子痫前期合并腹腔间隔室综合征的诊治

世界腹腔间隔室综合征协会将腹腔间隔室综合征(ACS)定义为腹内压持续>20mmHg(伴或不伴腹腔灌注压<60mmHg,1mmHg=0.133kPa),同时合并有新发的器官功能障碍或衰竭。ACS是子痫前期的严重并发症,其临床表现与重度子痫前期有重叠,通过临床症状和体征进行诊断有相当大的难度,其诊断主要依靠腹内压的测量。ACS的治疗应个体化,包括"非手术管理"和外科减压。

Diagnosis and treatment of pre-eclampsia with abdominal compartment syndrome

The definition for abdominal compartment syndrome(ACS) has been proposed by the World Society of the Abdominal Compartment Syndrome and is defined as a sustained intra abdominal pressure(IAP) > 20mmHg(with or without an APP < 60mmHg) that is associated with new organ dysfunction/failure.ACS is a severe complication of pre-eclampsia.The diagnosis of ACS may be challenging given the overlap of signs of ACS with the findings of severe pre-eclampsia,and is therefore major dependent on the measurement of IAP.ACS should be performed with individual treatment including nonoperative medical management and surgical decompression.