Kumar G V, Smile S R, Sibal R N
Department of Surgery, Jawaharial Institute of Postgraduate Medical Education and Research, Pondicherry, India.
Int Surg. 1989 Jan-Mar;74(1):20-2.
Fifty patients with generalised peritonitis were studied in the period between November 1984 and May 1986, 20 with postoperative peritoneal lavage and 30 with only conventional treatment. The study revealed that lavage could not reduce mortality. There was a large number of reperforation and anastomotic leak associated with it. Among patients who survived, lavage did however aid in rendering patients afebrile and in the return of the bowel sound early. Hospital stay was also reduced. We agree with earlier suggestions that the use of peritoneal lavage with its labour, intensiveness and potential complications is restricted to gross peritoneal contamination and its use in lesser degree of peritonitis is questionable.
1984年11月至1986年5月期间，对50例弥漫性腹膜炎患者进行了研究，其中20例行术后腹腔灌洗，30例仅采用传统治疗。研究表明，腹腔灌洗并不能降低死亡率。与之相关的有大量再穿孔和吻合口漏。然而，在存活的患者中，腹腔灌洗确实有助于使患者退热并使肠鸣音早日恢复。住院时间也缩短了。我们赞同早期的建议，即腹腔灌洗因其 labor（此处疑为labour，意为费力、繁琐）、强度大及潜在并发症，仅限于严重的腹腔污染情况，而在较轻程度腹膜炎中的应用值得怀疑。
