烧伤并发腹腔间隙综合征二例_West China Medical Journal

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张祥运 , 廖毅

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Keywords：

腹腔间隙综合征; 烧伤; 治疗

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【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

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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.

West China Medical Journal

烧伤并发腹腔间隙综合征二例

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