Shal'kov Iu L, Koblandin S N
Vestn Khir Im I I Grek. 1986 Apr;136(4):42-5.
The authors have made a comparative estimation of the effectiveness of different methods of treatment of 330 patients with peritonitis with special reference to subdivision of motor disorders into 4 stages (compensated, subcompensated, decompensated stages and enteroplegia). It was established that sympatholytic drugs and continuous peridural anesthesia were effective in the compensated stage. Continuous intubation of the gastro-intestinal tract with the help of a rigid probe ensuring decompression in the postoperative period was the operation of choice in decompensated disturbances of the motor-evacuatory function.
作者对330例腹膜炎患者采用不同治疗方法的效果进行了比较评估,特别提及将运动障碍分为4个阶段(代偿期、亚代偿期、失代偿期和肠麻痹)。结果表明,在代偿期,交感神经阻滞药和持续硬膜外麻醉有效。在运动-排空功能失代偿性紊乱时,借助硬质探头持续进行胃肠道插管以确保术后减压是首选手术方式。