Effenberger T
Abteilung für Allgemeinchirurgie der Chirurgischen Universitätsklinik, Hamburg.
Zentralbl Chir. 1988;113(15):959-67.
An analysis and statistical evaluation of 1,157 cases of wound healing produced evidence to the effect that the rate of wound healing disorders could be substantially reduced by prophylactic peritoneal lavage, using 0.1 per cent chloramine-T solution. That reduction was from nine to 2.6 per cent in the author's cases. - In the context of perforations (n = 186), therapeutic peritoneal lavage, using chloramine-T, proved clearly superior to washing with physiological salt solution in coping with wound healing disorders. Here, the rate of such disorders was reduced from 22.4 to 8.3 per cent, and it dropped further to 4.5 per cent in those cases of perforation in which additional lavage was applied to the surgical wound proper.
对1157例伤口愈合病例进行的分析和统计评估表明，使用0.1%氯胺-T溶液进行预防性腹腔灌洗可大幅降低伤口愈合障碍的发生率。在作者的病例中，该发生率从9%降至2.6%。——在穿孔病例（n = 186）中，使用氯胺-T进行治疗性腹腔灌洗在应对伤口愈合障碍方面明显优于用生理盐水冲洗。在此，此类障碍的发生率从22.4%降至8.3%，在对手术伤口本身进行额外灌洗的穿孔病例中，该发生率进一步降至4.5%。
