腹腔内压测定在116例危重患者中的意义临床观察

Observation of clinical significance of measuring intra-abdominal pressure in 116 cases of severe patients

[背景]探讨危重患者腹腔内高压(IAH)的临床意义.[病例报告]选择2010年—2012年间入住延边大学附属医院ICU行腹腔内压(IAP)测定的患者116例,通过测定膀胱内压观察腹腔内压的高低,从而了解易引起IAH及易导致腹腔间隔室综合征(ACS)的疾病,给予IAH患者早期干预以提高抢救成功率.内科病人较外科病人发生IAH者少,严重程度轻,且未发现ACS发生,外科病人中以肠穿孔、肠梗阻、胸腹联合多发伤及重症胰腺炎病人易发生IAH及ACS.[讨论]内、外科危重患者发生IAH有显著区别;对IAH患者早期采取及时有效的治疗措施,可预防ACS的发生与发展.

BACKGROUND To observe the clinical significance of intra-abdominal hypertension（IAH）in severe patients.CASE REPORTS116 patients of hospitalized in ICU and measured intra-abdominal pressure were selected from 2010 to 2012,and the diseases of easily resulting in IAH and abdominal compartment syndrome（ACS）were understand by observation of high and low of intra-abdominal pressure with measuring intra-bladder pressure.The patients with IAH were administrated with early intervention,the success rate of emergency treatment was improved.The patients with IAH were fewer and less seriousness in internal medicine than in surgery,and had no occurrence of ACS,and the patients with intestinal perforation,intestinal obstruction,thoracoabdominal multiple injuries and severe pancreatitis were peculiarly prone to IAH and ACS.DISCUSSION Occurrence of IAH is significant difference between the severe patients in internal medicine and in surgery,and the timely and effective treatment measures for the IAH patients are administrated,the occurrence and development of ACS could be prevented.