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自1965年Root等首次报道应用腹腔灌冼作为判断腹部钝性伤的辅助手段以来,这种方法已被广泛应用。开放式腹腔灌洗既迅速又安全灵敏,“传统”的阳性标准是洗出液中红细胞>100,000/mm~3或肉眼可见血性液体;白细胞>500/mm~3和淀粉酶>175u/dl。然而看法尚未统一。本文对过去三年半因腹部钝性伤作过腹腔灌洗的病人作回顾性分析,以对传统的标准重新估价。
This method has been widely used since Root et al. First reported the application of peritoneal irrigation as an adjunct to determine blunt abdominal trauma in 1965. Open peritoneal lavage is rapid and safe. The “traditional” positive standard is red blood cells> 100,000 / mm ~ 3 or visible bloody fluid in the eluate; white blood cells> 500 / mm ~ 3 and amylase> 175u / dl. However, the view has not yet been unified. This article retrospectively analyzes patients who had undergone intraperitoneal lavage of blunt abdominal trauma in the past three and a half years to reassess the traditional criteria.