CAJ | 학술논문

腹腔内压力（IAP）增加会导致全身多器官功能障碍，当妊娠合并严重内外科疾病以及出现严重妊娠并发症时，常会出现腹腔间隔室综合征（ACS）或腹腔内高压（IAH），从而导致孕产妇和围生儿死亡的风险增加。诊断及预防ACS或IAH的关键措施在于监测IAP，而孕产妇正常IAP的标准及检测方法尚未明确，目前认为膀胱内压法仍是检测孕产妇IAP的金标准。对于重症孕产妇应进行IAP监测，早期发现早期处理，避免ACS的发生；一旦诊断为ACS，应尽早干预，必要时行外科手术进行减压。
복강내압력（IAP）증가회도치전신다기관공능장애，당임신합병엄중내외과질병이급출현엄중임신병발증시，상회출현복강간격실종합정（ACS）혹복강내고압（IAH），종이도치잉산부화위생인사망적풍험증가。진단급예방ACS혹IAH적관건조시재우감측IAP，이잉산부정상IAP적표준급검측방법상미명학，목전인위방광내압법잉시검측잉산부IAP적금표준。대우중증잉산부응진행IAP감측，조기발현조기처리，피면ACS적발생；일단진단위ACS，응진조간예，필요시행외과수술진행감압。
The increase in intra-abdominal pressure (IAP) will lead to multiple organ dysfunctions. There will be often complicated with abdominal compartment syndrome (ACS) or intra-abdominal high pressure (IAH),if pregnancy with serious internal medical or surgical diseases ,or with serious complications. Furthermore ,it will lead to an increased risk of maternal and perinatal mortality. Key measures for the diagnosis and prevention of ACS or IAH is monitoring IAP ,the pregnancy maternal normal IAP standards and testing methods are not yet clear ,that the bladder pressure method is still the gold standard of detection maternal IAP. For severe maternal IAP monitoring ,we should do early detection and early treatment to avoid the occurrence of ACS. Once diagnosis of ACS,we should do early intervention,and the surgical decompression if it proves necessary.