多发伤所致腹膜炎的保守治疗：经验、结果及指征
Conservative management of multi-trauma induced peritonitis: Experience, outcomes, and indications.
作者信息
Chen Qi, Zhu Tao, Liu Jia-Kang, Ding Jun, Chen Lina
机构信息
Department of Surgery, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China.
Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto M5S 1A8, Ontario, Canada.
出版信息
World J Clin Cases. 2023 Sep 6;11(25):5897-5902. doi: 10.12998/wjcc.v11.i25.5897.
BACKGROUND
The concept of mandatory laparotomy in treating traumatic peritonitis has been increasingly questioned recently.
AIM
To summarize and share the experience of conservative treatment of patients with multi-trauma induced peritonitis.
METHODS
A retrospective review was performed on patients with multiple injury induced traumatic peritonitis.
RESULTS
A total of 184 patients with multiple injury induced traumatic peritonitis were reviewed. 46 of them underwent conservative treatment. None of the 46 patients with conservative treatment switched to surgical treatment, and all of them were cured and discharged after successful conservative treatment. No significant abnormal findings were observed at regular follow-up after discharge.
CONCLUSION
Conservative management is safe, effective, feasible, and beneficial in hemodynamically stable patients with traumatic peritonitis if there is no definite evidence of severe abdominal visceral organ injury.
背景
近期，外伤性腹膜炎强制剖腹手术的概念越来越受到质疑。
目的
总结并分享多创伤性腹膜炎患者保守治疗的经验。
方法
对多创伤性外伤性腹膜炎患者进行回顾性分析。
结果
共纳入184例多创伤性外伤性腹膜炎患者，其中46例接受保守治疗。46例保守治疗患者均未转为手术治疗，经成功保守治疗后均治愈出院。出院后定期随访未发现明显异常。
结论
对于血流动力学稳定且无明确严重腹部脏器损伤证据的外伤性腹膜炎患者，保守治疗安全、有效、可行且有益。
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