腹腔室隔综合征五例的诊断和治疗

目的 总结腹腔室隔综合征（ACS）的诊断和治疗经验。方法 5例ACS病例，皆以其临床特征得出诊断，行开腹减压，用3升静脉营养输液袋暂时性关腹。结果 1例经上腹正中切口开腹减压术后死亡；4例作剑突至耻骨联合大切口开腹减压，其中1例术后窒息死亡，余3例治愈出院。死亡率40％（2／5）。结论 密切腹部体征和全身变化是发现ACS的关键；ACS一旦确诊应及时开腹充分减压，可用3升静脉营养输液暂时性关腹。

The diagnosis and treatment of abdominal compartment syndrome:report of five patients

Objective To sum up the experience on the diagnosis and treatment of abdominal compartment syndrome(ACS). Methods In this report, ACS was diagnosed by special clinical features in all 5 patients. Following emergency decompressive celiotomy, the abdominal viscera were covered with a 3 L sterile plastic bag for nutrition support. Results The first case died despite abdominal decompression through uper midline incision. 4 cases underwent decompressive celiotomy through incision from xiphoid to symphysis, one died postoperatively. The overall mortality in this series was 40% (2 / 5). Conclusions Close attention paid to the abdominal and systemic signs facilitates the diagnosis of ACS.Emergent decompressive celiotomy through a incision from xiphoid to symphysis is effective in treating ACS. Temporary abdominal closure could be fulfiled with 3L sterile plastic bag for nutrition support.