急性弥漫性腹膜炎外科治疗的关键是控制病源和损伤控制。控制病源包括去除病灶和充分引流。引流方式有开腹引流、腹腔镜引流和穿刺引流,其中开腹引流效果最彻底,但创伤较大。开腹引流分为单次开腹,择期再进腹和腹腔开放引流3种。在选择时,既应保证充分引流,又要减少引流带来的创伤。 The key to surgical treatment of acute diffuse peritonitis is controlling the pathogen and lesion control. Control of pathogenic sources include removal of the lesion and adequate drainage. There are drainage methods of abdominal drainage, laparoscopic drainage and puncture drainage, of which the most complete drainage effect, but trauma. Open abdomen is divided into a single open laparotomy, elective abdominal and abdominal re-open drainage three. In the choice, it should not only ensure adequate drainage, but also to reduce the trauma caused by drainage.