Solomkin Joseph S, Mazuski John
Department of Surgery, University of Cincinnati College of Medicine, 231 Albert B. Sabin Way, Cincinnati OH 45267-0558, USA.
Infect Dis Clin North Am. 2009 Sep;23(3):593-608. doi: 10.1016/j.idc.2009.04.007.
Complicated intra-abdominal infections are the second most common cause of septic death in the intensive care unit. Although there have been improvements in the outcome of sepsis regardless of etiology, this is even more striking for intra-abdominal infections. From observation, recent advances in interventional techniques, including more aggressive use of percutaneous drainage of abscesses and use of "open abdomen" techniques for peritonitis, have significantly affected the morbidity and mortality of physiologically severe complicated intra-abdominal infection.
复杂腹腔内感染是重症监护病房中脓毒症死亡的第二大常见原因。尽管无论病因如何，脓毒症的治疗效果都有所改善，但腹腔内感染的改善更为显著。据观察，介入技术的最新进展，包括更积极地使用经皮脓肿引流以及对腹膜炎采用“开放腹腔”技术，已显著影响了生理状况严重的复杂腹腔内感染的发病率和死亡率。
