急性弥漫性腹膜炎是腹部外科较为常见的急症，起病急、变化快、病情重且复杂。外科手术能有效的阻断病情进展，在治疗中起至关重要的作用，直接决定疾病的转归。如何准确掌握急性弥漫性腹膜炎的手术时机、手术方式非常重要。

Choice of operative timing and method on acute diffuse peritonitis SUO Jian. Department of General Surgery，the First Hospital of Jilin University, Changchun 130021，China Abstract Acute diffuse peritonitis is a common surgical emergency, which has acute onset and rapid progression, usually with severe and complicated clinical situations. Surgery interventions play an important role in treatment of acute diffused peritonitis, which can control the progression of such condition efficiently, thus affect the prognosis of the disease strongly. In the paper, as a hot topic, it discussed choice of operative timing and method applied to a certain case.