加速康复外科处理策略在破裂性腹主动脉瘤术后腹腔内高压中的应用研究

Application of enhanced recovery after surgery treatment strategy in abdominal hypertension after ruptured abdominal aortic aneurysm surgery

破裂性腹主动脉瘤(RAAA)起病迅猛,预后差,是血管外科常见的危重疾病。腹腔间隙综合征(ACS)是RAAA患者术后出现的高危并发症,可影响机体的多个器官和系统,甚至导致患者死亡。因此,对于ACS,需要采用医护一体化的临床护理模式,并联合急诊科、麻醉科、影像科等其他临床相关科室,在加速康复外科(ERAS)的管理模式下,规范处理流程,减少手术应激,加强腹内压的监测与管理,从而降低ACS的发生率,提高患者的生存质量。

The ruptured abdominal aortic aneurysm(RAAA)with rapid onset and poor prognosis is a common and severe cases of vascular surgical disease.The high-risk postoperative complication of abdominal compartment syndrome(ACS)is one of the leading causes of death among RAAA patients,and it can influence multiple organs and systems and lead to death.It is needed to take integrated clinical management for ACS combining emergency,anesthesia,imaging department and other relevant clinical departments under the mode of enhanced recovery after surgery(ERAS),to standardize the treating process,reduce the surgical stress and enhance the monitoring and management of intra-abdominal pressure with the intention of reducing the incidence of ACS and improve the quality of life of patients.