Shapira S C, Weiss D B, Jersky Y
Int Surg. 1983 Apr-Jun;68(2):171-3.
This study was performed in order to determine the value of assessing the volume of intraperitoneal fluid, the leucocyte count and the corrected leucocyte count in the peritoneal lavage in patients with acute abdominal pain of gynecological origin. Peritoneal lavage using the dye-dilution technique with Evans-Blue-Human Serum Albumin complex (EBA) as a marker was performed. It was found that an exudate volume of above 250 ml is highly suggestive of an intraperitoneal inflammatory process. The concentration of leucocytes and the corrected leucocyte count in the returned lavage fluid were found to be less reliable indicators of an inflammatory process in the peritoneal cavity than precise determination of the intraperitoneal exudate. It may be concluded that peritoneal lavage with EBA can be a useful adjunct in the evaluation of patients with acute abdominal pain of gynecological origin.
本研究旨在确定评估妇科源性急性腹痛患者腹腔内液体量、白细胞计数及腹腔灌洗中校正白细胞计数的价值。采用以伊文思蓝-人血清白蛋白复合物（EBA）为标志物的染料稀释技术进行腹腔灌洗。结果发现，渗出液量超过250 ml高度提示腹腔内存在炎症过程。与准确测定腹腔内渗出液相比，返回灌洗液中的白细胞浓度及校正白细胞计数作为腹腔内炎症过程的指标可靠性较低。可以得出结论，EBA腹腔灌洗在评估妇科源性急性腹痛患者时可能是一种有用的辅助手段。
