【摘要】 目的:探讨膀胱压监测在肝脾挫裂伤患者中的应用。方法:回顾性分析2004年2月～2007年2月急诊ICU收治的82例肝脾挫裂伤患者的临床资料。结果:腹内高压组(IAH)与对照组手术治疗率有显著性差异(P<0.00);膀胱压与APAECEⅡ评分存在一定的相关,相关系数r=0.812(P<0.01)。结论:膀胱压的变化与肝脾挫裂伤的严重程度存在相关性,可间接判断出血程度,为及时判断是否需剖腹探查手术提供依据。更多还原

【Abstract】 Objective: To discuss the application of bladder pressure monitoring in the patients with hepatic and splentic rupture. Method: The clinical data of 82 patients with hepatic and splentic rupture were analyzed retrospectively from Feb 2004 to Feb 2007 in EICU. Result: Compared with control group,IAH group had significant difference in the rate of operation (P < 0.001). There was a correlation between bladder pressure and APACHEⅡ scale,especially in IAH group (r = 0.812(P < 0.01)). Conclusion: There was a correlation between bladder pressure and the severe degree of hepatic and splentic rupture. The change of bladder pressure can be used to judge the degree of bleeding,and judge the need of laparotomy.更多还原