腹腔室膈综合征23例诊断治疗体会  

The diagnosis and treatment of abdominal compartment syndrome(report of twenty-three patients)

作　　者：薛文龙[1] 卜德勇[1] 赵连[1] 张经[1] 刘守军 

机构地区：[1]大同市第五人民医院,山西大同037006 [2]大同市浑源县城关镇医院,山西大同037400

出　　处：《临床医药实践》2004年第3期179-181,共3页Proceeding of Clinical Medicine

摘　　要：目的 :总结腹腔室膈综合征 (ACS)的诊断及治疗经验。方法 :2 3例 ACS以临床特征及腹腔压力得出诊断 ,行开腹减压 ,用 3L静脉营养输液袋暂时关腹。结果 :未手术组 10例 ,死亡 8例 ,病死率 80 % ;手术组 13例 ,死亡 2例 ,死亡率 15 .4 %。结论 :密切观察腹部体征 ,全身变化 ,腹腔测压是发现 ACS的关键 ;ACS一旦确诊应及时开腹充分减压 ,可用 3LObjective:To sum up the experience on the diagnosis and treatment of abdominal compartment syndrome(ACS).Methods:In this report,ACS was diagnosed by special clinical features and intra abdominal pressure in all 23 patients.Following emergency decompression celiotomy,the abdominal viscera were covered with a 3 L sterile plastic bag for nutrition support.Results:8 cases died in the 10 cases of non operation group.The rate of death is 80 %.2 cases died in the 13 cases of operation group.The rate of death is 15.4 %.Conclusions:Close attention paid to the abdominal and systemic signs.Evaluating intra abdominal pressure facilitates the diagnosis of ACS.Emergent decompression celiotomy through a incision from xiphoid to symphysis is effective in treating ACS.Temporary abdominal closure could be falfiled with 3 L steile plastic bag for nutrition support.

关 键 词：腹腔室膈综合征 诊断 治疗 病因 分类 

分 类 号：R656[医药卫生—外科学]