Grigg M J, Masterton J P
Aust N Z J Surg. 1983 Feb;53(1):13-7. doi: 10.1111/j.1445-2197.1983.tb02388.x.
Fifty-one patients who had suffered blunt abdominal trauma were assessed clinically and with diagnostic peritoneal lavage. The latter has been shown to be a safe, accurate means of determining the presence or absence of haemoperitoneum. Furthermore, in patients with disturbed conscious states, the initial clinical assessment has been found to be inaccurate and the performance of diagnostic peritoneal lavage has resulted in a statistically significant increase in diagnostic accuracy (P = 0.006). However, in patients with a normal conscious state, the improvement in diagnostic accuracy achieved by the performance of diagnostic peritoneal lavage was not statistically significant. The technique of diagnostic peritoneal lavage is discussed in detail.
对51例腹部钝性创伤患者进行了临床评估和诊断性腹腔灌洗。后者已被证明是确定是否存在腹腔积血的一种安全、准确的方法。此外，在意识状态紊乱的患者中，最初的临床评估被发现不准确，而进行诊断性腹腔灌洗使诊断准确性在统计学上有显著提高（P = 0.006）。然而，在意识状态正常的患者中，进行诊断性腹腔灌洗所提高的诊断准确性在统计学上并不显著。本文详细讨论了诊断性腹腔灌洗技术。
