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重症急性胰腺炎伴腹腔高压时的循环功能支持 被引量：2

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摘要 重症急性胰腺炎（severe acute pancreatitis，SAP）病人常常合并腹腔高压，其发生率可高达60％～80％[1]。通常认为其发生的原因包括：胰腺和后腹膜炎症导致的胰腺和后腹膜组织的水肿、渗出甚至出血；胃肠道麻痹，胃肠高度胀气，肠壁水肿，腹腔积液等可导致腹腔压力急剧增高，同时，不适当的液体复苏也往往加重腹腔脏器的水肿，进一步增加腹腔压力。
作者 李维勤 倪海滨 柯路 孙加魁 童智慧 黎介寿
机构地区 南京大学临床学院南京军区南京总医院普通外科研究所SICU
出处 《中华医学杂志》 CAS CSCD 北大核心 2012年第45期3189-3190,共2页 National Medical Journal of China
关键词 重症急性胰腺炎 腹腔高压 循环功能 肠壁水肿 腹腔压力 腹膜组织 腹膜炎症 腹腔积液
分类号 R576 [医药卫生—消化系统]
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参考文献12

  • 1De Waele JJ, Leppaniemi AK. Intra-abdominal hypertension in acute pancreatitis. World J Surg,2009,33 : 1128-1133.
  • 2Malbrain ML, Cheatham ML, Kirkpatrick A, et al. Results from the international conference of experts on Intra-abdominal hypertension and abdominal compartment syndrome I. definitions. Intensive Care Med, 2006,32: 1722-1732.
  • 3Ke L, Tong ZH, Ni HB, et al. The effect of intra-abdominal hypertension incorporating severe acute pancreatitis in a porcine model. PLos One ,2012,7:33125.
  • 4Cheatham ML. Abdominal compartment syndrome : pathophysiology and definitions. Scandinavian J Trauma Resusc Emerg Med, 2009,17 : 10.
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同被引文献27

  • 1Brisinda G, Vanella , CroccoA, et al. Severe acute pancreatitis: advances and insights in assessment of severity and management. Eur J Gastroenterol Hepatol,2011, 23: 541-551.
  • 2Bradley EL 3rd, Dexter ND. Management of servere ante pancreatitis: a surgical odyssey. Ann Surg,2010,251:6-17.
  • 3Besselink MG, Verwer TJ, Schoenmaeckers EJ, et al. Timing of surgical intervention in necrotizing pancreatitis. Arch Surg,2007, 142 : 1194-1201.
  • 4Van Santvoort HC, Bakker O J, Bollen TL, et al. A conservative and minimally invasive approach to necrotizing pancreatitis improves outcome. Gastroenterology,2011,141 : 1254-1263.
  • 5Doctor N, Agarwal P, Gandhi V. Management of severe acute pancreatitis. Indian J Surg,2012 ,74 :40-46.
  • 6Isaji S, Takada T, Kawarada Y, et al. JPN Guidelines for the management of acute pancreatitis: surgical management. J Hepatobiliary Pancreat Surg ,2006, 13:48-55.
  • 7Park S, Lee S, Lee HI), et al. Abdominal compartment syndrome in severe acute pancreatitis treated with percutaneous catheter drainage[J]. Clin Endosc, 2014, 47(5):469-472,.
  • 8Kron J, Saner W, Mueller G, et al. Outcomes of patients with definite and suspected isolated cardiac sarcoidosis treated with an implantable cardiac defibrillator [J]. J Interv Card Eleclrophysiol, 2015, 43(1): 55-64.
  • 9Pupelis G,Autrums E,Snippe K, et al. Increased intra-abdominal pressure--an important risk factor of early organ dysfunction in severe acute pancreatitis[J]. Z..,mtralbl Chit, 2002, 127(11):982-986.
  • 10Zhu H, Liao X, Guo S, et al. Embryonal natural orifice transluminal endoscopic surgery treating severe acute pancreatitis complicated by abdominal compartment syndrome[J] 2014, 61(135):2096-2101.

引证文献2

二级引证文献12

中华医学杂志
2012年 第45期

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