腹腔减压治疗对ACS患者UBP、CVP、HR、RR、Pa02、PaCO2、BUN、Cr和尿量影响

【目的】探讨腹腔减压治疗腹腔间隔室综合征（ACS）患者对膀胱压力（UBP）、中心静脉压（CVP）、心率（HR）、呼吸频率（RR）、动脉血氧分压（PaO2）、二氧化碳分压（PaCO2）、血清尿素氮（BIJN）、肌酐（Cr）和尿量的影响。【方法】回顾性分析本院2003年2月至2008年5月以来诊治的36例ACS患者的临床资料和治疗结果。【结果】12例给予脏器功能维护基础治疗。24例均在非手术治疗后3～8d实行各种减压手术治疗．非手术组和手术组的膀胱内压与CVP、HR、MAP、RR、PaO2、PaCO2、BUN、Cr和尿量的差别有统计学意义。【结论】ACS多见于外科危重患者．常被原发疾病所掩盖，严密观察膀胱内压、各生理及生化指标、及时实行腹腔减压手术是提高；台愈率的关键。

Effect of Abdominal Decompression on UBP,CVP, HR,RR, PaO2, Volume of Urine in Patients with Abdominal Compartment Syndrome

[Objective]To investigate the changes of urinary bladder pressure （UBP）, central venous pressure（CVP）, heart rate（HR）, mean arterial pressure（MAP）, respiratory rate（RR）, PaO2, PaCO2, BUN,Cr as well as volume of urine in abdominal compartment syndrome（ACS） treated by abdominal decompression. [MethodslThirty- six cases were treated in our hospital from February 2003 to May 2008, and a retrospective study was used to analyze the clinical data of them. [ResultslTwelve cases were treated by organ maintenance therapy. Twenty four cases were operated after 3-8 days of conservative treatment. There were statistically significant differences in vesical pressure values and CVP, HR, RR, PaO2, PaCO2, BUN, Cr as well as votume of urine in the surgical group and non surgical group. [Conclusion]ACS is mostly seen in severe surgical patients and generally covered by primary disorder. UBP, physiological and biochemical indicators should be closely observed. Decompress operation promptly is the kev to improve the cure rate.