摘要
目的 评价自行设计腹膜炎评分方法的合理性和安全性。方法 40 5例继发性腹膜炎 (SP)急诊手术病例 ,同时应用自行设计的腹膜炎评分和APACHEⅡ评分 ,比较二者之间的相关性。根据自行设计方法评分 ,按不同方法与剂量选用抗生素。比较两组病例的术后并发症发生率和死亡率。结果 40 5例SP病例的腹膜炎评分和APACHEⅡ评分呈明显线性正相关。SP术后特异性并发症发生率和死亡率均随腹膜炎评分增加而上升 ,≤ 6分病例术后腹腔残余感染率和死亡率均为0。结论 自行设计的腹膜炎评分能准确判断SP病例的严重程度 。
Objective To evaluate the rationality and security of self designed peritonitis score method.Methods The designed perionitis score and APACHE Ⅱ score were used in 405 cases of secondary peritonitis receiving emergent laparotomy and the relativity between them was compared. On the basis of the designed peritonitis score, the antibiotics was selected. The incidence of postoperitive complications and mortality were compared between the two groups.Results In the 405 cases of secondary peritonitis, there was significant positive linear relativity between the designed peritonitis score and APACHE Ⅱ score. The incidence of the special complications and the mortality after laparotomy were increased with the elevation of the peritonitis score. In the cases with the score ≤6, the incidence of the intra abdominal remainder infection and the mortality after laparotomy were all 0.Conclusion The self designed peritonitis score can judge exactly the severity of the patients with secondary peritonitis and carry through the canonical antibiotic therapy for secondary peritonitis.
出处
《华中医学杂志》
2001年第5期235-236,共2页
Central China Medical Journal
关键词
继发性腹膜炎
评分
抗生素
Secondary peritonitis Score Antibiotic
