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作者对19年间收治的3197例急性腹膜炎中出现局部或全身并发症的578例进行分析,认为急性腹膜炎出现全身并发症者危险性较高。急性腹膜炎并发症发生之原因是内生性感染和多菌种的混合感染;并发症的发生与原发病的严重程度有关。伤口感染是应能避免的并发症,应尽量减少腹腔脓肿的发生率;并通过处理好原发病,中断感染源,减少各种毒素的吸收,减少休克和脏器功能衰竭的发生以及合理应用抗生素等综合措施处理好全身并发症。
The authors analyzed 578 patients with local or systemic complications from 3197 acute peritonitis admitted over a 19-year period and concluded that there is a high risk of systemic complications of acute peritonitis. The causes of acute peritonitis complications are endogenous infections and multi-bacteria mixed infection; the incidence of complications and the severity of the primary disease. Wound infection should be avoided complications, should minimize the incidence of abdominal abscess; and by dealing with the primary disease, interrupt the source of infection, reduce the absorption of various toxins, reduce the occurrence of shock and organ failure and the rational application Antibiotics and other comprehensive measures to deal with systemic complications.