摘要
目的：了解腹腔间隔室综合征（ACS）的发病特点,探讨其治疗方法。方法：回顾分析2000-01-2008-10收治14例外科危重患者合并腹腔内高压症,其中重症胰腺炎7例;复合伤,肝、脾破裂失血性休克4例;急性梗阻化脓性胆管炎、多器官功能衰竭2例;腹腔肿瘤、急性肠梗阻1例。8例因治疗原发病剖腹探查减压,手术治疗中行剖腹探查、腹腔及腹膜后引流、切口减张缝合5例;6例进行非手术治疗,其中1例肿瘤晚期不适宜外科治疗。结果：死亡6例,病死率42.9%。其中非手术治疗组死亡4例,外科手术组死亡2例。结论：腹腔间隔室综合征早期诊断、及时剖腹减压是改善预后、降低病死率的关键。
Objective： To summarize the clinical characteristics of abdominal compartment syndrome（ACS） and assess its therapeutic approach.Methods： A total of 14 critical surgical patients with ACS treated from January 2000 to October 2008 were analyzed retrospectively,consisting of 7 patients with severe acute pancreatitis,4 with combined injury,splenic rupture,hepatic injury and hemorrhagic shock,2 with severe acute cholangitis combined with multiple organ failure,and 1 with abdominal malignant tumor combined with acute intestinal obstruction.The exploratory laparotomy was performed in 8 patients,including 5 patients receiving external drainage of peritoneal and retroperitoneal cavity and incisional relaxation suture.The nonsurgical therapy was performed in 6 patients,including 1 patient with advanced malignant tumor.Results： The mortalities in surgical treatment group and nonsurgical treatment group were 25.0%（2/8） and 66.7%（4/6） respectively,and the overall mortality was 42.9%（6/14）.Conclusion： Early diagnosis and timely surgical depressurization may be key approaches for reducing the mortality and improving the prognosis of ACS patients.
出处
《西北国防医学杂志》
CAS
2010年第2期117-119,共3页
Medical Journal of National Defending Forces in Northwest China
关键词
腹腔间隔室综合征
重症胰腺炎
诊断
治疗
Abdominal compartment syndrome
Severe acute pancreatitis
Diagnosis
Treatment
