【摘要】 目的 總結重度以上燒傷患者合并腹腔間隙綜合征（abdominal compartment syndrome，ACS）的診治方法。 方法 回顧性分析2009年11月-2011年6月2例確診為重度以上燒傷且合并ACS的患兒臨床診治資料，總結燒傷合并ACS的臨床診治方法。 結果 重度以上燒傷合并ACS的患者可能出現(xiàn)臨床表現(xiàn):心率增快、中心靜脈壓升高、心輸出量降低、低血壓、腹脹、呼吸困難、低氧血癥和高碳酸血癥、少尿或無尿、膀胱壓增高等。腹腔減壓術后，患兒心率增快、低血壓、腹脹、少尿、呼吸困難等癥狀得到緩解。 結論 重度及以上燒傷可能合并ACS，燒傷患者中以小兒多見，尚無一致的診斷標準，表現(xiàn)具有一定的隱蔽性、多樣化特點，腹腔減壓是干預ACS最為有效的治療措施。
引用本文： 張祥運,廖毅. 燒傷并發(fā)腹腔間隙綜合征二例. 華西醫(yī)學, 2011, 26(10): 1476-1477. doi: 復制
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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. 楊宗城. 燒傷治療學[M]. 北京: 人民軍醫(yī)出版社, 2006: 298-299.
- 5. 程君濤, 肖光夏. 腹腔間隙綜合征[J]. 中華燒傷雜志, 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. 聶蘭軍. 腹腔間隙綜合征[J]. 臨床外科雜志, 2004(1): 58.