腹腔间隔室综合征4例诊治体会

Experience on the diagnosis and treatment of 4 patients with abdominal compartment syndrome

目的探讨腹腔间隔室综合征的病因、诊断和治疗。方法回顾4例腹腔间隔室综合征的临床资料及治疗方法,结合文献进行分析。结果4例均行开腹减压;其中1例彻底敞开减压,1例以无菌3升袋根据切口大小整形后连续缝合在皮肤及皮下筋膜上暂时关腹,另2例行腹壁无张力缝合,暂时性关腹。死亡率25%(1/4)。结论腹腔间隔室综合征一旦诊断明确,应早期实行腹腔减压术。

Objective: To explore the causes, diagnosis and treatment of abdominal compartment syndrome(ACS). Methods: The clinical data and treatment of ACS in all 4 cases were analyzed retrospectively, reference materials were reviewed as well. Emergent decompressive celiotomy was performed in 4 patients. Among of the four cases, an unclosed opening for decompression was underwent in one patient, the abdominal viscera was covered with a 3 L sterile plastic bag for nutrition support in one case, and abdominal wall temporaryly closed by suture without tension in the other two. Results: One patient died in this article(1/4). The mortality in this series was 25%(1/4). Conclusions: Early decompressive celiotomy is very important for ACS.