Liverani A, Correnti S F, Paganelli M T, Antonini G, Mercati U
Unità Organica di Chirurgia Generale, Ospedale R. Silvestrini, Perugia.
Minerva Chir. 1998 May;53(5):385-9.
Early prognostic evaluation of patients affected by acute peritonitis is really desirable to program a correct therapeutic plan, selecting high-risk patients for more aggressive therapeutic procedures. The Mannheim peritonitis index is reliable and easy to apply, so its use is possible without the need of intensive care units.
Between 1991 and 1995 a total of 235 patients were operated on for acute peritonitis. A retrospective study on this group of patients was performed in order to estimate prognostic reliability of Mannheim peritonitis index.
The overall mortality was 8.1%; for patients with a score less than 26 the mean mortality rate was 2% and for score greater than 26, 40.5%. This score is the threshold over which the therapeutic approach have to be more aggressive; planned multiple laparotomies or the open abdomen technique could be the best options to explore and clean up the peritoneal cavity from septic debris. In personal experience, all patients who died had residual sepsis in peritoneal cavity.
对于急性腹膜炎患者，尽早进行预后评估对于制定正确的治疗方案、筛选出需要更积极治疗措施的高危患者确实非常必要。曼海姆腹膜炎指数可靠且易于应用，因此无需重症监护病房即可使用。
1991年至1995年间，共有235例患者因急性腹膜炎接受手术。对该组患者进行回顾性研究，以评估曼海姆腹膜炎指数的预后可靠性。
总死亡率为8.1%；评分低于26分的患者平均死亡率为2%，评分高于26分的患者为40.5%。该评分是治疗方法必须更积极的阈值；计划性多次剖腹手术或开放腹腔技术可能是清理腹腔内感染性碎屑的最佳选择。根据个人经验，所有死亡患者的腹腔内均有残余感染。
