第三类腹膜炎的临床特点与中西医结合治疗

目的 :探讨第三类腹膜炎 (tertiaryperitonitis)的临床特点和治疗方法。 方法 :对 5 1例第三类腹膜炎做回顾性研究 ,对西医治疗和中西医结合治疗进行对比。 结果 :2 1例单纯西医治疗组 ,死亡 15例 ,病死率为 71 4 2 %。 30例中西医结合治疗组 ,死亡 13例 ,病死率为 4 3 33% ,P <0 0 5。 结论 :应该以全身综合治疗为主 ,从增进病人体质和免疫力入手 ,辅以有限度的手术干予和有节制的抗生素治疗。中西医结合治疗比起单纯西医治疗有不可比拟的优越性。它能从整体的辨证观点出发 ,结合现代的诊疗技术 ,从多方面改善病人的免疫力 ,促进炎症的吸收和消散 ,取得较好的治疗效果。

Clinical Features of Tertiary Peritonitis and Integrated Medicine Therapy

Objective:To eveluate the clinical features of tertiary peritonitis and methods of treatment Methods:Retrospective study on 51 cases of tertiary peritonitis was done,and comparison of western medicine(WM) treatment and interated traditional Chinese and western medicine(ITCWM)treatment made.Results:In the treatment group,15 of 21 died,the mortality was 71.42%,while in the ITCWM group,13 of 30 died,the mortality was 43.33%, P <0.05.Conclusion:Treatment of teriary peritonitis should be aimed mainly at enhancing the patient's constitution and constitutionand associated by limited range of operative intervention and appropriate antibacterial medicines or herbs,so to earn more favorable results of therapy.