复杂腹壁疝手术后腹腔高压与腹腔间室综合征的预防和处理  

Prevention and management of abdominal hypertension and abdominal compartment syndrome after complex abdominal wall hernia surgery

作　　者：江志鹏 钟克力 陈双[2] Jiang Zhipeng;Zhong Keli;Chen Shuang(Division of Gastrointestinal Surgery,Department of General Surgery,Shenzhen People's Hospital,The Second Clinical Medical College of Jinan University,The First Affiliated Hospital,Southern University of Science and Technology,Shenzhen 518020,China;Department of Hernia Surgery,the Sixth Affiliated Hospital of Sun Yat-sen University,Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases,National Key Clinical Specialized Department,Guangzhou 510655,China)

机构地区：[1]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,广东518020 [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

出　　处：《中华疝和腹壁外科杂志(电子版)》2024年第6期612-615,共4页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

基　　金：深圳市医学重点学科建设经费(SZXK015);广东省和国家临床重点专科建设项目(1854)。

摘　　要：复杂腹壁疝是一类由于各种不利因素所导致的治疗困难或并发症高发的腹壁疝的统称。其治疗过程中同时涉及腹腔内容物容积的变化和腹壁顺应性的改变,对腹腔内压有直接影响。因此,术后腹腔内高压与腹腔间室综合征的发生率明显高于其他外科疾病。本文从术前准备、术中决策和术后处理等角度探讨了复杂腹壁疝手术后腹腔内高压与腹腔间室综合征的预防和处理措施,旨在提高这类患者的围手术期安全性。Complex abdominal wall hernia is a general term for a type of abdominal hernia that is difficult to treat or has a high incidence of complications due to various unfavorable factors.The treatment process involves both changes in the volume of abdominal contents and changes in abdominal wall compliance,which have a direct impact on intra-abdominal pressure.Therefore,the incidence of postoperative intra-abdominal hypertension and abdominal compartment syndrome is significantly higher than other surgical diseases.This article explores the prevention and management measures of intra-abdominal hypertension and abdominal compartment syndrome after complex abdominal hernia surgery from the perspectives of preoperative preparation,intraoperative decision-making,and postoperative management,aiming to improve the perioperative safety of such patients.

关 键 词：复杂腹壁疝 并发症 腹腔内高压 腹腔间室综合征 预防 

分 类 号：R73[医药卫生—肿瘤]