Obeid F N, Sorensen V, Vincent G, Horst M, Vij D, Bivins B A
Arch Surg. 1984 Aug;119(8):906-8. doi: 10.1001/archsurg.1984.01390200026006.
As part of an ongoing study of the operative treatment of colon injuries, 33 patients proved to have colon injury at operation had diagnostic peritoneal lavage as part of their preoperative examination. Gunshot wounds were the cause of injury in 22 (67%) of these patients and stab wounds in 11 patients (33%). The lavage was positive in only 23 (70%) of the 33 patients with operatively proved penetrating injuries of the colon. Lavage was accurate in 16 (73%) of 22 patients with gunshot wounds of the colon and seven (64%) of 11 patients with stab wounds. The overall false-negative rate for this series of patients was 30%. This study indicates that diagnostic peritoneal lavage is relatively inaccurate in the evaluation of colonic injury secondary to penetrating abdominal trauma.
作为一项正在进行的结肠损伤手术治疗研究的一部分，33例术中证实有结肠损伤的患者在术前检查中进行了诊断性腹腔灌洗。这些患者中，22例（67%）因枪伤导致损伤，11例（33%）因刺伤导致损伤。在33例术中证实有结肠穿透伤的患者中，只有23例（70%）灌洗呈阳性。在22例结肠枪伤患者中，16例（73%）灌洗结果准确；在11例结肠刺伤患者中，7例（64%）灌洗结果准确。该系列患者的总体假阴性率为30%。本研究表明，诊断性腹腔灌洗在评估腹部穿透伤继发的结肠损伤时相对不准确。
