Nechaĭ A I, Drobot V T
Vestn Khir Im I I Grek. 1979 Mar;122(3):3-8.
Within 30 years of their work the authors observed 151 cases of postoperative peritonitis, which made 1.1% of all the laparotomies carried out during this time. None of the known symptoms of peritonitis can be taken as a constant sign of this dangerous complication. In the early recognition of postoperative peritonitis and the determination of the indications for repeated laparotomy the experience of a surgeon, well acquainted with the diagnosis of postoperative complications in the abdominal organs, is the most essential. The diagnostic laparotomy (microlaparotomy) is quite justified even in case when peritonitis symptoms are not well marked, but a progressive general intoxication cannot be explained through any other causes.
在他们开展工作后的30年里,作者观察到151例术后腹膜炎病例,占这段时间内所有剖腹手术的1.1%。腹膜炎的任何已知症状都不能被视为这种危险并发症的恒定征象。对于早期识别术后腹膜炎以及确定再次剖腹手术的指征而言,一位熟知腹部器官术后并发症诊断的外科医生的经验最为关键。即使在腹膜炎症状不明显,但渐进性全身中毒又无法用其他任何原因解释的情况下,诊断性剖腹手术(微剖腹手术)也是完全合理的。