Lasson A, Balldin G, Genell S, Ohlsson K
Acta Chir Scand. 1984;150(6):479-84.
An analysis is presented of 73 attacks of acute pancreatitis treated with non-operative peritoneal lavage, classified according to Ranson's 11 signs and followed up for on average four years. None of the 21 moderate attacks was associated with complications or mortality. In the 52 severe attacks, four patients (7.7%) died, new pseudocyst developed in five patients (9.6%) and abscess in four (7.7%), and diabetes was found in 12 patients (23%) at follow-up. In all these respects the severe attacks showed statistically significant difference from the moderate attacks, as did the need for assisted ventilation, the volume of gastric retention and the length of hospital stay. The authors conclude that non-operative peritoneal lavage is beneficial, probably by removing toxic substances from the peritoneal cavity.
本文对73例采用非手术性腹腔灌洗治疗的急性胰腺炎发作病例进行了分析，这些病例根据兰森（Ranson）的11项体征进行分类，并平均随访了4年。21例中度发作病例均未出现并发症或死亡。在52例重度发作病例中，4例患者（7.7%）死亡，5例患者（9.6%）出现新的假性囊肿，4例患者（7.7%）出现脓肿，随访时发现12例患者（23%）患有糖尿病。在所有这些方面，重度发作与中度发作相比均显示出统计学上的显著差异，辅助通气的需求、胃潴留量和住院时间也是如此。作者得出结论，非手术性腹腔灌洗是有益的，可能是通过清除腹腔内的有毒物质。
