【摘要】 目的 总结重度以上烧伤患者合并腹腔间隙综合征（abdominal compartment syndrome，ACS）的诊治方法。 方法 回顾性分析2009年11月-2011年6月2例确诊为重度以上烧伤且合并ACS的患儿临床诊治资料，总结烧伤合并ACS的临床诊治方法。 结果 重度以上烧伤合并ACS的患者可能出现临床表现:心率增快、中心静脉压升高、心输出量降低、低血压、腹胀、呼吸困难、低氧血症和高碳酸血症、少尿或无尿、膀胱压增高等。腹腔减压术后，患儿心率增快、低血压、腹胀、少尿、呼吸困难等症状得到缓解。 结论 重度及以上烧伤可能合并ACS，烧伤患者中以小儿多见，尚无一致的诊断标准，表现具有一定的隐蔽性、多样化特点，腹腔减压是干预ACS最为有效的治疗措施。
Citation：
张祥运,廖毅. 烧伤并发腹腔间隙综合征二例. West China Medical Journal, 2011, 26(10): 1476-1477. doi:
Copy
Copyright © the editorial department of West China Medical Journal of West China Medical Publisher. All rights reserved
| 1. |
Ivy ME, Possenti PP, Kepros J, et al. Abdominal compartment syndrome in patients with burns[J]. J Burn Care Rehabil, 1999, 20(5): 351-353.
|
| 2. |
Kron IL, Harman PK, Nolan SP. The measure ment of intra-abdominal pressure as a criterion for abdominal re-exploration[J]. Ann Surg, l984, l99(1): 28-30.
|
| 3. |
Barnes GE, Laine GA, Giam PY, et al. Cardiovascular responses to elevation of intra-abdominal hydrostatic pressure[J]. Am J Physiol, 1985, 248(2 Pt 2): 208-213.
|
| 4. |
杨宗城. 烧伤治疗学[M]. 北京: 人民军医出版社, 2006: 298-299.
|
| 5. |
程君涛, 肖光夏. 腹腔间隙综合征[J]. 中华烧伤杂志, 2002, 18(2): 122-125.
|
| 6. |
Erteal W, Oberholzer A, Platz A, et al. Incidence and clinical pattern of the abdominal compartment syndrome after “damage control” laparotomy in 311 patients with severe abdominal and/or pelvic trauma[J]. Cri Care Med, 2000, 28(6): 1747-1753.
|
| 7. |
Ivy ME, Atweh NA, Palmer J, et al. Intra-abdominal hypertension and abdominal compartment syndrome in burn patients[J]. J Trauma. 2000, 49(3): 387-391.
|
| 8. |
聂兰军. 腹腔间隙综合征[J]. 临床外科杂志, 2004(1): 58.
|
- 1. Ivy ME, Possenti PP, Kepros J, et al. Abdominal compartment syndrome in patients with burns[J]. J Burn Care Rehabil, 1999, 20(5): 351-353.
- 2. Kron IL, Harman PK, Nolan SP. The measure ment of intra-abdominal pressure as a criterion for abdominal re-exploration[J]. Ann Surg, l984, l99(1): 28-30.
- 3. Barnes GE, Laine GA, Giam PY, et al. Cardiovascular responses to elevation of intra-abdominal hydrostatic pressure[J]. Am J Physiol, 1985, 248(2 Pt 2): 208-213.
- 4. 杨宗城. 烧伤治疗学[M]. 北京: 人民军医出版社, 2006: 298-299.
- 5. 程君涛, 肖光夏. 腹腔间隙综合征[J]. 中华烧伤杂志, 2002, 18(2): 122-125.
- 6. Erteal W, Oberholzer A, Platz A, et al. Incidence and clinical pattern of the abdominal compartment syndrome after “damage control” laparotomy in 311 patients with severe abdominal and/or pelvic trauma[J]. Cri Care Med, 2000, 28(6): 1747-1753.
- 7. Ivy ME, Atweh NA, Palmer J, et al. Intra-abdominal hypertension and abdominal compartment syndrome in burn patients[J]. J Trauma. 2000, 49(3): 387-391.
- 8. 聂兰军. 腹腔间隙综合征[J]. 临床外科杂志, 2004(1): 58.
