Adam U, Ledwon D, Hopt U T
Klinik und Poliklinik für Allgemeine- und Transplantationschirurgie, Universität Rostock.
Langenbecks Arch Chir. 1997;382(4 Suppl 1):S18-21. doi: 10.1007/pl00014638.
The therapeutic concept of programmed lavage has been established in the treatment of severe diffuse peritonitis. This treatment was given to 30 patients from January 1995 to February 1997. The total lethality rate was 30% (11/30 patients). Ten patients had organ failure of three or four organ systems at the time of first laparotomy. In this group the lethality rate was 50%. On average 9.2 programmed relaparotomys were performed per patient. As early complications, small bowel fistulas were observed in three patients, bleeding in three patients and problems due to the laparostomy in four patients.
程序化灌洗的治疗理念已应用于重症弥漫性腹膜炎的治疗。1995年1月至1997年2月，对30例患者进行了该治疗。总死亡率为30%（30例患者中有11例）。10例患者在首次剖腹手术时出现三个或四个器官系统的器官功能衰竭。该组的死亡率为50%。每位患者平均进行9.2次程序化再次剖腹手术。早期并发症方面，3例患者出现小肠瘘，3例患者出血，4例患者出现剖腹术后相关问题。
