Davydov Iu A, Kozlov A G, Volkov A V
Khirurgiia (Mosk). 1991 May(5):13-8.
The article analyses two matched groups of patients with generalized purulent peritonitis of 72-hour duration in the stage of polyorganic insufficiency. There were 100 patients. Application of organ-resuscitation measures in the abdominosplanchnic zone is the key moment of the surgical treatment of patients with generalized purulent peritonitis. In view of this, peritoneoenteric lavage with oxygenated energy mass of 5-10% glucose solution is indicated together with intensive infusion-transfusion, antibacterial therapy, and extracorporeal detoxification for such patients. Combination of peritoneal lavage with enteric through a distal retrograde immobilizing dehydrostatic iliostomy produces the best results.
该文章分析了两组匹配的患者，他们均患有持续72小时的广泛性化脓性腹膜炎且处于多器官功能不全阶段。每组有100名患者。在腹部内脏区域应用器官复苏措施是广泛性化脓性腹膜炎患者外科治疗的关键环节。鉴于此，对于此类患者，除了进行强化输液输血、抗菌治疗和体外解毒外，还应采用5-10%葡萄糖溶液的充氧能量液进行腹膜肠灌洗。通过远端逆行固定性减压回肠造口术将腹膜灌洗与肠道灌洗相结合可产生最佳效果。
