中国普通外科杂志2012，Vol.21Issue(6)：709-712,4.
外科重症患者合并腹腔间隔室综合征26例诊治分析
Diagnosis and treatment of abdominal compartment syndrome in critical surgical patients: a report of 26 cases
王晓源 1杨建青 2刘振 2潘光栋 2吕光宇 1韦茵 1蔡天斌1
作者信息
- 1. 广西柳州市人民医院重症医学科,广西柳州545000
- 2. 广西柳州市人民医院胆胰外科,广西柳州545000
- 折叠
摘要
Abstract
Objective: To investigate the diagnosis and treatment of abdominal compartment syndrome (ACS) in critical surgical patients.The clinical data of 26 critical surgical patients with ACS undergoing surgical or non-surgical treatment in our hospital from April 2007 to December 2011 were retrospectively analyzed. The intra-abdominal pressure alteration of the patients before and after treatment and its relations with alterations of abdominal perfusion pressure, urine volume, lactic acid concentration, high-sensitivity C-reactive protein level and APACHE II score were analyzed. The clinical efficacies of the two treatment modalities were compared, and the prognostic factors of the patients were also determined. Results: The intra-abdominal pressure of the patients decreased by either surgical or non-surgical approaches, meanwhile, the physiochemical indexes (abdominal perfusion pressure, urine volume, lactic acid concentration, high-sensitivity C-reactive protein level and APACHE II score) of the patients were also improved (all P<0.05). The intra-abdominal pressure of the patients undergoing surgical treatment reduced more significantly than that of the patients undergoing non-surgical treatment (P=0.011). Intra-abdominal pressure level, high-sensitivity C-reactive protein level and APACHE II score were independent risk factors affecting the prognosis of patients. Conclusion: Surgical intervention should be performed aggressively to the critical surgical patients with ACS. Furthermore, the inflammatory response is an important factor affecting the prognosis of those patients.关键词
腹腔间隔室综合征/外科学/腹腔间隔室综合征/治疗/危重病Key words
Abdominal Compartment Syndrome/surg/ Abdominal Compartment Syndrome/ther/ Critical Illness分类
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王晓源,杨建青,刘振,潘光栋,吕光宇,韦茵,蔡天斌..外科重症患者合并腹腔间隔室综合征26例诊治分析[J].中国普通外科杂志,2012,21(6):709-712,4.
