巨大腹壁切口疝术后致腹腔室隔综合征四例  

Four cases of abdominal compartment syndrome after surgical operation of abdominal giant incisional hernia

作　　者：陈伟[1] 陈右江[1] 丁祥飞[1] 吴云阳[1] 周辉生[1] 周魁平[1] 

机构地区：[1]解放军第一八一医院普外科,广西桂林541002

出　　处：《腹部外科》2011年第5期298-299,共2页Journal of Abdominal Surgery

摘　　要：目的探讨巨大腹壁切口疝术后致腹腔室隔综合征的防治措施。方法对2005年3月至2010年5月期间4例巨大腹壁切口疝术后并发腹腔室隔综合征的临床资料进行回顾性分析。结果4例腹腔压力均不同程度增高，合并心、肺、肾功能障碍1例，合并心、肺功能障碍1例，合并肺部感染、肾功能不全2例；死亡1例，治愈3例。结论巨大腹壁切口疝术后腹内压增高是导致腹腔室隔综合征的主要因素，围手术期合理的防治措施是防止该病发生及决定其治疗预后的关键。Objective To explore prevention of abdominal compartment syndrome（ACS） after surgical operation of abdominal giant incisional hernia（AGIH）. Methods The clinical data of 4 cases of ACS after surgical operation of AGIH in our hospital from March 2005 to May 2010 were analyzed retrospectively. Results Intra-abdominal pressure of all the cases were increased to varying degrees. One patient had cardiac, lung and renal dysfunction, and one suffered from cardiac and lung dysfunction, and 2 were associated with pulmonary infection and renal dysfunction. Three cases were cured, and one died. Conclusion Intra-abdominal hypertension after surgical operation of AGIH is the main cause of ACS. Perioperative reasonable measures of prevention are of great importance to prevent the occurrence of ACS and improve its prognosis.

关 键 词：疝 腹部 再手术 手术期间 腹腔室隔综合征 

分 类 号：R656[医药卫生—外科学]