腹腔间隔室综合征的临床诊治分析  

Clinical Analysis of Abdominal Compartment Syndrome

作　　者：胡优[1] 何宋兵[1] 王雷[1] 刘鹏飞[1] 俞敬[1] 万岱维[1] 朱兴国[1] 

机构地区：[1]苏州大学附属第一医院普外科,江苏苏州215006

出　　处：《中国血液流变学杂志》2012年第4期658-659,662,共3页Chinese Journal of Hemorheology

摘　　要：目的总结腹腔间隔室综合征的临床特点及诊治经验。方法回顾性分析2009年～2012年收治的12例腹腔间隔室综合征患者的临床资料。结果12例患者中，急性重症胰腺炎8例，多发性复合伤、脾破裂3例，恶性腹水1例；6例因治疗原发病剖腹探查减压，手术治疗中行剖腹探查、腹腔及腹膜后引流、切口减张缝合，6例进行非手术治疗；死亡3例，2例手术治疗，1例非手术治疗，死亡率25％。结论早期诊断、及时腹腔减压是改善腹腔间隔室综合症预后和降低病死率的关键。Objective To summarize the clinical characteristics and diagnosis and treatment experience of abdominal compartment syndrome.Methods The clinical data of 12 cases of abdominal compartment syndrome in patients treated in 2009 ~ 2012 were retrospective analysis.Results 12 patients,8 cases of severe acute pancreatitis,3 cases of multiple compound injuries and splenic rupture, 1 case of malignant ascites;6 cases of exploratory laparotomy decompression treatment for primary disease,5 of them receiving external drainage of peritoneal and retroperitoneal cavity and incisional relaxation suture.Non surgical therapy was performed in other 6 patients.3 cases were dead,2 of them from surgical treatment group,one from non-surgical treatment group,the overall mortality rate were 25%.Conclusion Early diagnosis,timely abdominal decompression of abdominal compartment syndrome is the key approaches for improving the prognosis and reducing mortality.

关 键 词：腹腔间隔室综合征 腹腔减压 诊断 治疗 

分 类 号：R656.5[医药卫生—外科学]