Ribet M, Duval G, Chambon J P
Nouv Presse Med. 1980 Nov 8;9(42):3177-9.
Peritoneal lavage is a simple and useful method for the detection of visceral damage. It decreases the number of late diagnoses and deaths in closed traumas without overt symptoms, in multiple injuries and unexplained collapses, in alcoholic patients, or when transportation or anaesthesia are required. The results proved reliable in 91.8 p. cent of 378 cases of peritoneal lavage. The incidence of false positive results (mainly due to retroperitoneal haematoma) was 7.4 p. cent, and the risk of false negative results was estimated at 0.8 p. cent. The precautions required are recalled, and the problem of minimal intraperitoneal lesions is discussed. All patients with negative or doubtful results must be kept under close clinical surveillance.
腹腔灌洗是一种用于检测内脏损伤的简单且有用的方法。它可减少在无明显症状的闭合性创伤、多处损伤和不明原因的虚脱、酒精中毒患者中，或在需要转运或麻醉时的晚期诊断数量和死亡人数。在378例腹腔灌洗病例中，91.8%的结果被证明是可靠的。假阳性结果（主要由于腹膜后血肿）的发生率为7.4%，假阴性结果的风险估计为0.8%。文中回顾了所需的预防措施，并讨论了最小腹腔内损伤的问题。所有结果为阴性或可疑的患者都必须接受密切的临床监测。
