Bradley S J, Jurkovich G J, Pearlman N W, Stiegmann G V
Arch Surg. 1985 May;120(5):629-31. doi: 10.1001/archsurg.1985.01390290103018.
Controlled open drainage of the abdomen (gauze in plastic intestinal bag/surgical glove packing of abscesses; wound closure only to the degree needed to prevent evisceration) was compared with closed drainage (soft rubber or sump drains; complete fascial closure) in 31 patients with severe intra-abdominal sepsis. Three (23%) of 13 patients died after open drainage vs eight (44%) of 18 after closed drainage. The difference was attributable to a lower incidence of recurrent abscesses in the former group (one recurrence) than in the latter (six recurrences). Thus, controlled open drainage may improve survival in this highly lethal condition.
对31例严重腹腔内脓毒症患者，比较了腹部的可控开放引流（用塑料肠袋内放置纱布/用手术手套填塞脓肿；伤口仅缝合至防止脏器脱出所需程度）与闭合引流（软橡胶或负压引流管；完全筋膜缝合）。开放引流组13例中有3例（23%）死亡，而闭合引流组18例中有8例（44%）死亡。这种差异归因于前一组复发性脓肿的发生率（1例复发）低于后一组（6例复发）。因此，可控开放引流可能会提高这种高致死性疾病的生存率。
