摘要
随着计算机、影像学和腹腔镜等技术的发展，以及对疾病病理、生理认识的加深，外科手术理念更新加快，提出了微创外科、精准外科和损伤控制外科等策略。外科手术技术也日新月异，发展了各类新的腔镜外科、损伤控制外科技术。其中腹腔扩容术（intra—abdominalvolumeincrement，IAVI）就是一种全新的腹部外科手术。
Intra-abdominal volume increment is a new abdominal surgery, which is used to prevent the abdominal compartment syndrome caused by intra-abdominal hypertension. In this article, the author emphasizes the concept, indications, operative principles of intra-abdominal volume increment. Firstly, laparotomy was performed, active bleeding and source of infec- tion were controlled. Then greater omentum was put under the incision, vacuseal dressings were applied on the greater omentum, and the abdominal incision was sutured. If the intra-abdominal pressure was less than 12 mm Hg （1 ram Hg = 0. 133 kPa） for 48 hours during 7-14 days after operation, abdominal incision could be closed, while if the intra-abdominal pressure was more than 12 mm Hg, dermatoplasty was used to close abdominal incision to form a ventral hernia, then definitive abdominal wall reconstruction was performed 6 months after operation.
出处
《中华消化外科杂志》
CAS
CSCD
2011年第1期6-8,共3页
Chinese Journal of Digestive Surgery
基金
基金项目：全军十一五医学卫生科研基金专项课题（082024）
关键词
腹腔间室综合征
腹内高压
腹腔扩容术
Abdominal compartment syndrome
lntra-abdominal hypertension
lntra-abdominalvolume increment
