3升塑料袋用于腹腔扩容治疗腹内高压症

Application of 3-litre plastic bags in intra-abdominal volume increment for treatment of intraabdominal hypertension: a surgical experience

目的 探讨3升塑料袋腹腔扩容在腹腔高压症中的应用.方法 18例腹腔高压症的患者,包括急性重症胰腺炎、肠系膜血管栓塞、消化道穿孔、肠扭转及腹部外伤的危重症患者.所有患者均性剖腹探查手术及采用3升塑料袋腹腔扩容、减压,4～8天患者平稳后二次手术.结果 18例患者中死亡3例,其中急性重症胰腺炎1例,全小肠扭转1例,消化道穿孔1例,另15例痊愈出院.术后并发症包括2例腹腔脓肿、1例切口疝、1例出现营养吸收不良.结论 3升塑料袋腹腔扩容在腹腔高压症中的应用安全、经济、疗效满意.

Objective To report an experience in treatment of intra-abdominal hypertension by using 3-litre plastic bags for the expansion of the abdominal cavity. Methods Eighteen patients with severe celiac diseases combined with intra-abdominal hypertension were included the study. All patients underwent surgical procedure for intraabdominal volume increment by using 3-litre plastic bags, and received second operation in 4 to 8 days after primary treatment. The postoperation results were recorded and retrospectively analyzed. Results Of the 18 patients, 3 cases were dead of severe acute pancreatitis, total small bowel torsion and gastrointestinal perforation, respectively; 15 cases were cured. Two cases were found intra-abdominal abscess and another one had incisional hernia postoperation. Malabsorption of nutrients were happened in one case. Conclusion Application of 3-litre plastic bags for treatment of intra-abdominal hypertension is a elective, economy method.