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诊断性腹腔灌洗:十四年后及2586例患者之后。

Diagnostic peritoneal lavage: fourteen years and 2,586 patients later.

作者信息

Fischer R P, Beverlin B C, Engrav L H, Benjamin C I, Perry J F

出版信息

Am J Surg. 1978 Dec;136(6):701-4. doi: 10.1016/0002-9610(78)90339-2.

DOI:10.1016/0002-9610(78)90339-2
PMID:717650
Abstract

During a fourteen year period, diagnostic peritoneal lavage was 98.5 per cent accurate in determining the presence or absence of blunt intraabdominal injuries among 2,586 patients. Of these, 69.4 per cent had a negative lavage and 29.2 per cent a positive lavage. Six patients (0.2 per cent) had a false-positive lavage. Thirty-two patients (1.2 per cent) had a false-negative lavage; however, all but one of these patients underwent exploratory laparotomy on the basis of clinical acumen or other diagnostic tests.

摘要

在14年期间,诊断性腹腔灌洗在2586例患者中判断钝性腹部损伤是否存在的准确率为98.5%。其中,69.4%的患者灌洗结果为阴性,29.2%为阳性。6例患者(0.2%)灌洗结果为假阳性。32例患者(1.2%)灌洗结果为假阴性;然而,除1例患者外,其他所有患者均基于临床敏锐度或其他诊断检查接受了剖腹探查术。

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