Stephen M, Loewenthal J
Surg Gynecol Obstet. 1978 Aug;147(2):231-4.
A mortality of almost 50 per cent from generalized infective peritonitis was obtained. Diagnosis was made chiefly on clinical grounds. Delay was common. Investigations were primarily useful in determining the degree of metabolic derangement. A worsened prognosis could be predicted by several factors assessed preoperatively. The usual cause of death was continuing intraperitoneal sepsis. This was manifest as multisystem failure in an intensive care environment. Abdominal signs of this infection were infrequent.
弥漫性感染性腹膜炎的死亡率接近50%。诊断主要基于临床依据。延误情况很常见。检查主要有助于确定代谢紊乱的程度。术前评估的几个因素可预测预后恶化。通常的死亡原因是持续性腹腔内脓毒症。这在重症监护环境中表现为多系统功能衰竭。这种感染的腹部体征并不常见。
