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find Keyword "腹腔间隙综合征" 3 results
  • 烧伤并发腹腔间隙综合征二例

    【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。

    Release date:2016-09-08 09:27 Export PDF Favorites Scan
  • 严重创伤后腹腔间隙综合征行腹腔扩容术1例报道

    目的总结腹腔扩容术(IAVI)治疗创伤后腹腔间隙综合征(ACS)的效果及其关键技术。 方法回顾性分析2011年5月笔者所在医院收治的1例严重创伤后ACS患者的临床资料。 结果该例患者先行IAVI,手术时间为80 min,术中出血50 mL,手术顺利。术后监测膀胱压(1次/4 h),于IAVI后14 d行腹壁创面植皮以形成计划性腹疝。该例患者术后无出血、感染等并发症发生,恢复顺利,于术后20 d出院。于出院后9个月再行改良双侧腹直肌推徙术治疗巨大计划性腹疝。行改良双侧腹直肌推徙术后该患者获访24个月,随访期间腹壁疝无复发,未见其他不适。 结论IAVI能够有效防治ACS,提高严重创伤患者的生存率。

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  • Application of damage control in intra-abdominal sepsis

    ObjectiveTo explore the application value of damage control in intra-abdominal sepsis. MethodsThe related literatures were searched by searching literatures with " damage control” " damage control resuscitation” damage control surgery”, and " intra-abdominal sepsis”, to made an review. Results Despite significant advances in management and treatment, mortality from intra-abdominal sepsis remained still high. Due to its unique anatomic and microbial environment, initial operation could not completely remove the source of infection and avoid complications. Therefore, it was becoming increasingly popular to utilize a damage control strategy with abbreviated laparotomy and planned reoperations. ConclusionsDamage control is characterized by staged treatment, and is widely accepted used to manage intra-abdominal sepsis.

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