摘要
目的:探讨腹腔间隔室综合征(ACS)的临床特点及诊治措施。方法:38例ACS患者根据病情分为保守治疗组8例,手术治疗组30例。观察2组临床症状和发生并发症、病死、治愈及腹内压变化的情况。结果:38例患者总并发症发生率42.1%,总病死率31.6%,总治愈率68.4%。保守治疗组发生并发症3例,手术治疗组并发症13例;保守治疗组病死3例,手术治疗组病死9例;保守治疗组治愈5例,手术治疗组治愈21例,2组差异均无统计学意义(P=1.000)。38例均出现ACS体征,采用膀胱内测量法测得腹内压稳定升高且>20 mmHg,多伴有休克、急性呼吸窘迫综合征、多器官功能障碍综合征,其中26例出现2个或2个以上器官功能障碍。结论:正确地把握ACS的治疗时机与指征,合理选择治疗方式,对预后至关重要。
Objective ：To explore the clinical characteristics, diagnosis and treatment measures of abdominal compartment syndrome （ACS）. Methods：Thirty-eight patients with ACS were divided into surgical treatment group （30 cases） and conservative treatment group（8 cases） according to the patient＇s condition. The complications, death, cured, intra-abdominal pressure and clinical symptoms were compared. Results： The total incidence rate of complication, fatality rate and cure rate were 42. 1%, 31.6% and 68.4V/c, respectively. Complications in 3 cases and 13 cases were found in conservative treatment group and surgical treatment group, respectively. Death in 3 cases and 9 cases were found in conservative treatment group and surgical treatment group, respectively. Cure in 5 cases and 21 cases were found in conservative treatment group and surgical treatment group,respectively,the differeces of which were not statistically significant（P = 1. 000）. ACS signs were found in 38 cases, intra-abdominal pressure（ more than 20 mmHg） elevated stability by cystometry, accompanied with shock, acute respiratory distress syndrome and multiple organ dysfunction syndrome in more cases. Two or more organ dysfunction in 26 cases were found. Conclusions： Mastering appropriate treatment timing, indications and method are vital to the prognosis of ACS.
出处
《蚌埠医学院学报》
CAS
2013年第10期1257-1259,共3页
Journal of Bengbu Medical College
