Simpson R L, Turner V F
Aust N Z J Surg. 1986 Feb;56(2):103-7. doi: 10.1111/j.1445-2197.1986.tb01863.x.
The records of 90 consecutive adult patients, who presented after blunt abdominal trauma and who underwent diagnostic, percutaneous peritoneal lavage over a 3 year period, were reviewed. Lavage effluents were considered positive, negative or equivocal. An equivocal result was one where the tubing contained blood stained fluid, but it was still possible to see newsprint through the tubing. Fifty-one lavages were positive, 24 negative and 15 equivocal. All 51 patients with a positive effluent and three of the patients with an equivocal effluent had a laparotomy and in all but one case a significant injury was found. There were no false negative results. In a single patient the transverse colon was perforated during the insertion of the lavage catheter. Diagnostic, percutaneous peritoneal lavage is a simple, safe, rapidly performed, accurate technique designed to detect intraperitoneal blood and the results of this review suggest that it has a role to play in the decision-making process when assessing adult patients who have suffered blunt abdominal trauma.
回顾了90例连续成年患者的记录，这些患者在钝性腹部创伤后就诊，并在3年期间接受了诊断性经皮腹膜灌洗。灌洗液被认为是阳性、阴性或可疑的。可疑结果是指引流管中含有血性液体，但仍可透过引流管看到报纸印刷品。51次灌洗为阳性，24次为阴性，15次为可疑。所有51例灌洗液阳性患者和3例灌洗液可疑患者均接受了剖腹手术，除1例病例外，其余均发现有严重损伤。没有假阴性结果。在1例患者中，灌洗导管插入过程中横结肠穿孔。诊断性经皮腹膜灌洗是一种简单、安全、操作迅速、准确的技术，旨在检测腹腔内出血，本综述结果表明，在评估钝性腹部创伤成年患者时，它在决策过程中具有一定作用。
