Linder M M, Götz J, Ott W, Wesch G
Langenbecks Arch Chir. 1979;350(2):103-112. doi: 10.1007/BF01234292.
Peritonitis originating in the biliary tract is analyzed in 41 patients (1973--1977). Cholelithiasis was the underlying disease in 90% of the cases, and one patient suffered from carcinoma of the biliary tree. Early cholecystectomy was performed in 95% of the patients. Peritonitis was localized in two-thirds and diffuse in one-third of the patients. A perforation was present in 63%. The grade and extent of peritonitis could be correlated with the postoperative course. One-half of the patients with turbid or purulent exudate developed postoperative fever; one fifth showed secondary wound healing. The diffuse form of peritonitis was followed more often by postoperative fever than the localized form. Although the presence or absence of perforation did not influence this parameter in the diffuse form, it did influence cases of localized peritonitis. Only the diffuse forms of peritonitis were followed by secondary wound healing. A peritonitis index was established from age, risk factors, and several preoperative and intraoperative findings. It could also be correlated with the postoperative course. The peritonitis index may classify the disease state of patients with peritonitis and may be found useful in evaluating prognosis at the time of the operation.
对41例（1973 - 1977年）源自胆道的腹膜炎患者进行了分析。90%的病例潜在病因是胆石症，1例患者患有胆管癌。95%的患者接受了早期胆囊切除术。三分之二患者的腹膜炎为局限性，三分之一为弥漫性。63%存在穿孔。腹膜炎的分级和范围与术后病程相关。有浑浊或脓性渗出液的患者中有一半术后发热；五分之一出现二期伤口愈合。弥漫性腹膜炎比局限性腹膜炎术后发热更常见。虽然穿孔的有无在弥漫性腹膜炎中不影响该参数，但在局限性腹膜炎病例中确实有影响。只有弥漫性腹膜炎会继发二期伤口愈合。根据年龄、危险因素以及一些术前和术中发现建立了腹膜炎指数。它也与术后病程相关。腹膜炎指数可对腹膜炎患者的疾病状态进行分类，且在手术时评估预后可能有用。
