Conservative management of multi-trauma induced peritonitis:Experience,outcomes,and indications  

作　　者：Qi Chen Tao Zhu Jia-Kang Liu Jun Ding Lina Chen 

机构地区：[1]Department of Surgery,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China [2]Department of Laboratory Medicine and Pathobiology,University of Toronto,Toronto M5S 1A8,Ontario,Canada

出　　处：《World Journal of Clinical Cases》2023年第25期5897-5902,共6页世界临床病例杂志

摘　　要：BACKGROUND The concept of mandatory laparotomy in treating traumatic peritonitis has been increasingly questioned recently.AIM To summarize and share the experience of conservative treatment of patients with multi-trauma induced peritonitis.METHODS A retrospective review was performed on patients with multiple injury induced traumatic peritonitis.RESULTS A total of 184 patients with multiple injury induced traumatic peritonitis were reviewed.46 of them underwent conservative treatment.None of the 46 patients with conservative treatment switched to surgical treatment,and all of them were cured and discharged after successful conservative treatment.No significant abnormal findings were observed at regular follow-up after discharge.CONCLUSION Conservative management is safe,effective,feasible,and beneficial in hemodynamically stable patients with traumatic peritonitis if there is no definite evidence of severe abdominal visceral organ injury.

关 键 词：TRAUMA PERITONITIS Damage control Conservative treatment 

分 类 号：R692.5[医药卫生—泌尿科学]