中国医学前沿杂志（电子版）
中國醫學前沿雜誌（電子版）
중국의학전연잡지（전자판）
CHINESE JOURNAL OF THE FRONTIERS OF MEDICAL SCIENCE(ELECTRONIC VERSION)
2014年
12期
114-116
,共3页
持续腹腔压力监测%腹部损伤%腹腔间隙综合征%辅助诊疗
持續腹腔壓力鑑測%腹部損傷%腹腔間隙綜閤徵%輔助診療
지속복강압력감측%복부손상%복강간극종합정%보조진료
Sustained abdominal pressure monitoring%Abdominal injury%Abdominal compartment syndrome%Secondary treatment
目的：探讨持续腹腔压力监测对腹部损伤引起的腹腔间隙综合征的辅助诊疗价值。方法回顾性分析2010年6月至2013年6月于本院治疗的42例腹部损伤引起的腹腔间隙综合征患者的临床资料，分析腹腔内压力与炎性指标及重要脏器功能改变的关系，观察治疗后患者并发症发生情况和死亡率。结果随着腹腔内压力的逐渐升高，红细胞、白细胞、C反应蛋白等炎性指标水平逐渐上升，血压、血氧饱和度、肾血浆流量、肾小球滤过率、24小时尿量等重要脏器功能水平逐渐降低，差异具有显著性（P＜0.05）；42例患者中8例并发肾衰竭，5例并发心力衰竭，3例并发Ⅱ型呼吸衰竭，1例并发弥散性血管内凝血，根据持续腹腔压力监测早期诊断，积极治疗，最终治愈出院32例，治愈率为76.2%；因多器官功能衰竭抢救无效死亡10例，死亡率为23.8%。结论持续腹腔压力监测能够有效指导腹部损伤引起的腹腔间隙综合征的早期诊断，降低患者的死亡率。
目的：探討持續腹腔壓力鑑測對腹部損傷引起的腹腔間隙綜閤徵的輔助診療價值。方法迴顧性分析2010年6月至2013年6月于本院治療的42例腹部損傷引起的腹腔間隙綜閤徵患者的臨床資料，分析腹腔內壓力與炎性指標及重要髒器功能改變的關繫，觀察治療後患者併髮癥髮生情況和死亡率。結果隨著腹腔內壓力的逐漸升高，紅細胞、白細胞、C反應蛋白等炎性指標水平逐漸上升，血壓、血氧飽和度、腎血漿流量、腎小毬濾過率、24小時尿量等重要髒器功能水平逐漸降低，差異具有顯著性（P＜0.05）；42例患者中8例併髮腎衰竭，5例併髮心力衰竭，3例併髮Ⅱ型呼吸衰竭，1例併髮瀰散性血管內凝血，根據持續腹腔壓力鑑測早期診斷，積極治療，最終治愈齣院32例，治愈率為76.2%；因多器官功能衰竭搶救無效死亡10例，死亡率為23.8%。結論持續腹腔壓力鑑測能夠有效指導腹部損傷引起的腹腔間隙綜閤徵的早期診斷，降低患者的死亡率。
목적：탐토지속복강압력감측대복부손상인기적복강간극종합정적보조진료개치。방법회고성분석2010년6월지2013년6월우본원치료적42례복부손상인기적복강간극종합정환자적림상자료，분석복강내압력여염성지표급중요장기공능개변적관계，관찰치료후환자병발증발생정황화사망솔。결과수착복강내압력적축점승고，홍세포、백세포、C반응단백등염성지표수평축점상승，혈압、혈양포화도、신혈장류량、신소구려과솔、24소시뇨량등중요장기공능수평축점강저，차이구유현저성（P＜0.05）；42례환자중8례병발신쇠갈，5례병발심력쇠갈，3례병발Ⅱ형호흡쇠갈，1례병발미산성혈관내응혈，근거지속복강압력감측조기진단，적겁치료，최종치유출원32례，치유솔위76.2%；인다기관공능쇠갈창구무효사망10례，사망솔위23.8%。결론지속복강압력감측능구유효지도복부손상인기적복강간극종합정적조기진단，강저환자적사망솔。
Objective To explore the value of continuing intra-abdominal pressure in the monitoring assisted treatment of abdominal compartment syndrome caused by abdominal injuries. Method The clinical data of 42 cases of abdominal compartment syndrome of abdominal injury occurred patients from June 2010 to June 2013 in our hospital were retrospectively analyzed, the intra-abdominal pressure measurement range and inlfammatory markers as well as important changes in organ function changes relationships were analyzed;and the patients’ complications after the situation after early treatment and patients’ mortality were observed. Result With gradually increased intra-abdominal pressure measurement range, the inlfammatory marker levels of red blood cells, white blood cells, CRP and so gradually increased, blood pressure, oxygen saturation, renal plasma lfow, glomerular ifltration rate, urine and other important dirty 24 hours function level decreased, the difference was statistically signiifcant (P<0.05);among 42 cases of patients, 8 cases with renal failure, 5 cases with heart failure, 3 cases with concurrentⅡrespiratory failure, 1 case with DIC, early diagnosis and aggressive treatment were given to these patients based on the sustained abdominal pressure monitoring value, and 32 cases were ultimately cured, the cure rate was 76.2%;10 cases were failure and died due to multiple organ, the mortality rate was 23.8%. Conclusion Early diagnosis of persistent abdominal pressure monitoring can effectively guide the abdominal injury caused by abdominal compartment syndrome instructive significance, thereby reducing mortality.
