论文部分内容阅读
目的总结腹腔间隔室综合征的临床特点及诊治经验.方法回顾性分析2009年~2012年收治的12例腹腔间隔室综合征患者的临床资料.结果12例患者中,急性重症胰腺炎8例,多发性复合伤、脾破裂3例,恶性腹水1例;6例因治疗原发病剖腹探查减压,手术治疗中行剖腹探查、腹腔及腹膜后引流、切口减张缝合,6例进行非手术治疗;死亡3例,2例手术治疗,1例非手术治疗,死亡率25%.结论早期诊断、及时腹腔减压是改善腹腔间隔室综合症预后和降低病死率的关键.“,”Objective To summarize the clinical characteristics and diagnosis and treatment experience of abdominal compartment syndrome.Methods The clinical data of 12 cases of abdominal compartment syndrome in patients treated in 2009~2012 were retrospective analysis.Results 12 patients,8 cases of severe acute pancreatitis,3 cases of multiple compound injuries and splenic rupture,1 case of malignant ascites;6 cases of exploratory laparotomy decompression treatment for primary disease,5 of them receiving external drainage of peritoneal and retroperitoneal cavity and incisional relaxation suture.Non surgical therapy was performed in other 6 patients.3 cases were dead,2 of them from surgical treatment group,one from non-surgical treatment group,the overall mortality rate were 25%.Conclusion Early diagnosis,timely abdominal decompression of abdominal compartment syndrome is the key approaches for improving the prognosis and reducing mortality.