severe peritonitis were operated on by open abdomen management. Mortality was 32% (31/96) and with that obviously better than the statistically expected mortality, based on the Mannheim-Peritonitis-Score (49%). The same findings could be demonstrated in the therapeutic subgroups. The management of diffuse peritonitis using such a differentiated surgical concept seems to be an effective approach to reduce mortality rates.
1986年1月至1990年6月期间，96例患者因弥漫性腹膜炎接受了手术治疗。根据潜在腹膜炎的严重程度，他们接受了差异化的治疗方案。轻度病例采用标准方法处理，而中重度病例则通过术后持续腹腔灌洗进行治疗。重症腹膜炎患者采用开腹处理。死亡率为32%（31/96），基于曼海姆腹膜炎评分，这一死亡率明显低于统计学预期死亡率（49%）。相同的结果也在各治疗亚组中得到证实。采用这种差异化手术方案处理弥漫性腹膜炎似乎是降低死亡率的有效方法。
