腹壁巨大切口疝术后并发腹腔间隔室综合征的诊治

Diagnosis and treatment of abdominal compartment syndrome aftergiantabdominal incisional hernia surgery

目的：提高腹壁巨大切口疝术后并发腹腔间隔室综合征（ACS）的治疗水平。方法回顾性分析我院于2010年6月～2014年6月收治的8例腹壁巨大切口疝术后并发 ACS 患者的诊治方法。结果8例 ACS 中治愈7例，治愈率87．5％，1例 ACS 因合并慢性肺心病，引起急性呼吸窘迫综合征（ARDS）导致严重肺部感染而治愈无效死亡，死亡率12．5％。7例治愈患者，出院后随访间期为3个月和6个月，未出现疝复发及机体器官功能不全的表现。结论ACS 是腹壁巨大切口疝术后的严重并发症，治疗困难，死亡率较高，早期诊断和综合性治疗是降低其死亡率的关键。

Objective To investigate the diagnosis and treatment of abdominal compartment syn-drome （ACS）aftergiantabdominal incisional hernia surgery.Methods The diagnosis and treatment of eight cases of ACS after giantabdominal incisional hernia surgery in our hospital from June 201 0 to June 201 4 were retrospectively analyzed.Results Seven cases of ACS were cured,with a cure rate of 87.5%. One case with chronic pulmonary heart diseasedied ofsevere lung infection caused by ARDS,with a mor-tality of 1 2.5%.The cured patients discharged and werefollowedup for threeto six months,without any signs of recurrence and organ dysfunction.Conclusion Abdominal compartment syndrome is a serious complication aftergiantabdominal incisional hernia surgery,with treatment difficult and high mortality.The keysinreducingmortalityare early diagnosis and comprehensive treatment.