Mantz J M, Tempe J D, Jaeger A, Christmann D
J Chir (Paris). 1981 Feb;118(2):89-93.
Acute purulent post-operative peritonitis is highly severe and difficult to diagnose. Six symptoms have a real prognostic value: shock, acute renal insufficiency, respiratory failure, jaundice, acidosis and septicaemia. If more than three of these signs of severity coexist, the mortality rate reaches nearly 100%. A patient with evidence of acute diffuse post-operative peritonitis must be operated on after a short preoperative treatment to restore a situation altered by shock, renal failure and pulmonary edema. Antibiotic agent alone, though necessary, cannot bring recovery. The maintenance of high nutritional intake for excess caloric expenditure is essential. The effects of the early decision of a surgical reintervention are studied in 27 patients with only two recoveries.
急性化脓性术后腹膜炎病情极为严重，诊断困难。有六种症状具有实际的预后价值：休克、急性肾功能不全、呼吸衰竭、黄疸、酸中毒和败血症。如果这些严重体征中有三种以上同时存在，死亡率几乎达到100%。有急性弥漫性术后腹膜炎证据的患者必须在进行短期术前治疗以纠正因休克、肾衰竭和肺水肿而改变的状况后接受手术。仅使用抗生素虽然必要，但无法实现康复。维持高热量消耗所需的高营养摄入至关重要。对27例患者进行了早期决定再次手术干预效果的研究，仅有2例康复。
