双氧水在急性继发性腹膜炎手术治疗中的应用

APPLICATION OF HYDROGEN DIOXIDE SOLUTION TO THE OPERATIVE TREATMENT FOR ACUTE SECONDATY DIFFUSE PERITONITIS

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66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 :66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 ,其中 1例伴切口裂开。住院天数平均为 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 。

Objective:To investigate the effects of abdominal cavity irrigation with hydrogen dioxide solution(H 2O 2) on operative treatment for the acute secondary diffuse peritonitis.Methods:66 cases of acute secondary diffuse peritonitis were collected in the investigation.In the peritoneal debridment,irrigation of abdominal cavity was performed with 0.5% H 2O 2 after the primary diseases were managed,and then irrigation of incisional wound was performed with 3% H 2O 2 before the wonud was closed.No drainage was placed in the abdominal cavity in all the cases after the operation.Results:All the 66 cases weren't showed abdominal residual abscess,infection of portal vein and pyemia.There was infection of incisional wound in two cases and one of them was complicated with disruption of wound.The hospitalization time of all the cases averaged eight days. Conclusion:H 2O 2 is safe and effective in the debridment of acute secondary peritonitis.It can prohibit the growth of bacteria and reduce complications of the peritonitis.