Yamamura M, Nishi M, Furubayashi H, Hioki K, Yamamoto M
Dis Colon Rectum. 1985 May;28(5):347-52. doi: 10.1007/BF02560439.
A case of generalized peritonitis, secondary to a perforation of the rectosigmoid colon during barium-enema roentgenography, is presented. The patient required immediate surgical intervention with the prime importance of the treatment being removal of as much of the contaminating materials as possible. This was done successfully with irrigation and wiping, using urokinase solution. Peritoneal lavage with urokinase solution was also carried out in the early postoperative period. Fluid replacement with careful monitoring of fluid and electrolyte balance is essential before, during, and after the surgical procedure. Adequate antibiotic therapy and careful respiratory and nutritional support are also important.
本文报告一例钡剂灌肠X线检查时乙状结肠直肠穿孔继发广泛性腹膜炎的病例。患者需要立即进行手术干预，治疗的首要重点是尽可能清除污染物质。通过使用尿激酶溶液进行冲洗和擦拭，成功实现了这一点。术后早期也用尿激酶溶液进行了腹腔灌洗。在手术前、手术中和手术后，进行液体补充并仔细监测液体和电解质平衡至关重要。充分的抗生素治疗以及细心的呼吸和营养支持也很重要。
