小儿重度烧伤并发腹腔室膈综合征(附8例报告)  

Abdominal Compartment Syndrome in Children with Severe Burns

作　　者：肖杰[1] 蔡宝仁[1] 

机构地区：[1]解放军第205医院烧伤科,辽宁锦州121001

出　　处：《临床军医杂志》2000年第4期40-42,共3页Clinical Journal of Medical Officers

摘　　要：目的　总结小儿烧伤并发腹腔室膈综合征 (ACS)的临床特征和防治的经验教训。方法　分析 8例小儿重度烧伤并发ACS原因、临床特征、诊断及采取不同治疗措施的结果。结果　腹腔内液体、气体或脏器尤其胃肠水肿是ACS直接因素。低蛋白血症、感染、毒素、坏死组织分解代谢产物 ,凡可导致腹腔内容量———体积急骤增加的各种因素 ,都可引起腹压升高而发展为ACS。腹压升高、腹部膨隆、心肺肾等脏器功能损伤征象 ,通过及时腹压减张可立即获得缓解或消除。结论　小儿烧伤并发ACS ,病情危重。腹压减张仅能祛除ACS对脏器功能的损伤 ,不能消除导致ACS的因素。因此强调ACS病因预防在ACS的治疗中极为重要。Objective To investigate the clinical features and prophylactico—therapeutic measures of abdominal compartment syndrome(ACS)in children with severe burns. Method 8 cases with ACS in children with severe burns were analysed including its cause, clinical features and prophylactico—therapeutic measures. Effects of abdominal decompression on relief or elimination of signs and symptoms in ACS were compared with routine expectant treatment. Result Increased abdominal pressure, abdominal obvious distension accompanying signs and symptoms of organ function damage and relief or elimination of clinical signs and symptoms after abdominal decompression were specificities of ACS in children with severe burns. Its cause is related to increased vascular permeability, fluid supplement, hypoproteinemia, gastrointestinal dysfunction and infection after burns. Conclusion ACS is life—threatening to children with severe burns, and prophylactico—therapeutic measures of its cause and abdominal decompression are emphasized in principle of its treatment.

关 键 词：腹腔室膈综合征 烧伤 小儿 

分 类 号：R644[医药卫生—外科学]