腹腔室隔综合征的紧急治疗与预防

The urgent treatment and prevention of abdominal compartment syndrome

目的 探讨腹腔室隔综合征(ACS)的紧急处理与预防方法。方法 回顾性分析2000～2002年间经治的ACS6例的临床资料。6例中4例行急诊腹腔减压并治疗原发疾病。另2例行保守治疗。结果 行急诊手术的4例均获救治,各例经腹腔减压后各种紊乱的生理指标即时恢复正常;保守治疗的2例均死亡。结论 急诊行腹腔减压是治疗ACS的唯一的有效方法。针对各种可以导致腹内压异常升高的因素,采取相应措施可有效预防ACS的发生。

Objective To explore the urgent treatment and effectively preventive measures of abdominal compartment syndrome (ACS). Methods Clinical data of 6 patients with ACS caused by a variety of diseases from January 2000 to December 2002 were retrospectively analyzed. Results Four patients receiving the urgent operation were all cured, and other two cases without subject to operation died. Conclusion Abdominal decompression is the only treatment for ACS. The methods for removing the causes of intra-abdominal hypertension may be effectively used for preventing ACS.