重症急性胰腺炎并发腹腔间隔室综合征76例临床分析

Clinical analysis of severe acute pancreatitis complicated with abdominal compartment syndrome in 76 cases

目的分析重症急性胰腺炎(severe acute pancreatitis,SAP)并发腹腔间隔室综合征(compartmen syndrome,ACS)患者的临床特点及治疗方法。方法对到本院就治的76例SAP合并ACS患者的临床资料进行回顾性分析。结果 SAP合并ACS患者典型表现有腹胀、腹膨隆、腹痛、呼吸困难等;容易并发器官功能障碍、黄疸、消化道出血、胰性脑病等疾病;76例患者中65例抢救成功,占85.53%;死亡11例,占14.47%。结论对SAP合并ACS患者进行腹腔置管引流联合生大黄导泻、芒硝外敷治疗能有效缓解腹腔高压表现,提高抢救成功率。

Objective To analyze the clinical features and treatment of SAP complicated with ACS patients. Methods The clinical data of 76 cases of SAP complicated with ACS were analyzed retrospectively. Results Typical performance of SAP complicated with ACS were bloating, abdominal distension, abdominal pain, dyspnea; Patients easily complicated by organ dysfunction, jaundice, gastrointestinal bleeding, pancreatic encephalopathy, gallstone disease; 65 cases were rescue successful （85.53%）; 11 cases were death （14.47%）. Conclusion Catheter drainage combined raw rhubarb catharsis, mirabilite treatment can effectively relieve abdominal hypertension and improve the successful rescue rate.