双氧水冲洗治疗急性继发性腹膜炎82例临床分析

Application of hydrogen dioxide solution to the operative treatment for acute secondary diffuse peritonitis a report of 82 cases

目的探讨双氧水冲洗腹腔在继发性腹膜炎手术治疗中的作用。方法选择继发性弥漫性腹膜炎患者82例,在处理腹膜炎的原发病灶后,用0.5%双氧水反复冲洗腹腔2～3次。切口用3%双氧水冲洗,所有患者腹腔内均不放置引流管。结果82例患者手术后均未出现腹腔残余脓肿、门脉感染及脓毒血症。切口感染2例。平均住院日8d。结论在处理急性继发性腹膜炎时,利用双氧水冲洗腹腔能安全有效的清洁腹腔,控制细菌繁殖,减少并发症的发生。

Objective To investigate the effects of abdominal cavity irrigation with hydrogen dioxide solution （H2O2） on operative ueatment for the acute secondary diffuse peritonitis. Methods 82 cases of acute secondary diffuse peritonitis were collected in the investigation. In the peritoneal debrldment, irrigation of abdominal cavity was performed with 0.5% H2O2 after the primary diseases were managed, and then irrigation of ineisional wound was performed with 3% H2O2 before the wound was closed. No drainage was placed in the abdominal cavity in all the cases after the operation. Results All the 82 cases weren＇t showed abdominal residual abscess, infection of portal vein and pyemia. Thene was infection of incisional wound in two cases. The hospitalization time of all the cases averaged eight days. Conclusions H2O2 is safe and effective in the debfidment of acute secondary peritonitis. It can prohibit the growth of bacteria and reduce complications of the peritonitis.