[腹腔镜程序化腹腔清创术治疗腹膜炎疗效的预后标准]
[Prognostic criteria of efficacy of programmed laparoscopic sanitation of the abdominal cavity in peritonitis].
作者信息
Salakhov E K, Vlasov A P, Bolotskyh V A
机构信息
Ogarev Mordovian State University, Saransk, Russia; Mendeleevsk Central State Hospital, Mendeleevsk, Russia.
Ogarev Mordovian State University, Saransk, Russia.
出版信息
Khirurgiia (Mosk). 2017(10):57-60. doi: 10.17116/hirurgia20171057-60.
AIM
To define prognostic criteria of efficacy of programmed laparoscopic sanitation of the abdominal cavity in peritonitis.
MATERIAL AND METHODS
There were 32 patients after programmed laparoscopic sanitation of abdominal cavity for peritonitis due to different acute surgical diseases. Subsequently 12 of them required relaparotomy due to poor effectiveness of laparoscopic sanitation. Comprehensive clinical examination and laboratory assessment of some indexes of homeostasis and oxidative status were conducted.
RESULTS
Prognostic clinical and laboratory criteria of efficacy of laparoscopic abdominal sanitation were suggested after analysis of intraoperative data during primary surgery and laboratory values in the 1st postoperative day.
CONCLUSION
The offered prognostic criteria allow to define further management of peritonitis patients after primary laparotomy.
目的
确定计划性腹腔镜腹腔清洁术治疗腹膜炎的疗效预后标准。
材料与方法
32例因不同急性外科疾病行计划性腹腔镜腹腔清洁术治疗腹膜炎的患者。其中12例因腹腔镜清洁效果不佳需再次剖腹手术。进行了全面的临床检查以及内环境稳态和氧化状态一些指标的实验室评估。
结果
通过分析初次手术中的术中数据和术后第1天的实验室值，提出了腹腔镜腹腔清洁术疗效的预后临床和实验室标准。
结论
所提供的预后标准有助于确定初次剖腹手术后腹膜炎患者的进一步治疗方案。
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