腹部外加压治疗腹腔出血技术研究

Technology research of external abdominal pressure treatment for abdominal bleeding

目的探讨腹部外加压治疗腹腔出血的临床应用价值。方法将212例腹腔出血患者随机分成常规治疗组（A组）和腹部外加压治疗组（B组），腹部外加压治疗组在常规治疗的基础上，用气囊加压腹带外加压，使腹内压达到15～20mmHg，观察对比2组患者的治疗效果。结果腹部外加压治疗组与常规治疗组相比：死亡率明显降低（5.66％：10．83％），腹腔平均出血量减少（1387mL：1713mL），保守治疗成功率提高（20．75％：11．32％）；2组的腹腔间隔室综合征（ACS）发生率无明显差异（3．77％：2．83％）。结论适度的腹部外加压可以减少腹腔出血患者的出血量，降低死亡率，提高保守治疗成功率；且不增加腹腔间隔室综合征（ACS）的发生率。

Objective To explore the value of clinical application on treating abdominal bleeding by abdominal external pressure. Methods 212 patients of abdominal bleeding were divided into conventional treatment group （group A） and external abdominal pressure treatment group （group B） randomly. Together with conventional treatment, we used external pressure by aero cyst compression belly- band on external abdominal pressure treatment group. Intra - abdominal pressure reached 15-20 mmHg. The treatment effect of the two groups were observed and compared. Results Compared with the conventional treatment group, mortality of the external abdominal pressure treatment group was decreased obviously （5.66 % ：10.83 % ）. The average blood loss of abdominal was reduced （1 387 mL： 1713 mL）, the success rate of conservative treatment was improved （20.75% ：11.32% ）, and the incidence rate in two groups of abdominal compartment syndrome （ACS） had no significant difference （3.77 % ： 2.83 % ）. Conclusion Moderate abdominal external pressure can reduce the amount of abdominal bleeding, decrease mortality, and improve the success rate of conservative treatment. At the same time, it does not increase the incidence rate of abdominal compartment syndrome （ACS）.