Eigler F W
Langenbecks Arch Chir. 1986;369:693-7. doi: 10.1007/BF01274463.
In bacterial peritonitis the cause, the time of occurrence--independent of surgery or postoperative-and the duration are relevant factors for therapeutic results. The multiplicity of possible combinations makes judgement difficult about different therapeutic concepts. Accepted general principles are: Antibiotics against aerobics and anaerobics. Pre- and postoperative intensive care (fluid replacement!). Treatment of source by the most secure method. Management of peritonitis by intraoperative cleansing and postoperative lavage, scheduled reoperations or open package.
在细菌性腹膜炎中,病因、发生时间(与手术或术后无关)以及持续时间是影响治疗效果的相关因素。可能的组合多种多样,这使得对不同治疗理念的判断变得困难。公认的一般原则是:使用抗需氧菌和厌氧菌的抗生素。术前和术后加强护理(补充液体!)。以最安全的方法处理源头。通过术中清洗和术后灌洗、定期再次手术或开放包裹来处理腹膜炎。