Moncade F, Fortier A, Guyon P, Darrieus H, Pitre J, Pailler J L
Clinque de Chirurgie Viscérale et Vasculaire, Hôpital du Val de Grâce, Paris.
J Chir (Paris). 1991 Jun-Jul;128(6-7):285-9.
The great diversity of injuries after abdominal wound, need an adapted treatment. When laparotomy is indicated in uncontrollable hemorrhage, peritoneal lavage associated with C.T. scan seems to be interesting in the management of hemoperitoneum with a moderate injury severity score and stable arterial and venous pressures. Three patients were recently managed non operatively with good results. The authors draw up these three cases with inclusion criterias and limits of the method.
腹部创伤后损伤的多样性,需要采用适应性的治疗方法。当剖腹手术适用于无法控制的出血时,对于损伤严重程度评分中等且动脉和静脉压力稳定的腹腔积血患者,腹膜灌洗联合CT扫描在治疗中似乎很有价值。最近有三名患者接受了非手术治疗,效果良好。作者列出了这三个病例以及该方法的纳入标准和局限性。