Mahanta H, Das M K, Choudhury S B
Department of Surgery, Silchar Medical College and Hospital.
J Indian Med Assoc. 1990 May;88(5):125-9.
Prognosis of acute surgical conditions of abdomen of both traumatic and non-traumatic origin depends on accurate diagnosis and early surgical intervention. However, the diagnosis in acute abdomen is quite difficult. The problem becomes more complex when 24 hours services of radiology and laboratories are not available. Abdominal tap gives a valuable clue to diagnosis. A 10 ml syringe fitted with a 20 gauge intravenous needle was used for the purpose. Both the flanks and the four quadrants of the abdomen were selected for site of the tap according to the suspected pathology. Results were indicated as positive when abnormal fluid (clear, turbid, purulent, bloody, serosanguinous, bile stained and urine, etc) were aspirated. Accurate diagnosis were made in 84.3% in blunt abdominal trauma and 76.47% in non-traumatic acute abdomen. High incidence of accurate results were obtained in gastroduodenal perforations (92%), ruptured ectopic gestation (100%) and burst amoebic liver abscess (100%). The procedure is very simple which could be done at bed side without much disturbance to the severely ill patients. It is safe and free from any complications even if the bowel is also punctured during the tap.
创伤性和非创伤性腹部急性外科疾病的预后取决于准确的诊断和早期手术干预。然而，急腹症的诊断相当困难。当无法提供24小时的放射科和实验室服务时，问题会变得更加复杂。腹腔穿刺可为诊断提供有价值的线索。为此使用了一支装有20号静脉注射针头的10毫升注射器。根据疑似病变情况，选择腹部两侧和四个象限作为穿刺部位。当抽出异常液体（清亮、浑浊、脓性、血性、浆液性、胆汁染色及尿液等）时，结果为阳性。钝性腹部创伤的准确诊断率为84.3%，非创伤性急腹症的准确诊断率为76.47%。胃十二指肠穿孔（92%）、破裂的异位妊娠（100%）和破裂的阿米巴肝脓肿（100%）的准确结果发生率很高。该操作非常简单，可以在床边进行，对重症患者的干扰很小。即使在穿刺过程中肠道也被刺破，该操作也是安全的，且不会引发任何并发症。
