摘要
目的 :总结腹腔室膈综合征 (ACS)的诊断及治疗经验。方法 :2 3例 ACS以临床特征及腹腔压力得出诊断 ,行开腹减压 ,用 3L静脉营养输液袋暂时关腹。结果 :未手术组 10例 ,死亡 8例 ,病死率 80 % ;手术组 13例 ,死亡 2例 ,死亡率 15 .4 %。结论 :密切观察腹部体征 ,全身变化 ,腹腔测压是发现 ACS的关键 ;ACS一旦确诊应及时开腹充分减压 ,可用 3L
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 and intra abdominal pressure in all 23 patients.Following emergency decompression celiotomy,the abdominal viscera were covered with a 3 L sterile plastic bag for nutrition support.Results:8 cases died in the 10 cases of non operation group.The rate of death is 80 %.2 cases died in the 13 cases of operation group.The rate of death is 15.4 %.Conclusions:Close attention paid to the abdominal and systemic signs.Evaluating intra abdominal pressure facilitates the diagnosis of ACS.Emergent decompression celiotomy through a incision from xiphoid to symphysis is effective in treating ACS.Temporary abdominal closure could be falfiled with 3 L steile plastic bag for nutrition support.
出处
《临床医药实践》
2004年第3期179-181,共3页
Proceeding of Clinical Medicine
