重症急性胰腺炎腹内高压及腹腔间隙综合征患者的动态监测及护理

Monitoring and care of patients with severe acute pancreatitis intra-abdominal hypertension and abdominal compartment syndrome

目的：探讨重症急性胰腺炎腹内高压及腹腔间隙综合征患者腹内压动态监测意义和护理方法。方法：选择我院急诊外科2012年7月-2014年7月收治的重症急性胰腺炎患者39例,给予常规护理和支持治疗,包括禁食水、胃肠减压、芒硝外敷、抑制胰腺分泌药物使用;使用Ab Viser Auto Valve腹内压监测设备,动态测定膀胱压代替腹内压,发现腹内高压及时采取减压措施和护理干预。结果：39例重症急性胰腺炎患者痊愈31例,好转2例,转院重症监护室1例,自动出院1例,死亡4例。平均住院天数（23.25±4.18）d。结论：动态监测重症急性胰腺炎患者的腹内压,可及时发现腹内高压,预防腹腔间隙综合征发生,为腹腔间隙综合征患者的诊治提供客观依据,缩短住院时间,降低病死率。

Objective：To explore dynamic monitoring significance and care abdominal compartment for severe acute pancreatitis in patients with intra -abdominal hypertension and syndrome abdominal pressure . Methods：The randomly selected 39 patients in our hospital emergency surgical with severe acute pancreatitis from July 2012 - July 2014, and they received routine care and support treatment, including water fasting, stomach intestinal decompression, mirabilite, inhibit pancreatic secretion drug use. Based on the use of Abred intra - abdominal pressure monitoring equipment, dynamic measurement of bladder pressure instead of the intra - abdominal pressure. Found that abdominal high pressure to take timely measures and nursing intervention decompression. Results ： Among 39 patients ,31 patients were cured ,2 patients improvement, into ICU 4 patients, automatic discharge 1 patient, and 4 patients death. The average inhospital time was （23.25± 4.18 ）d. Conclusion：Dynamic monitoring intraabdominal pressure for serere acute panereatitis patients could prevent abdominal compartment syndrome, reduce inhospital time and death rate.