【作者】 刘颖； 王迪芬； 沈锋；

【Author】 Liu Ying,Wang Difen,Shen Feng.(Department of ICU,Affiliated Hospital of Guiyang medical college,Guizhou 550001,China)

【机构】 贵阳医学院附属医院ICU；

【摘要】 目的分析重症急性胰腺炎(SAP)合并腹腔间隙综合征(ACS)的临床特点及探讨腹腔内压(IAP)监测的临床意义。方法通过观察2004年1月至2007年4月收治的17例SAP并ACS病人的IAP、呼吸、心率、血压、动脉血氧分压、氧合指数、气道峰压、每小时尿量等指标,分析腹腔内高压(IAH)对SAP患者脏器功能的影响及IAH对预后的反映。结果死亡4例;3例患者病情危重放弃救治;10例患者经治疗IAP逐渐下降,脏器功能明显改善,病情稳定转出ICU。比较10例好转患者治疗前后所监测数据,差异均具有统计学意义。结论SAP患者腹腔内高压可引起脏器功能障碍或衰竭,病情凶险,死亡率高。经治疗,如腹内压能逐渐下降,则有利于脏器功能逐渐改善,提示预后好。更多还原

【Abstract】 Objective Analyzed the clinical characteristics of patients with severe acute pancreatitis(SAP) complicating with abdominal compartment syndrome(ACS),and studied the sense of monitoring intra-abdominal pressure(IAP).Methods Observed the IAP,respiration rate,heart rate,blood pressure,arterial partial pressure of oxygen,Oxygenation index,peak airway pressure,urine volume per hour of patients with SAP complicating with ACS from Jan,2004 to Apr,2007.To studied the impact of intra-abdominal hypertension on SAP patients.Results 17 patients,4 died;3 resigned therapy for results were not good;There were 10 patients,whose IAP decreased gradually and condition improved obviously.Compared the 10 patients’ data which before and after therapy,the differences were significant.Conclusion IAH can damage organ condition, the death rate is hign.If IAP can decrease gradually by treatment,hint patients’condition improve and the prognosis is good.更多还原