Shurkalin B K, Kriger A G, Korshunov V M, Vladimirov V G, Chugunov A O
Vestn Khir Im I I Grek. 1988 Jan;140(1):74-7.
Under observation there were 128 patients with neclostridial peritonitis (NP) which made up 19.3% of the total number of patients with peritonitis. In spreaded NP when the source of NP was successfully eliminated and fibrinous layers on the peritoneum the laparotomy wound was tightly sutured up to the aponeurosis (included), primary delayed sutures were put on the skin. When it was impossible to completely remove all the fibrin from the peritoneum, the wound was sutured through all the layers, the sutures were tied in bows followed by numerous revisions of the abdominal cavity. Laparotomy was performed in postoperative NP with phlegmons of the abdominal cavity. The use of the tactics described allowed lethality to be reduced from 39.4% to 13.7%.
接受观察的有128例气性坏疽性腹膜炎（NP）患者，占腹膜炎患者总数的19.3%。在弥漫性NP中，当成功消除NP的来源且腹膜上有纤维蛋白层时，剖腹手术切口紧密缝合至腹外斜肌腱膜（包括），皮肤采用一期延迟缝合。当无法完全清除腹膜上的所有纤维蛋白时，伤口全层缝合，缝线打成结，随后多次对腹腔进行探查。对术后出现腹腔脓肿的NP患者进行剖腹手术。采用上述策略可使死亡率从39.4%降至13.7%。
