确定性关腹的时机探讨

Certainty of the timing of the abdomen was closed

目的总结腹腔室膈综合征(ACS),在腹腔减压后及暂时性关腹术后,行确定性关腹时机的选择。方法当诊断ACS行腹腔减压后,运用静脉营养3L袋作暂时性关腹,术后在满足一定的条件下行确定性关腹。结果本组患者30例,确定性关腹术后发生切口疝2例;补片修补并发感染1例,死亡2例,其他25例效果良好,无严重并发症发生。结论暂时性关腹是治疗腹腔室膈综合征的积极有效措施之一,合理及时的行确定性关腹可防止切口感染及切口疝的发生。

Objective To summarize the abdominal diaphragm syndrome（ACS）,chose the time of closing abomen after abdominal decom pression and temporary abdominal surgery.Methods The diagnosis of ACS when the abdominal cavity after decompression,the use of parenteral nutrition bags for temporary 3L abdomen was closed,after certain conditions were met the abdomen was closed down or called deterministic certainty the abdomen was closed.Results 30 patients,certainties related postoperative abdominal incisional hernia in 2 cases; mesh repair complicated by infection in 1 case,2 deaths,25 cases of good results without serious complications.Conclusion The abdomen is closed temporarily to treat abdominal diaphragm syndrome is one of the active and effective measures,reasonable certainty off the line in time to prevent wound infection and abdominal incisional hernia occurred.