腹腔间室综合征12例临床分析

Clinical Study of 12 Cases with Abdominal Compartment Syndrome

目的了解腹腔间室综合征(ACS)的发病特点和临床表现,探讨其治疗方法。方法总结2000年1月～2006年12月收治的ACS患者12例,其中男9例,女3例。重症急性胰腺炎6例,腹腔感染3例,腹膜后血肿1例,急性肠系膜血栓形成1例,腹腔肿瘤1例。膀胱内压测定均>24cmH2O(1cmH2O=0.098kPa)。采用单纯保守治疗2例,手术治疗10例。结果治愈10例,死亡2例。结论外科危重病人中并发ACS病死率较高,及时诊断并采取有效的腹腔减压措施及联合多器官功能支持有助于改善患者预后。

Objective To su mmarize the clinic characteristics of abdominal compartment syndrome and find some effective treatments. Methods Among 12 cases with abdominal compartment syndrome（ACS） from Jan, 2000 to Dee , 2006 , there were 9 males and 3 females,6 Cases sufferred from acute severe pancreatitis,3 cases abdominal infection, 1 case intra-abdominal tumor. The intmabdominal pressure were above 24cmH20（ lcmH20 = 0.098Kpa）. 2 patients received non--operative therapy, 10 patients received operation. Results In 12 patients, 10 patients cured,2 patients death. 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＇ progrosis may be greatly improved.