腹部创伤后24h晶体输液量与腹腔间隔室综合征的关系分析

Relative analysis of 24-hour crystalloid requirements in severe injury of abdomen and Abdominal Compartment Syndrome

目的探讨腹部创伤后24h晶体输液量与腹腔间隔室综合征(ACS)的关系。方法回顾性分析该院2000年1月￣2005年1月期间收治的严重腹部创伤患者的病例资料(n=53),将入院后并发ACS的患者作为A组(n=19),统计其伤后24h晶体液输入量,并与未并发ACS的患者(B组,n=34)进行比较分析。同时将所有病例中伤后24h晶体液输入量≥10.0L作为C组(n=21),<10.0L的作为D组(n=32),比较C、D两组ACS的发病率。结果A组输入的晶体液为(8.379±3.419)L,B组为6.088±2.679L,差别具有统计学意义。C组ACS发病率为61.9%(13/21)明显高于D组的18.8%(6/32),P<0.05,差别具有统计学意义。结论大量晶体液输入是严重腹部创伤并发ACS的一个重要因素。

[Objective] To explore the relation of abdominal compartment syndrome（ACS） and 24-hour crystalloid requirements in severe injury of abdomen. [Methods] 53 patients with Severe injury of abdomen were managed from January 2000 to January 2005. The clinical data was retrospectively analyzed. The patients complicating ACS were group A（n=19）, and others were group B（n=34）. 24 hours crystalloid requirements arier injury were compared between A and B group. The patients, whose 24 hours crystalloid requirements after injury were ≥10.0 L, were C group （n=21）, and others were D group （n=32）. The rate of ACS was compared between C .and D. group. [Results] 24 hours crystalloid requirements after injury of group A was 8.379[3.419]（mean[SD]）L,and the one of group B was 6.088[2.679]L, their difference was significant. The rote of ACS in group C was 61.9% （13/21）, it＇s higher than the one of group D 18.8% （6/32）, their difference was significant （P 〈0.05）. [Conchtsions] Large erystalloid requirements after injury is one of factors for complicating ACS after severe injury of abdomen.