重度烧伤合并腹腔间隙综合征的诊断与治疗  

Diagnosis and treatment of the serious burn injury with abdominal compartment syndrome

作　　者：潘拥军[1] 柏士平[1] 张守忠[1] 杨华[1] 韩行[1] 

机构地区：[1]江西省九江市第一人民医院烧伤科,九江332000

出　　处：《江西医药》2007年第12期1098-1100,共3页Jiangxi Medical Journal

摘　　要：目的探讨重度烧伤合并腹腔间隙综合征(ACS)的诊断和治疗方法。方法总结我院1998年1月￣2007年6月收治的23例重度烧伤合并腹腔间隙综合征患者的临床资料,6例行非手术治疗,17例行手术治疗,其中11例行腹壁减张,6例行剖腹减压。结果本组23例中治愈16例,死亡7例。所有患者术前24h尿量减少985±306ml、膀胱内压升高32.4±4.8mmHg、中心静脉压升高15.4±1.6cmH2O、动脉收缩压下降85±8mmHg和Pa02下降76±5mmHg。手术患者术后各项指标较术前明显好转(P<0.01)。结论对重度烧伤患者常规进行腹内压监测,可及时诊断腹腔间隙综合征,及时给予腹壁减张和腹腔减压是治疗ACS的关键。Objective To investigate the diagnosis and treatment of the serious burn injury with abdominal compartment syndrome（ACS）. Methods From January 1998 to June 2007,23 cases of serious burn injury with abdominal compartment syndrome were analyzed retrospectively,6 cases were treated with conservative method,17 cases were treated with operation, l l with abdominal escharectomy,6 with laparotomy decompression.Results Among these 23 cases. 16 cases were cured.7 cases were died,All cases were olinguric, with abnormal bladder pressure,central venous pressure,systolic blood pressure and arterial blood oxggen partial pressure 24h before operation.But these parameters were singnificantly improved after operation （P〈0.01）.Conclusion Monitoring of intraabdomind pressure for serious burn injury can diagnose as early as possible ACS. Early abdominal eschareetomy and timily peritoneal decompression are vital for the management of ACS in burn patients.

关 键 词：烧伤 腹内压 腹腔间隙综合征 腹腔减压 

分 类 号：R544[医药卫生—心血管疾病]