Kosloske A M, Lilly J R
J Pediatr Surg. 1978 Jun;13(3):315-20. doi: 10.1016/s0022-3468(78)80406-0.
A study to evaluate peritoneal fluid as an index of intestinal gangrene in infants with necrotizing entercolitis (NEC) was begun in 1974. Twenty samples of peritoneal fluid were obtained by paracentesis or lavage from 15 infants with nonperforated NEC. A brown color in the peritoneal fluid was noted in all 8 patients found to have intestinal gangrene at subsequent operation. Gram stain showed bacteria in 6 of these 8 patients and bacterial cultures were confimatory in all but one. In 12 samples of peritoneal fluid in patients without intestinal gangrene, the fluid was straw-colored or pink and Gram stain showed no bacteria. The decision to operate on an infant with intestinal gangrene and impending perforation may be aided by analysis of the peritoneal fluid.
1974年开始了一项评估腹腔液作为坏死性小肠结肠炎（NEC）婴儿肠坏疽指标的研究。通过腹腔穿刺或灌洗从15例非穿孔性NEC婴儿中获取了20份腹腔液样本。在随后手术中发现患有肠坏疽的所有8例患者的腹腔液均呈棕色。革兰氏染色显示这8例患者中有6例存在细菌，除1例之外，所有细菌培养结果均证实有细菌。在没有肠坏疽的患者的12份腹腔液样本中，液体呈稻草色或粉红色，革兰氏染色未显示细菌。对患有肠坏疽且即将穿孔的婴儿进行手术的决策可能会借助对腹腔液的分析。
