暴发性胰腺炎并发腹腔间隔室综合征的诊治经验  

Diagnosis and treatment of abdominal compartment syndrome secondary to fulminant acute pancreatitis

作　　者：李珂[1] 姜青峰[1] 薛焕洲[1] 申权[1] 田玉伟[1] 

机构地区：[1]河南省人民医院肝胆外科,郑州450003

出　　处：《中华肝胆外科杂志》2013年第5期356-358,共3页Chinese Journal of Hepatobiliary Surgery

摘　　要：目的探讨暴发性急性胰腺炎（FAP）并发腹腔间隔室综合征（ACS）的治疗方法。方法2009年1月至2011年12月共收治FAP25例，其中FAP并发ACS18例。回顾性比较了该18例患者早期手术治疗与非手术治疗的疗效。结果18例FAP并发ACS患者中，7例接受非手术治疗，死亡率42．9％；早期手术治疗11例，死亡率27．3％，两者之间差异有统计学意义。结论对FAP并发ACS患者及时充分腹腔减压，能够改善各脏器功能及其血液循环。腹腔减压以手术引流的减压效果更为确定有效，可明显降低患者死亡率。Objective To study the treatment of abdominal compartment syndrome（ACS） sec- ondary to fulminant acute pancreatitis （FAP）. Method A retrospective study was conducted from Jan. 2009 to Dec. 2011 to analyze the therapeutic results of 18 patients with ACS secondary to FAP. Results Three out of 7 patients who received non-operative therapy died （mortality rate 42. 9%）. Three out of 11 patients treated with early surgery died （mortality rate 27.3%）, which was signifi cantly better than those patients treated conservatively. Conclusion A reduction in intra-abdominal pressure improved the function of the viscera in the treatment of ACS secondary to FAP. The decom pressive effects of early surgery was efficacious, and it reduced the mortality rate.

关 键 词：胰腺炎 急性坏死性 腹腔间隔室综合征 

分 类 号：R576[医药卫生—消化系统]