Zybina M A, Korobko V B, Khaĭtman G B
Vestn Khir Im I I Grek. 1980 May;124(5):74-80.
Under analysis were 40 case histories and records of dissections of patients dead of diffuse peritonitis after operations for rectum cancer. It was established that in 1/3 of observations technical defects were responsible for peritonitis. Measures for the prevention of peritonitis are proposed when infection in the abdominal cavity is revealed during operation. An atypical course of peritonitis, not pronounced signs of pathological abdominal cavity results in diagnostic errors. Diagnosis of cardiovascular insufficiency is established in most cases. Peritonitis in patients treated with the use of preoperative irradiation is characterized by the inert course without leukocytosis in many cases. The main efforts should be directed to prophylaxis, i. e. an improvement of the operation technique, struggle against hospital infections, suppression of the microbial flora in the abdominal cavity which appears due to technical errors during surgery.
对40例直肠癌手术后死于弥漫性腹膜炎患者的病历和解剖记录进行了分析。结果表明，在1/3的观察病例中，技术缺陷是导致腹膜炎的原因。当术中发现腹腔感染时，提出了预防腹膜炎的措施。腹膜炎的非典型病程，腹部病理体征不明显，会导致诊断错误。大多数病例确诊为心血管功能不全。术前接受放疗的患者发生的腹膜炎，在很多情况下其病程呈惰性，且无白细胞增多现象。主要应致力于预防，即改进手术技术、防治医院感染、抑制因手术技术失误而在腹腔出现的微生物菌群。
