Küçük Hasan Fehmi, Cevik Ayhan, Kurt Necmi, Bildik Nejdet, Gülmen Mustafa
Dr. Lütfi Kirdar Eğitim ve Araştirma Hastanesi II. Cerrahi Kliniği Cevizli Kartal/Istanbul.
Ulus Travma Derg. 2002 Jan;8(1):11-5.
The purpose of this study was to assess the effects of abdominal compartment syndrome (ACS) on the kidneys.
Intra abdominal pressures (IAP) were indirectly measured through urinary bladder. The patients were categorised into four groups according to IAP levels. Serum urea and creatinine levels and IAP were measured once a day. Abdominal decompression was planned according to IAP as well as clinical assessment.
The number of patients in this study was 25. Serum urea and creatinine levels were highest in the group IV (group in which abdominal pressure was above 31 cmH2O) (t > 0.05). Five of the 25 patients were died and anuria developed in these five patients before death. In three of five patients abdominal decompression operations were performed.
ACS is an unusual and often lethal syndrome. The most important treatment is abdominal decompression and we conclude that it should be done in patients with IAP 30 cmH2O or above to protect renal function.
本研究的目的是评估腹腔间隔室综合征（ACS）对肾脏的影响。
通过膀胱间接测量腹内压（IAP）。根据IAP水平将患者分为四组。每天测量血清尿素和肌酐水平以及IAP。根据IAP以及临床评估计划进行腹部减压。
本研究中的患者数量为25例。血清尿素和肌酐水平在IV组（腹压高于31 cmH2O的组）中最高（t>0.05）。25例患者中有5例死亡，这5例患者在死亡前出现无尿。5例患者中有3例进行了腹部减压手术。
ACS是一种罕见且通常致命的综合征。最重要的治疗方法是腹部减压，我们得出结论，对于IAP为30 cmH2O或以上的患者应进行腹部减压以保护肾功能。
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