Scheele J, Wagner W
MMW Munch Med Wochenschr. 1981 May 22;123(21):876-82.
Peritoneal lavage was carried out in 830 patients with blunt abdominal trauma. Positive as well as negative results proved to be very reliable (98% and 99.5% accuracy). With weakly positive findings, however, significant internal injuries were present in only half of the cases. If compared to circulatory parameters, laboratory investigations and clinical evaluation of the abdomen at the time of hospitalization, peritoneal lavage proved to be the superior aid in making a decision to operate. It therefore should be used routinely--even in smaller hospitals--especially before transferal of a patient to a distant special surgical center.
对830例腹部钝性伤患者进行了腹腔灌洗。结果显示，无论是阳性还是阴性结果都非常可靠（准确率分别为98%和99.5%）。然而，对于弱阳性结果，仅有半数病例存在严重的内部损伤。与住院时的循环参数、实验室检查及腹部临床评估相比，腹腔灌洗在决定是否进行手术方面是更具优势的辅助手段。因此，即使在较小的医院，也应常规使用腹腔灌洗——尤其是在将患者转送至远处的专科外科中心之前。
