Doletskiĭ S Ia, Shchitinin V E, Dvorovenko E V
Khirurgiia (Mosk). 1990 Feb(2):93-7.
There were 849 children with various forms of acute appendicitis under observation in 1988. Generalized and circumscribed peritonitis was found in 44.2% of cases. The new clinical approach-based introduction of a previously elaborated surgical tactics showed it to be rational. The changing conditions led to a wider use of diagnostic laparoscopy, rejection of the "lavage" system in the postoperative period, and introduction of the method of laparostomy which is simpler and more effective.
1988年,有849名患有各种形式急性阑尾炎的儿童接受观察。44.2%的病例出现弥漫性和局限性腹膜炎。基于新临床方法引入先前制定的手术策略,结果表明该策略是合理的。情况的变化导致诊断性腹腔镜检查的更广泛应用、术后摒弃“灌洗”系统以及引入更简单有效的剖腹术方法。