Impaired renal function due to raised intraabdominal pressure |
| |
Authors: | Dr. C. Platell J. Hall G. Dobb |
| |
Affiliation: | (1) University Department of Surgery, Royal Perth Hospital, Wellington Street, 6000 Perth, Western Australia;(2) Intensive Care Unit, Royal Perth Hospital, Wellington Street, 6000 Perth, Western Australia |
| |
Abstract: | A 19-year-old male developed renal failure after a laparotomy for liver trauma (urinary output of 30 ml/h, plasma creatinine 220 mol/l). Surgical decompression of the abdomen was performed without any attempt at correcting the underlying pathology. This reduced the intraabdominal pressure (IAP) from 40 to 24 cm H2O and resulted in a massive diuresis (530 ml/h). Twenty-four hours later the plasma creatinine peaked at 280 mol/l and then returned to within the normal range. This case report confirms that there is a direct relationship between IAP and renal function. |
| |
Keywords: | Acute kidney failure Intraabdominal pressure Liver surgery Trauma |
本文献已被 SpringerLink 等数据库收录! |
|