van Dongen L M, de Boer H H
Injury. 1985 Jan;16(4):227-9. doi: 10.1016/s0020-1383(85)80003-6.
Peritoneal lavage is a sensitive method of detecting intra-abdominal injuries following closed abdominal injury. Our indications for peritoneal lavage are: severe head injury, severe thoracic injury, unexplained hypotension in a patient with possible blunt abdominal injury and patients on artificial ventilation. We present 40 patients with multiple injuries who underwent peritoneal lavage for suspected closed abdominal injury. Twenty-two lavages were positive and 19 laparotomies were performed, of which 18 revealed intra-abdominal injuries. Eighteen lavages were negative; no laparotomy was performed in this group. There was one false positive, but no false negative lavage.
腹腔灌洗是检测闭合性腹部损伤后腹腔内损伤的一种敏感方法。我们进行腹腔灌洗的指征是：严重头部损伤、严重胸部损伤、可能存在钝性腹部损伤的患者出现无法解释的低血压以及接受人工通气的患者。我们报告了40例多发伤患者，他们因疑似闭合性腹部损伤接受了腹腔灌洗。22次灌洗结果为阳性，其中19例进行了剖腹探查，18例发现腹腔内有损伤。18次灌洗结果为阴性，该组未进行剖腹探查。有1例假阳性，但无假阴性灌洗结果。
