经后腹膜减压治疗骨盆骨折所致腹腔间隔室综合征

Retroperitoneal Approach Decompression Treatment of Pelvic Fractures Cause By Abdominal Compartment Syndrome

目的:探讨骨盆骨折所致腹腔间隔综合征的诊断与治疗措施。方法:本组骨盆骨折病例162例,其中13例病人诊断为腹内高压IAH。予介入血管栓塞后,仍有5例腹内高压发生腹腔间隔综合征ACS,予急诊手术。下腹部道八字切口,清除血肿,VSD覆盖引流。结果:后腹膜减压手术治疗ACS5例。术后全部病例均恢复。保守治疗8例IAH患者,术后恢复顺利。结论:经后腹膜入路减压是治疗骨盆骨折所致腹腔间隔室综合征的有效方法。

Objective：To discuss diagnosis and treatment of pelvic fractures caused by abdominal compartment syndrome. Methods： 162 cases of pelvic fractures at author＇ s hospital from JAN -2007 to APR -2012. 13 patients were diagnosed as IAH, For the interventional therapy of vascular thrombus after,There were still 5 patients happened ACS, emergency operation. Clearanced of hematoma, Covered drainage by VSD. Results： 8 cases IAH with expectant treatment;5 cases of ACS with emergency operation. All recovered smoothly at last. Conclusion： Retroperitoneal approach decompression treatment of pelvic fractures cause by abdominal compartment syndrome might be effective method