重症急性胰腺炎合并腹腔间隔室综合征的治疗  

Progress in treatment of severe acute pancreatitis complicated with abdominal compartment syndrome

作　　者：姚庆欢 李海红 孙宇 赵琳琳 王岩 姜泓羽 谢凤杰 Yao Qinghuan;Li Haihong;Sun Yu;Zhao Linlin;Wang Yan;Jiang Hongyu;Xie Fengjie(Department of Critical Care Medicine Mudanjiang Medical University Hongqi Hospital, Mudanjiang 157011 Heilongjiang, China;Cardiology Mudanjiang Medical University Hongqi Hospital, Mudanjiang 157011,Heilongjiang, China)

机构地区：[1]牡丹江医学院附属红旗医院重症医学科,157011 [2]牡丹江医学院附属红旗医院循环内科,157011

出　　处：《中华临床医师杂志（电子版）》2017年第12期1951-1954,共4页Chinese Journal of Clinicians(Electronic Edition)

摘　　要：腹腔间隔室综合征(ACS)是重症急性胰腺炎(SAP)病情严重的标志。它是由腹膜后炎症、内脏水肿、腹水、急性胰周积液、麻痹性肠梗阻和积极液体复苏共同作用的结果。SAP并发ACS的治疗包括保守治疗、微创,还有一些不确定的适当的手术干预。但仍有一些尚未解决的问题包括药物治疗、适应证、时机和介入技术。本文将对SAP并发ACS的治疗进行综述,以期通过及时有效的内科治疗和必要时的介入治疗来预防ACS的发生和发展,从而降低SAP的病死率。Abdominal compartment syndrome(ACS)is a marker of severe disease in patients with severe acute pancreatitis(SAP).It occurs as a combination of retroperitoneal inflammation,visceral edema,ascites,acute peripancreatic fluid collections,paralytic ileus,and aggressive fluid resuscitation.The frequency of ACS in SAP may be rising due to more aggressive fluid resuscitation.The treatments for ACS include conservative treatment,minimally invasive interventions,and surgery.There remains uncertainty about the most appropriate surgical technique for the treatment of ACS in SAP.Some unresolved questions remain regarding medical treatment,indications,timing,and interventional techniques.This review focuses on the treatment of this serious condition in order to reduce the mortality of SAP by means of timely and effective treatments.

关 键 词：重症急性胰腺炎 腹腔间隔综合征 治疗 

分 类 号：R576[医药卫生—消化系统]