腹内压监测在腹腔间隔室综合征的临床观察和应用

目的研究并检测腹内压在外科危重病患者监测和治疗中的临床价值。方法对外科危重患者动态膀胱内压监测,分析腹腔压力升高对呼吸功能、血流动力学、及肾脏功能等方面变化的影响,并对症治疗。结果 46例ACS患者,有15例保守治疗,14例手术治疗,17例穿剌引流。其中33例治愈,7例死亡,6例放弃治疗。结论对具有腹内高压危险因素的危重患者应常规监测腹内压,采取及时有效的治疗措施可以预防腹腔间隔室综合征的发生与发展,降低死亡率。

Abdomen cavity pressure monitoring observed and applied in abdominal compartment syndrome

Objective To investigate and test the changes of intra-abdominal pressure（IAP）and its clinical significance of patients in ICU. Methods Continuously monitoring abdomen pressure of postoperative patients;analyzing the effects on respiratory function,hemodynamic and renal function caused by the increase of abdomen cavity pressure and carrying out symptomatic treatment.Results In 46 cases of ACS,15 cases were treated expectant treatment,14 cases received operation,17cases received drainage of abdomen.33 cases were recovered;7 cases died and 6 gave up taking treatments.Conclusions For those critical patients with risk factors of high intra-abdominal pressure should monitor their abdominal pressure changes as routine.To provide effective treatment and nursing care for them in time could prevent abdominal compartment syndrome from either happening or developing and reduce death rate.