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[弥漫性粪性腹膜炎。30例病例的病因及治疗探讨(作者译)]

[Generalised fecal peritonitis. Etiopathogenic and therapeutic considerations in 30 cases (author's transl)].

作者信息

Hollender L F, Meyer C, Calderoli H, Zavaletta D

出版信息

J Chir (Paris). 1977;113(4):327-36.

PMID:874005
Abstract

The authors analyse a series of 30 cases of generalised fecal peritonitis which represents a less frequent form of peritoneal infection. The etiology was mainly diverticular perforation (50 p. cent) or neoplasia (25 p. cent). The mortality was high (63 p. cent). It seems, in the light of the results, that the best treatment consists of operating in two stages, the first being the eradication of the colonic lesion which should be carried out as a routine without attempting immediate anastomosis. Wide drainage with peritoneal lavage and the use of "noxythioline" may improve the results of a disease which always remains very severe.

摘要

作者分析了30例全身性粪性腹膜炎病例,这是一种较罕见的腹膜感染形式。病因主要是憩室穿孔(50%)或肿瘤(25%)。死亡率很高(63%)。根据结果来看,最佳治疗方法似乎是分两阶段进行手术,第一阶段是根除结肠病变,应按常规进行,不尝试立即吻合。广泛引流并进行腹膜灌洗以及使用“诺西硫脲”可能会改善这种始终非常严重的疾病的治疗效果。

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