Eisele R, Athanasiadis D, Dissmann W, Nasseri M, Thimme W
Chirurg. 1978 Jun;49(6):355-61.
Symptoms and signs of 18 patients with postoperative bacterial peritonitis were compared with the findings in uncomplicated postoperative cases. Their diagnostic values were examined: 1. Elevated temperature, hyperventilation, and somnolence are relevant, being indicative of bacterial peritonitis and already occurring before the typical findings on abdominal examination. 2. In those patients with peritonitis, hemodynamics, and metabolism are characterized by hyperdynamic circulation, premature arterial hypotension with dry warm skin, and lactate accumulation. 3. Laboratory data often reveal thrombocytemia, leucocytosis with shift to the left, and a relative and absolute hypophosphatemia.
将18例术后细菌性腹膜炎患者的症状和体征与未发生并发症的术后病例的检查结果进行了比较。对其诊断价值进行了研究：1.体温升高、呼吸急促和嗜睡具有相关性，提示细菌性腹膜炎，且在腹部检查出现典型表现之前就已出现。2.腹膜炎患者的血流动力学和代谢特点为高动力循环、早期动脉性低血压伴皮肤干燥温暖以及乳酸蓄积。3.实验室检查结果常显示血小板减少、白细胞增多伴核左移以及相对性和绝对性低磷血症。
