Carrillo Hernández F, Castorena Arellano G, Ramírez Acosta J
Prensa Med Mex. 1978 May-Jun;43(5-6):162-5.
A group of forty patients with generalized peritonitis was studied comparing their clinical evolution and mortality with the plasma coloidosmotic pressure values (COP). Twentynine patients survived without complications (Group I) this patients had the higher mean COP values, 17.56 mm Hg at the beggining and 19.06 mm Hg at the end of the study. Three patients showed complications directly related with peritonitis but finally survived (Group II). Their mean COP values were 16.08 mm Hg at the beggining and 13.44 mm Hg at the end. Eight patients died (Group III) lower mean COP values were obtained in this group; 13.5 at the begging and 11.94 at the end. Despite the same kind of medical and surgical treatment, response was very different in each group. Lower values of COP were found as clinical avolution worsened. A very low inicial value or failure to raise it despite the treatment may be considered as a bad prognosis sing.
对一组40例弥漫性腹膜炎患者进行了研究，比较了他们的临床病程和死亡率与血浆胶体渗透压（COP）值。29例患者存活且无并发症（第一组），这些患者的平均COP值较高，研究开始时为17.56mmHg，研究结束时为19.06mmHg。3例患者出现与腹膜炎直接相关的并发症，但最终存活（第二组）。他们的平均COP值开始时为16.08mmHg，结束时为13.44mmHg。8例患者死亡（第三组），该组获得的平均COP值较低；开始时为13.5，结束时为11.94。尽管采用了相同的药物和手术治疗方法，但每组的反应差异很大。随着临床病程恶化，COP值降低。初始值非常低或尽管进行了治疗但COP值未能升高，可能被视为不良预后指标。
