目的分析腹部手术患者并发腹腔间室综合征与多脏器功能衰竭的相关性。方法回顾性分析344例腹部手术患者资料,其中,并发腹腔间室综合征66例(A组),无腹腔间室综合征278例(B组)。比较两组患者并发多脏器功能衰竭的发生情况。结果 A组患者有40例发生多脏器功能衰竭,发生率为60.61%(40/66),明显高于B组的23.02%(64/278)(P<0.01)。Spearman相关分析显示,腹部手术患者并发腹腔间室综合征与多脏器功能衰竭具正相关(r=0.322,P<0.01)。结论腹部手术患者并发腹腔间室综合征患者容易发生多脏器功能衰竭。 Objective To analyze the correlation between abdominal compartment syndrome and multiple organ failure in patients undergoing abdominal surgery. Methods The data of 344 patients with abdominal surgery were retrospectively analyzed. Among them, 66 cases (group A) with abdominal syndrome and 278 cases without abdominal compartment syndrome (group B). The incidence of multiple organ failure in both groups was compared. Results In group A, 40 patients developed multiple organ failure, the incidence was 60.61% (40/66), which was significantly higher than that in group B (23.02%, 64/278) (P <0.01). Spearman correlation analysis showed that abdominal surgery patients with abdominal compartment syndrome and multiple organ failure have a positive correlation (r = 0.322, P <0.01). Conclusion Patients with abdominal surgery complicated by abdominal compartment syndrome prone to multiple organ failure.