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创伤后腹腔室隔综合征的诊治分析 被引量:1

Diagnosis and treatment of abdominal compartment syndrome after trauma
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摘要 目的分析创伤后腹腔室隔综合征(ACS)的临床特点,总结其诊治经验。方法收集2000年8月~2008年3月我科收治的17例创伤后ACS临床资料,分析其发病高危因素、临床分型和治疗措施。结果17例创伤后ACS患者中,6例因胰腺和(或)十二指肠损伤延迟诊断而引起。根据病变部位分型,17例中9例为腹腔型,8例为腹膜后型。17例均行剖腹手术治疗,4例死亡,死亡率23.5%。结论及时处理腹部创伤、减少漏诊、选择适当的休克复苏措施有助于减少创伤后ACS的发生。根据患者损伤情况ACS分型,选择恰当的个体化手术方案有助于降低创伤后ACS的并发症和死亡率。 Objective To investigate the clinical characteristics of abdominal compartment syndrome (ACS) after trauma and explore effective therapy. Methods Clinical data of 17 trauma patients with ACS admitted in our department during August 2000 to March 2008 were collected. The etiology, diagnosis, treatment approaches and outcome of these patients were analyzed. Results Traffic injury and falling injury were the most common causes of ACS after trauma. ACS occurred due to delayed therapy of pancreatic and/or duodenum injury in 6 cases. Nine cases were peritoneal cavity type,8 were post-peritoneal type. All patients underwent laparotomy^and 4 patients died with mortality rate of 23.5%. Conclusion Prompt treatment of abdominal injury and appropriate shock resuscitation may reduce the occurrence of ACS in trauma patients. Personalized therapy according to the classification of ACS may decrease morbidity and mortality rate of ACS after trauma.
出处 《创伤外科杂志》 2008年第6期523-525,共3页 Journal of Traumatic Surgery
关键词 腹部损伤 腹腔室隔综合征 abdominal injury abdominal compartment syndrome
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  • 1Sharpe RP, Pryor JP, Gandhi RR, et al. Abdominal compartment syndrome in the pediatric blunt trauma patient treated with paracentesis: report of two cases [ J ]. J Trauma,2002,53 (2) :380 - 382.
  • 2Bar-El Y, Keitzman V, Klein Y. The abdominal compartment syndrome as a consequence of penetrating heart injury[J]. J Card Surg,2003,18(4) :312 -314.
  • 3Tiwari A, Myint F, Peters JL, et al. The abdominal compartment syndrome following aortic surgery[J]. Eur J Vase Endovase Surg,2003,26( 1 ) : 110.
  • 4Balogh Z, McKinley BA, Cocanour CS, et al. Secondary abdominal compartment syndrome is an elusive early complication of traumatic shock resuscitation [J]. Am J Surg, 2002,184 (6) : 538 - 543.
  • 5Ivy ME,Atweh NA, Palmer J, et al. Intra-abdominal hypertension and abdominal compartment syndrome in burn patients [ J ]. J Trauma, 2000,49 ( 3 ): 387 - 391.
  • 6Maxwell RA, Fabian TC, Croce MA, et al. Secondary abdominal compartment syndrome: an underappreciated manifestation of severe hemorrhagic shock [ J ]. J Trauma, 1999,47 (6) : 995 - 999.
  • 7Raeburn CD, Moore EE, Biffl WL, et al. The abdominal compartment syndrome is a morbid complication of postinjury damage control surgery [ J ]. Am J Surg, 2001,182 (6) : 542 - 546.
  • 8Balogh Z, McKinley BA, Holcomb JB, et al. Both primary and secondary abdominal compartment syndrome can be predicted early and are harbingers of multiple organ failure [ J ]. J Trauma,2003,54 ( 5 ) : 848 - 861.
  • 9McNelis J, Marini CP, Simms HH. Abdominal compartment syndrome: clinical manifestations and predictive factors [J]. Curr Opin Crit Car,2003,9(2) :133 -136.
  • 10Loftus IM, Thompson MM. The abdominal compartment syndrome following aortic surgery [ J ]. Eur J Vasc Endovasc Surg, 2003,25 (2) :97 - 109.

同被引文献9

  • 1Raebum CD, Moore EE, Biffl WL, et al. The abdominal compartment syndrome is a morbid complication of postinjury damage control surgery [ J]. Am J Surg, 2001,182 (6) : 542 - 546.
  • 2Sharpe RP, Pryor JP, Gandhi RR, et al. Abdominal compartment syndrome in the pediatric blunt trauma patient treated with paracentesis : report of two cases [ J ]. J Trauma,2002,53(2) : 380-382.
  • 3Ivy ME,Atweh NA, Palmer J, et al. Intra-abdominal hypertension and abdominal compartment syndrome in burn patients [ J ]. J Trauma,2000,49 (3) : 387 - 391.
  • 4Loftus IM, Thompson MM. The abdominal compartment syndrome following aortic surgery [ J ]. Eur J Vasc Endovasc Surg,2003,25(2) : 97 - 109.
  • 5McNelis J, Marini CP, Simms HH. Abdominal compartment syndrome: clinical manifestations and predictive factors [J]. Curr Opin Crit Care,2003,9(2) : 133 - 136.
  • 6Losanoff JE, Richman BW ,Jones JW. Temporary abdominal coverage and abdominal compartment syndrome [ J ]. Arch Surg,2003,138 (5) : 565 - 566.
  • 7余枭,陈晓建,陈道瑾,李小荣,李永国,黄生福,王群伟,李青龙.暴发性急性胰腺炎并发腹腔室隔综合征临床诊治进一步探讨[J].中华普通外科杂志,2007,22(8):582-585. 被引量:13
  • 8谢正勇,张玉新,程黎阳.腹腔室隔综合征七例诊治体会[J].中华普通外科杂志,2007,22(10):746-749. 被引量:3
  • 9孙士锦,张连阳.损害控制性剖腹术的伤口处理[J].创伤外科杂志,2009,11(1):94-96. 被引量:13

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