膀胱压监测在肝脾挫裂伤中的应用

Application of Bladder Pressure Monitoring in Hepatic and Splentic Rupture

目的:探讨膀胱压监测在肝脾挫裂伤患者中的应用。方法:回顾性分析2004年2月～2007年2月急诊ICU收治的82例肝脾挫裂伤患者的临床资料。结果:腹内高压组(IAH)与对照组手术治疗率有显著性差异(P<0.00);膀胱压与APAECEⅡ评分存在一定的相关,相关系数r=0.812(P<0.01)。结论:膀胱压的变化与肝脾挫裂伤的严重程度存在相关性,可间接判断出血程度,为及时判断是否需剖腹探查手术提供依据。

Objective: To discuss the application of bladder pressure monitoring in the patients with hepatic and splentic rupture. Method: The clinical data of 82 patients with hepatic and splentic rupture were analyzed retrospectively from Feb 2004 to Feb 2007 in EICU. Result: Compared with control group,IAH group had significant difference in the rate of operation (P < 0.001). There was a correlation between bladder pressure and APACHEⅡ scale,especially in IAH group (r = 0.812(P < 0.01)). Conclusion: There was...