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中华危重症医学杂志(电子版) ›› 2022, Vol. 15 ›› Issue (06) : 505 -510. doi: 10.3877/cma.j.issn.1674-6880.2022.06.015

综述

腹腔高压的外科学诊治进展
孙进1, 许利剑1,()   
  1. 1. 210000 南京,南京医科大学第二附属医院普通外科
  • 收稿日期:2022-05-26 出版日期:2022-12-31
  • 通信作者: 许利剑
  • 基金资助:
    南京市卫生科技发展专项资金项目(YKK18186)
  • Received:2022-05-26 Published:2022-12-31
引用本文:

孙进, 许利剑. 腹腔高压的外科学诊治进展[J]. 中华危重症医学杂志(电子版), 2022, 15(06): 505-510.

因严重创伤和感染所导致的腹部损伤在临床上是一种常见的危重症,而腹腔高压(intra-abdominal hypertension,IAH)则是这类危重症的重要临床表现之一。这类患者不但会出现限制性通气功能障碍,还会继发循环、呼吸、消化等多器官系统功能紊乱,若病情进一步进展,则可能出现腹腔间隔室综合征(abdominal compartment syndrome,ACS),导致多器官功能衰竭,病死率极高。在过去的20年中,IAH/ACS已从一个不被重视的临床现象发展到需要实时监测和警惕的临床疾病。针对这类疾病,已有多种治疗方案被应用于临床,其中外科腹腔减压治疗(decompressive laparotomy,DL)已被广泛采用,但具体的外科干预技术、干预时机以及干预后的进一步处理和支持措施仍值得进一步探讨。

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