急性重症胰腺炎并发腹腔间室综合征的诊治  

Diagnosis and Therapy of Severe Acute Pancreatitis Combined with Abdominal Comp artment Syndrome

作　　者：靳殿功[1] 

机构地区：[1]天津南开医院外科,天津300100

出　　处：《医学综述》2007年第23期1805-1808,共4页Medical Recapitulate

摘　　要：正常腹腔内压力主要是由腹腔内脏器的静水压产生,正常情况下和大气压相近。当腹内压>10mmHg(1mmHg=0.133kPa)时,即为腹腔高压。腹腔间室综合征的定义是任何原因引起腹腔内压非生理性持续升高,达到或超过35mmHg,引起腹腔内脏及腹外系统器官等多器官系统功能损害的临床综合征。急性重症胰腺炎(SAP)可引发腹腔内高压,部分患者(10%)可导致腹腔间室综合征的发生,病程凶险,病死率较高。在诊治SAP过程中注意防治腹腔内高压,对提高SAP的临床治愈率有重要意义。The normal intra-abdominal pressure results from h ydrostatic pressur e of abdominal organs,which is similar to atmosphere at normal condition.Wh en intra-abdominal pressure is above 10mmHg（1mmHg=0.133kPa）,which is called IAH（Intra-abdominal hypertension）.The ACS（Abdominal compartment syndrome）is a clinical syndrome with multiple organ function injury including abdominal viscer a and organ out of abdomen,which is caused by continuous non-physiologic al increasion of intra-abdominal pressure about or above 35mmHg resulting fr om any causes.Severe acute pancreatitis（SAP）may initiate the intra-abdominal hypertension（IAH）,of which about 10% patients may cause abdominal compart ment syndrome（ACS）with severe pathological condition and high case fatality.It has important significance to improve clinical cure rate of SAP by preventi ng intra-abdominal pressure during diagnosis and therapy of SAP.

关 键 词：急性重症胰腺炎 腹腔高压 腹腔间室综合征 

分 类 号：R576[医药卫生—消化系统]