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
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.
出处
《中华普通外科杂志》
CSCD
北大核心
2001年第6期350-351,共2页
Chinese Journal of General Surgery
关键词
腹部
综合征
诊断
下身负压
治疗
Abdomen
Syndrome
Diagnosis
Lower body negative pressure
