中国实用外科杂志

中国实用外科杂志 ›› 2009, Vol. 29 ›› Issue (06): 476-478.

• 专题笔谈 • 上一篇    下一篇

治疗急性弥漫性腹膜炎的腹腔引流技术

朱维铭   

  1. 南京军区南京总医院普通外科，江苏南京 210002
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2009-06-10 发布日期:2009-06-10

  • Received:1900-01-01 Revised:1900-01-01 Online:2009-06-10 Published:2009-06-10

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摘要：

急性弥漫性腹膜炎外科治疗的关键是控制病源和损伤控制。控制病源包括去除病灶和充分引流。引流方式有开腹引流、腹腔镜引流和穿刺引流，其中开腹引流效果最彻底，但创伤较大。开腹引流分为单次开腹，择期再进腹和腹腔开放引流3种。在选择时，既应保证充分引流，又要减少引流带来的创伤。

关键词: 弥漫性腹膜炎, 引流, 感染

Abstract:

Intraperitoneal drainage techniques in acute diffuse peritonitis ZHU Wei-ming. Department of General Surgery, Nanjing General Hospital of Nanjing Military Command, Nanjing 210002, China Abstract The essential steps in the management of acute diffuse peritonitis are source control and damage control. Source control comprises of elimination of contamination and control of ongoing contamination by mechanical debridement and drainage. Control of ongoing contamination can be achieved by open, laparoscopic and guided drainage. Effect of open drainage is the best. The open drainage includes single laparotomy, relaparotomy and open packing. Adequate elimination of septic source and minimal damage to the viscera and the body system are essential when any open drainage was performed.

Key words: diffuse peritonitis, drainage, sepsis