Velichenko V M, Martov Iu B, Fedorenko V A
Vestn Khir Im I I Grek. 1987 May;138(5):38-40.
Under analysis are results of treatment of 178 patients with diffuse forms of peritonitis for 2 periods. In the 1st period only one-step sanitation, drainage of the abdominal cavity and naso-gastral aspiration of the gastric content were performed. Lethality was 24.4%. In the 2nd period in the reactive phase of peritonitis a one-step sanitation, naso-gastral aspiration were performed, in the toxic and terminal periods--fractional peritoneal lavage and decompression of the intestines through ceco- and ileostomy. Lethality was 6.3%.
分析了178例弥漫性腹膜炎患者两个阶段的治疗结果。在第一阶段，仅进行了一次性腹腔清洁、腹腔引流和胃内容物鼻胃抽吸。死亡率为24.4%。在第二阶段，在腹膜炎反应期进行一次性腹腔清洁和鼻胃抽吸，在中毒期和终末期进行分次腹膜灌洗并通过盲肠造口术和回肠造口术进行肠道减压。死亡率为6.3%。
