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[曼海姆腹膜炎指数评估]

[Evaluation of the Mannheim Peritonitis Index].

作者信息

Ermolov A S, Bagdat'ev V E, Chudotvortseva E V, Rozhnov A V

出版信息

Vestn Khir Im I I Grek. 1996;155(3):22-3.

PMID:8966931
Abstract

A retrospective analysis of 100 case histories of patients with diffuse peritonitis was made in order to evaluate the prognostic significance of the Mannheim Peritonitis Index (MPI). The patients were divided into 3 groups according to the amount of scores: in the first group (12-20 scores) there were no lethal issues, in the second group (21-29 scores) 42% of the patients died, 100% lethality was noted in the third group when MPI was 30 scores or more. MPI allows not only to make a retrospective evaluation of results of treatment of peritonitis and compare outcomes of different surgical accesses, it may be one of criteria for programmed relaparotomy or for using laparostomy in patients of the 2nd and 3rd groups.

摘要

为评估曼海姆腹膜炎指数(MPI)的预后意义,对100例弥漫性腹膜炎患者的病历进行了回顾性分析。根据得分情况将患者分为3组:第一组(12 - 20分)无死亡病例,第二组(21 - 29分)42%的患者死亡,第三组当MPI为30分及以上时死亡率达100%。MPI不仅可对腹膜炎治疗结果进行回顾性评估并比较不同手术入路的疗效,还可能是第二组和第三组患者计划性再次剖腹手术或使用剖腹术的标准之一。

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