恶性腹水源性腹腔间隔室综合征腹腔减压量与中心静脉压变化关系研究

Study of the Inter Relationship between Changes of the Central Venous Pressure and Abdominal Cavity Flow of MAACS

目的探讨恶性腹水源性腹腔间隔室综合征腹腔减压量与中心静脉压变化相互关系。方法选择恶性腹水源性腹腔间隔室综合征临床病例23例,经锁骨下静脉放置中心静脉导管(双腔)监测中心静脉压,予腹腔置管行腹腔减压治疗,腹腔每引流500 mL腹水测定一次CVP。结果根据腹腔内减压量及CVP值绘制腹腔减压量-CVP曲线图,腹腔减压量和CVP呈高度负相关关系,回归方程:y=32.18 x-3.40,(r=-0.855 4,t=4.046 1,P=0.006 8)。结论对于MAACS病人而言,CVP受到腹水量的直接影响,随着腹水引流量的增加,CVP逐渐恢复正常。

Objective To explore the inter relationship between changes of the central venous pressure and abdominal cavity flow of malignant ascites-induced abdominal compartment syndrome.Methods Choose the malignant ascites-induced abdominal compartment syndrome clinical cases in 23 cases,and monitor abdominal cavity flow and CVP when treatment abdominal compartment syndrome by place the line abdominal cavity catheter decompression.Results Plot of abdominal decompression quantity-CVP by the quantity of intra-abdominal pressure and CVP values,there is highly negative correlation relationship,regression equation:y=32.18x-3.40(r=-0.8554 t=4.0461 p=0.0068.Conclusion In terms of the patients with MAACS,whose CVP are directly affected by the IAP,with the increase of ascites drainage,CVP gradually returned to normal.