Gjessing J, Oskarsson B M, Tomlin P J, Brock-Utne J
Br Med J. 1972 Mar 4;1(5800):617-9. doi: 10.1136/bmj.1.5800.617.
Diagnostic abdominal paracentesis was performed in 43 patients in whom the diagnosis was uncertain. It was found to be particularly useful in abdominal pain resulting from trauma. In 12 patients the findings led to their being spared a laparotomy while in several other patients they led to very early diagnosis of the lesion responsible enabling early surgical treatment to be undertaken. A false-negative result was obtained in only one patient. It is concluded that diagnostic abdominal paracentesis is an extremely reliable diagnostic aid and can lead to improved surgical care of the patient with atypical acute abdominal pain.
对43例诊断不明确的患者进行了诊断性腹腔穿刺术。发现该方法在创伤性腹痛中特别有用。12例患者经穿刺结果避免了剖腹手术,另有数例患者经穿刺结果得以对病因进行早期诊断,从而能够尽早进行手术治疗。仅1例患者出现假阴性结果。结论是,诊断性腹腔穿刺术是一种极其可靠的诊断辅助手段,可改善对非典型急性腹痛患者的手术治疗。