腹部创伤后的腹腔灌洗：适应证、技术及结果

Peritoneal lavage after abdominal trauma: indications, technique, results.

作者信息

Pattyn P, Vossaert R, Noterdaeme P M, Wehlou J M, Eeckhout C, Berzsenyi G, De Roose J, Derom F

机构信息

Department of General, Thoracic and Cardiovascular Surgery, University Hospital, Ghent, Belgium.

出版信息

Int Surg. 1989 Jan-Mar;74(1):17-9.

PMID:2651343

Abstract

This study represents our experience with 1461 patients who were seen in the Emergency Room of the University Hospital in Ghent with multiple traumatic lesions, between 1978 and 1982. In 43% of these polytraumata, we did an explorative peritoneal lavage in order to obtain a quick evaluation of intrabdominal haemorrhage. In 65% of the patients, the lavage was negative; 221 positive lavages (35%) underwent abdominal exploration; in 85% of these there were evident positive findings. The remaining 15% showed either no lesions, or minor lesions not involving risk of life. The overall accuracy-rate of the technique described above is at least 93%.

摘要

本研究展示了我们于1978年至1982年间，在根特大学医院急诊室对1461例有多处创伤性损伤患者的诊治经验。在这些多发伤患者中，43%的病例我们进行了剖腹探查灌洗术，以便快速评估腹腔内出血情况。65%的患者灌洗结果为阴性；221例灌洗阳性（35%）的患者接受了腹部探查；其中85%有明显阳性发现。其余15%未发现损伤，或仅有不危及生命的轻微损伤。上述技术的总体准确率至少为93%。