腹腔穿刺灌洗在急腹症中的应用

Application of Abdominal ParacentesisLavage on Acute Abdomen

目的评价腹腔穿刺灌洗对急腹症诊断的有效性及安全性。方法在2005-07～2009-08间,对106例急腹症患者行腹腔穿刺灌洗。引流穿刺物分别以腹腔穿刺液常规检查＋淀粉酶测定及肉眼观察。结果阳性病例77例,阳性率72.6%;阴性病例29例,阴性率27.4%。结论腹腔穿刺灌洗,具有安全、易行,适合临床推广。

Objective To evaluate the efficiency and safety of abdominal paracentesis lavage on the diagnose of acute abdomen.Methods From August 2005 to August 2009,106 cases of acute abdomen patients were performed abdominal paracentesis lavage.The pucture fluid routine examination,amylase analyzation and vision inspection were observed.Results 77 cases had positive results,the positive rate is 72.6 percent.29 cases had negative results,the negative rate is 27.4 percent.Conclusions Peritoneal lavage maybe a safe and rapid method for assessing suspected acute abdomen.It is suitable for clinical spread.