重症急性胰腺炎并发腹腔间隔室综合征最新临床研究进展  

The Latest Clinical Research Progress of Severe Acute Pancreatitis Complicated with Abdominal Compartment Syndrome

作　　者：宋志敏 郭庆敏[2] 田飞[1] 潘新亭[2] 

机构地区：[1]青岛大学附属医院急诊ICU,山东 青岛 [2]青岛大学附属医院风湿免疫科,山东 青岛

出　　处：《临床医学进展》2022年第2期1313-1319,共7页Advances in Clinical Medicine

摘　　要：急性胰腺炎(AP)是临床常见的消化系统疾病,其中重症急性胰腺炎(SAP)起病急、发展快、病情重且复杂,死亡率可达20%~30%,而重症急性胰腺炎一旦并发腹腔间隔室综合征(ACS),可导致或加重多脏器功能障碍,从而在很短时间死亡,因而加强对ACS的认识,对SAP并发ACS进行及早诊断、及早干预至关重要,可提高其预后及生存率。目前对于SAP中ACS的相关报道较少,本文主要就SAP并发ACS的病因、诊断及治疗等方面进行系统阐述,以提高临床工作中对此病的认识。Acute pancreatitis (AP) is a common clinical gastrointestinal disease, among which severe acute pancreatitis (SAP) has an acute onset, rapid development, severe and complex condition, and the mortality rate can reach 20%~30%, while once severe acute pancreatitis is complicated by abdominal compartment syndrome (ACS), it can lead to or aggravate multiple organ dysfunction and thus death in a short period of time, thus strengthening the understanding of ACS and the early diagnosis and intervention of SAP. Therefore, it is crucial to enhance the awareness of ACS and to make early diagnosis and intervention for ACS complicating SAP, which can improve its prognosis and survival. There are few reports related to ACS in SAP, so this paper focuses on the etiology, diagnosis and treatment of ACS complicated by SAP in a systematic way to improve the understanding of this disease in clinical work.

关 键 词：重症急性胰腺炎 腹内压 腹腔间隔室综合征 多脏器功能障碍 

分 类 号：R576[医药卫生—消化系统]