Эффективное хирургическое лечение распространенного гнойного перитонита

Results of treatment оf 115 patients with the generalized, peritonitis are analyzed, depending on time of its development, weight of a surgical infection. Variants of clinical current of the widespread, peritonitis which are compared, to the basic methods of surgical tactics half-closed, and considered. Studying conditions of patients is lead, on the basis of scale APACHE II, Mannheimer Peritoneal Index, degree organ dysfunctions. On the basis of these parameters the expediency of the elected variants of surgical tactics is investigated. At studying efficiency of various methods decompression a thin gut in a combination with peritoneal-enteral lavage value of these methods is confirmed at the widespread purulent peritonitis and in quality of the most expedient is determined (sub) total naso-intestinal intubation.