| 腹腔室膈综合征23例诊断治疗体会 |
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| 引用本文： | 薛文龙,卜德勇,赵连,张经,刘守军. 腹腔室膈综合征23例诊断治疗体会[J]. 临床医药实践, 2004, 13(3): 179-181 |
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| 作者姓名： | 薛文龙 卜德勇 赵连 张经 刘守军 |
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| 作者单位： | 1. 大同市第五人民医院,山西,大同,037006
2. 大同市浑源县城关镇医院,山西,大同,037400 |
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| 摘 要： | 目的 :总结腹腔室膈综合征 (ACS)的诊断及治疗经验。方法 :2 3例 ACS以临床特征及腹腔压力得出诊断 ,行开腹减压 ,用 3L静脉营养输液袋暂时关腹。结果 :未手术组 10例 ,死亡 8例 ,病死率 80 % ;手术组 13例 ,死亡 2例 ,死亡率 15 .4 %。结论 :密切观察腹部体征 ,全身变化 ,腹腔测压是发现 ACS的关键 ;ACS一旦确诊应及时开腹充分减压 ,可用 3L 静脉营养输液袋暂时性关腹
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| 关 键 词： | 腹腔室膈综合征 诊断 治疗 |
| 文章编号： | 1671-8631(2004)03-0179-03 |
| 修稿时间： | 2003-12-05 |
The diagnosis and treatment of abdominal compartment syndrome(report of twenty-three patients) |
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| XUE Wen long,BU De yong,ZHAO Lian,ZHANG Jing,LIU Shou jun. The diagnosis and treatment of abdominal compartment syndrome(report of twenty-three patients)[J]. Proceeding of Clinical Medicine, 2004, 13(3): 179-181 |
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| Authors: | XUE Wen long BU De yong ZHAO Lian ZHANG Jing LIU Shou jun |
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| Abstract: | 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 and intra abdominal pressure in all 23 patients.Following emergency decompression celiotomy,the abdominal viscera were covered with a 3 L sterile plastic bag for nutrition support.Results:8 cases died in the 10 cases of non operation group.The rate of death is 80 %.2 cases died in the 13 cases of operation group.The rate of death is 15.4 %.Conclusions:Close attention paid to the abdominal and systemic signs.Evaluating intra abdominal pressure facilitates the diagnosis of ACS.Emergent decompression celiotomy through a incision from xiphoid to symphysis is effective in treating ACS.Temporary abdominal closure could be falfiled with 3 L steile plastic bag for nutrition support. |
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| Keywords: | abdominal compartment syndrome diagnosis treatment |
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