疝修补术后腹腔间隔室综合征预防与处理中国专家共识(2024版)  

Chinese expert consensus on prevention and treatment of abdominal compartment syndrome after herniorrhaphy(2024 edition)

作　　者：广东省医师协会疝与腹壁外科医师分会 深圳市医师协会疝与腹壁外科医师分会 中华消化外科菁英荟疝与腹壁外科学组 陈双[2] 江志鹏 谭进富[4] 邹湘才 李亮 谢肖俊 邰沁文 侯泽辉 Society of Hernia and Abdominal Wall Surgeons of Guangdong Medical Doctor Association;Society of Hernia and Abdominal Wall Surgeons of Shenzhen Medical Doctor Association;Hernia and Abdominal Wall Surgery Group of Elite Group of Chinese Digestive Surgery;Chen Shuang;Jiang Zhipeng(不详;Department of Hernia and Abdominal Wall Surgery,Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases,National Key Clinical Speciality,The Sixth Affiliated Hospital of Sun Yat-sen University,Guangzhou 510655,China;Division of Gastrointestinal Surgery,Department of General Surgery,Shenzhen People's Hospital,The Second Clinical Medical College of Jinan University,The First Affiliated Hospital of Southern University of Science and Technology,Shenzhen 518020,China)

机构地区：[1]不详 [2]中山大学附属第六医院疝与腹壁外科、广东省结直肠盆底疾病研究重点实验室、国家重点临床专科,广州510655 [3]深圳市人民医院(暨南大学第二临床医学院,南方科技大学第一附属医院)普通外科胃肠外科中心,深圳518020 [4]中山大学附属第一医院 [5]广州医科大学附属第二医院 [6]中山大学附属第七医院 [7]汕头大学医学院附属第一医院 [8]南方医科大学深圳医院 [9]中山大学附属第六医院

出　　处：《中华消化外科杂志》2024年第9期1127-1139,共13页Chinese Journal of Digestive Surgery

基　　金：广东省科技厅项目(KYPYJ2022015);深圳市医学重点学科建设经费(SZXK015)。

摘　　要：腹腔间隔室综合征(ACS)由于持续性腹内压增高导致机体一系列病理生理改变,从而诱发多器官功能不全或衰竭,是临床上危重的并发症之一。多种原因可导致ACS,其中疝修补手术,尤其是巨大腹壁疝合并腹壁功能不全或巨大腹股沟疝修补手术是ACS的重要诱发因素之一,但目前较少有针对性的系统性阐述或共识意见。因此,广东省医师协会疝与腹壁外科医师分会、深圳市医师协会疝与腹壁外科医师分会及中华消化外科菁英荟疝与腹壁外科学组联合国内知名疝外科专家组织编写小组,撰写《疝修补术后腹腔间隔室综合征预防与处理中国专家共识(2024版)》。该共识以疝修补术后ACS为重点,从相关危险因素、术前预防、术中决策、术后监测及处理等方面进行阐述,同时提出与临床密切相关的焦点问题,结合循证医学证据展开讨论并给出推荐意见,旨在提高临床医师,尤其是疝外科医师对ACS的认识以及预防与处理能力。Abdominal compartment syndrome(AcS)is one of the most severe complica-tions in clinical practice,which is caused by a series of pathophysiological changes in the body due to the continuous increase of intra-abdominal pressure,thus inducing multiple organ dysfunction or failure.Various reasons can cause Acs.Herniorrhaphy,especially the repair of a vast abdominal hernia with abdominal wall dysfunction or a giant inguinal hernia,is one of the important predisposing factors for AcS.There are few specific systematic statements or consensus opinions.Society of Hernia and Abdominal Wall Surgeons of Guangdong Medical Doctor Association,Society of Hernia and Abdominal Wall Surgeons of Shenzhen Medical Doctor Association,Hernia and Abdominal Wall Surgery Group of Elite Group of Chinese Digestive Surgery organize experts in hernia surgery to formulate the Chinese Expert Consensus on Prevention and Treatment of Abdominal Compartment Syndrome after Herniorrhaphy(2024 Edition).This consensus focuses on the postoperative ACS of herniorrhaphy,elaborates on the related risk factors,preoperative preventive measures,intraoperative decision-making,postoperative monitoring,and AcS treatment,and puts forward the focus issues closely related to clinical settings,discusses and gives recommendations based on evidence-based medicine,so as to improve the understanding as well as the prevention and treatment ability of clinicians,especially hernia surgeons.

关 键 词：疝修补术 并发症 腹内高压 腹腔间隔室综合征 共识 

分 类 号：R656.2[医药卫生—外科学]