岭南现代临床外科2025，Vol.25Issue(1)：1-5,5.DOI:10.3969/j.issn.1009-976X.2025.01.001
附加回肠造口的腹腔清创引流术治疗腹腔间隔室综合征
ILEOSTOMY for abdominal compartment syndrome
摘要
Abstract
Objective To investigate new treatment method"ILEOSTOMY"for abdominal compart-ment syndrome(ACS).Methods Retrospectively reviewed clinical data of patients with ACS from May,2017 through to March,2022 admitted in Department General Surgery,and Department of Obstacles and Gynecology,Sun Yat-sen memorial hospital,Sun Yat-sen University.Patients included 6 cases of SAP(severe acute pancreatitis,SAP),2 cases of pancreas trauma,and 7 cases of abdominal or pelvic surgical complications.All patients received routine treatment plus with"ILEOSTOMY"aimed for quickly decreasing the Intra-abdominal Hypertension(IAH).Clinical data of Intra-abdominal pressure(IAP),urine output,heart rate,breath rate and survival were collected and analyzed.Results IAH in most patients(13/15,86.67%)were adjusted to normal level soon postoperatively.Twelve cases survived while other 3 cases who suffered MOF(Multiple Organ Failure,MOF)or MODS(multiple organ dysfunc-tion syndrome,MODS)dead postoperatively.Conclusion"ILEOSTOMY"along with routinely suggested operation modality for selected ACS patient might be a good choice.More clinical data should be needed in the future.关键词
腹腔间隔室综合征/并发症/回顾性研究/预后/回肠造口Key words
abdominal compartment syndrome/ileostomy/treatment分类
临床医学引用本文复制引用
叶义标,罗兴喜,张贺云,徐鋆耀,叶华,陈亚进,王捷,陈涛,徐云修修,陈捷,宋景林,彭林辉,周锐,姚婷婷,钟国平,凌小娟..附加回肠造口的腹腔清创引流术治疗腹腔间隔室综合征[J].岭南现代临床外科,2025,25(1):1-5,5.基金项目
广东省自然科学基金(2020A1515010944) （2020A1515010944）
