摘要
目的:总结小儿严重烧伤后腹腔间隙综合征的诊疗特点。方法:用单腔深静脉置管穿刺针行下腹部穿刺置管,接引流袋于床旁收集腹腔液体,3～5d腹胀消退、引流量<15mL/d后拔管。结果:引流管持续引流出腹腔液体,全身水肿及腹胀渐消,呼吸、心率趋予正常,尿量渐增,肾功能好转,电解质和酸碱失衡得到纠正。结论:小儿烧伤后腹腔间隙综合征置管引流减张治疗有显著疗效。
Objective To summarize the clinical management of abdominal compartment syndrome in children with severe burn injury.Methods The single-cavity deep vein puncture needle was used to puncture at lower abdomen to collect peritoneal fluid into drainage bag.When abdominal fullness and distention disappeared and drained fluid was less than 15 mL/d,drainage tube was pulled out.Results With peritoneal fluid drained continuously,anasarca and abdominal fullness and distention faded away;breathing rate and heart rate decreased;urine increased;renal function improved;electrolytes and acid and alkali unbalances were corrected.Conclusion Peritoneal fluid drainage using catheterization in burn children with abdominal compartment syndrome has obvious effects on abdominal decompression.
出处
《实用诊断与治疗杂志》
2008年第1期14-16,共3页
Journal of Practical Diagnosis and Therapy
关键词
烧伤
腹腔间隙综合征
引流
Burns
abdominal compartment syndrome
drainage
