Abdominal compartment syndrome

Try to summarize the clinic characteristics of abdominal compartment syndrome and find some effective treatment to ACS.Materials:the study includes 22 cases of ACS during 4 years from Jan,2001 to Nov,2004.Among of them,there are 19 males and 3 females.There are 11 cases due to acute severe pancreatitis,7 cases due to abdominal infection,3 cases due to retroperitoneal hematoma,1 case due to intra-abdominal tumor.The intraabdominal pressure of all of them were above 24 cm H2O,which were determined by bladder pressure measurement.Methods Of all 22 patients,7 patients received non-operative therapy,15 patients received operation therapy.18 patients used mechanical ventilation support,12 patients got continues bediside blood purification therapy,8 patients got abdominal puncture and drainage guided by ultrasonic or CT.Of 15 operative patients,incision relaxation suture,drainage of peritoneal and retroperitoneal cavity were performed in 5 cases,temporary abdominal closure with polypropylene patch after drainage operation were performed in 10 cases.Results In 22 patients,17 were cured,5 died.Conclusion For critical surgical patients presented with ACS,the mortality rate is high.If those patients got earlier correct diagnosis and endured effective abdominal decompression and multiple organ function support treatments in time,the patients’ prognosis might be greatly improved.6 refs.