CAJ | 학술논문

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.
목적총결복강간격실종합정적림상특점급진치경험.방법회고성분석2009년~2012년수치적12례복강간격실종합정환자적림상자료.결과12례환자중,급성중증이선염8례,다발성복합상、비파렬3례,악성복수1례;6례인치료원발병부복탐사감압,수술치료중행부복탐사、복강급복막후인류、절구감장봉합,6례진행비수술치료;사망3례,2례수술치료,1례비수술치료,사망솔25%.결론조기진단、급시복강감압시개선복강간격실종합증예후화강저병사솔적관건.
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.