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[阑尾、结肠和小肠急诊手术中的腹腔引流]

[Peritoneal drainage in emergency surgery of the appendix, colon and small intestine].

作者信息

Ruegsegger C H, Abou-Abdallah E, Corboz A, Michel P, Morier-Genoud C, Muller J P, Walder J

出版信息

Helv Chir Acta. 1979 Dec;46(4):609-21.

PMID:549897
Abstract

Retrospective study of patients who underwent as an emergency, a peritoneal drainage during laparotomy for peritonitis with perforated appendix (147 cases), or operation for lage bowel (68 cases) or small bowel (46 cases) pathology. The technique of drainage number of drains, duration of drainage, and length of stay in hospital are examined, as well as antibiotherapy. The conclusions do not allow us to attribute a harmful influence to peritoneal drainage, except perhaps that the duration of stay in hospital can be longer. The absence of a comparison group does not allow us to prove the utility of peritoneal drainage. The literature at our disposal is discussed, the majority of which is opposed to peritoneal drainage.

摘要

对因阑尾炎穿孔所致腹膜炎行剖腹术时进行急诊腹膜引流的患者(147例)、因大肠病变(68例)或小肠病变(46例)接受手术的患者进行回顾性研究。研究了引流技术、引流管数量、引流持续时间、住院时间以及抗生素治疗情况。研究结论表明,除了住院时间可能会延长外,无法证明腹膜引流存在有害影响。由于缺乏对照组,无法证实腹膜引流的效用。文中讨论了现有文献,其中大多数反对腹膜引流。

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