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腹腔室隔综合征五例的诊断和治疗

The diagnosis and treatment of abdominal compartment syndrome: report of five patients

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【作者】 邵永胜全卓勇彭开勤龚少敏张应天

【Author】 SHAO Yongsheng, QUAN Zhuoyong,PENG Kaiqin,et al.Department of General Surgery, Affiliated Hospital, Wuhan Professional Medical College, Wuhan 430015, China

【机构】 武汉市职工医学院附属医院普通外科

【摘要】 目的 总结腹腔室隔综合征 (ACS )的诊断和治疗经验。方法  5例ACS病例 ,皆以其临床特征得出诊断 ,行开腹减压 ,用 3升静脉营养输液袋暂时性关腹。结果  1例经上腹正中切口开腹减压术后死亡 ;4例作剑突至耻骨联合大切口开腹减压 ,其中 1例术后窒息死亡 ,余 3例治愈出院。死亡率 40 % (2 / 5 )。结论 密切观察腹部体征和全身变化是发现ACS的关键 ;ACS一旦确诊应及时开腹充分减压 ,可用 3升静脉营养输液袋暂时性关腹

【Abstract】 Objective 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 in all 5 patients. Following emergency decompressive celiotomy, the abdominal viscera were covered with a 3 L sterile plastic bag for nutrition support. Results The first case died despite abdominal decompression through uper midline incision. 4 cases underwent decompressive celiotomy through incision from xiphoid to symphysis, one died postoperatively. The overall mortality in this series was 40% (2 / 5). Conclusions Close attention paid to the abdominal and systemic signs facilitates the diagnosis of ACS.Emergent decompressive celiotomy through a incision from xiphoid to symphysis is effective in treating ACS. Temporary abdominal closure could be fulfiled with 3L sterile plastic bag for nutrition support.

【关键词】 腹部综合征诊断下身负压
【Key words】 AbdomenSyndromeDiagnosisLower body negative pressure
  • 【文献出处】 中华普通外科杂志 ,Chinese Journal of General Surgery , 编辑部邮箱 ,2001年06期
  • 【分类号】R656
  • 【被引频次】18
  • 【下载频次】63
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