VALUE OF INCONCLUSIVE LAVAGE IN ABDOMINAL-TRAUMA MANAGEMENT

被引:51
作者
HORNYAK, SW [1 ]
SHAFTAN, GW [1 ]
机构
[1] SUNY BROOKLYN, KINGS CTY HOSP CTR, DEPT SURG, DIV TRAUMA SURG, BROOKLYN, NY 11203 USA
来源
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE | 1979年 / 19卷 / 05期
关键词
D O I
10.1097/00005373-197905000-00005
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Peritoneal lavage is an invaluable adjunct in the evaluation of abdominal trauma. Of 780 abdominal trauma patients in a prospective study, 685 underwent percutaneous peritoneal lavage. RBC counts in the effluent above 50,000/mm3 corresponded well with findings at exploration; however, two thirds of the patients having counts between 20,000-50,000/mm3 had serious injury at celiotomy. The data suggest the need for a reappraisal of lavage criteria for operation. © 1979 by The Williams & Wilkins Co.
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收藏
页码:329 / 333
页数:5
相关论文
共 13 条
[1]   EXPLORATORY LAPAROTOMY IN PATIENTS WITH PENETRATING WOUNDS OF ABDOMEN [J].
BULL, JC ;
MATHEWSON, C .
AMERICAN JOURNAL OF SURGERY, 1968, 116 (02) :223-+
[2]   DIAGNOSIS AND MANAGEMENT OF BLUNT ABDOMINAL-TRAUMA [J].
DAVIS, JJ ;
COHN, I ;
NANCE, FC .
ANNALS OF SURGERY, 1976, 183 (06) :672-678
[3]   DIAGNOSTIC PERITONEAL LAVAGE IN BLUNT ABDOMINAL-TRAUMA [J].
ENGRAV, LH ;
BENJAMIN, CI ;
STRATE, RG ;
PERRY, JF .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1975, 15 (10) :854-859
[4]   PENETRATING WOUNDS OF ABDOMEN [J].
FREEARK, RJ .
NEW ENGLAND JOURNAL OF MEDICINE, 1974, 291 (04) :185-188
[5]   NEGATIVE LAPAROTOMY FOR ABDOMINAL TRAUMA [J].
LOWE, RJ ;
BAKER, RJ ;
BOYD, DR ;
FOLK, FA .
JOURNAL OF TRAUMA, 1972, 12 (10) :853-&
[6]   SELECTIVE CONSERVATISM IN PENETRATING ABDOMINAL WOUNDS - CONTINUING REAPPRAISAL [J].
MCALVANAH, MJ ;
SHAFTAN, GW .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1978, 18 (03) :206-212
[7]  
MCALVANAH MJ, 1975, COMMUNICATION
[8]   SURGICAL JUDGMENT IN MANAGEMENT OF PENETRATING WOUNDS OF ABDOMEN - EXPERIENCE WITH 2212 PATIENTS [J].
NANCE, FC ;
WENNAR, MH ;
JOHNSON, LW ;
INGRAM, JC ;
COHN, I .
ANNALS OF SURGERY, 1974, 179 (05) :639-646
[9]  
OLSEN WR, 1972, ARCH SURG-CHICAGO, V104, P536
[10]   ABDOMINAL PARACENTESIS AND PERITONEAL LAVAGE IN BLUNT ABDOMINAL TRAUMA [J].
OLSEN, WR ;
HILDRETH, DH .
JOURNAL OF TRAUMA, 1971, 11 (10) :824-&