Malbrain Manu L N G
Medical Intensive Care Unit, ACZA Campus Stuivenberg, Lange Beeldekensstraat 267, B-2060 Antwerp, Belgium.
Intensive Care Med. 2004 Mar;30(3):357-71. doi: 10.1007/s00134-003-2107-2. Epub 2004 Jan 17.
The diagnosis of intra-abdominal hypertension (IAH) or abdominal compartment syndrome (ACS) is heavily dependent on the reproducibility of the intra-abdominal pressure (IAP) measurement technique. Recent studies have shown that a clinical estimation of IAP by abdominal girth or by examiner's feel of the tenseness of the abdomen is far from accurate, with a sensitivity of around 40%. Consequently, the IAP needs to be measured with a more accurate, reproducible and reliable tool. The role of the intra-vesical pressure (IVP) as the gold standard for IAP has become a matter of debate. This review will focus on the previously described indirect IAP measurement techniques and will suggest new revised methods of IVP measurement less prone to error. Cost-effective manometry screening techniques will be discussed, as well as some options for the future with microchip transducers.
腹内高压（IAH）或腹腔间隔室综合征（ACS）的诊断在很大程度上取决于腹内压（IAP）测量技术的可重复性。最近的研究表明，通过腹围或检查者对腹部紧张度的手感来临床估计IAP远不准确，敏感性约为40%。因此，需要使用更准确、可重复且可靠的工具来测量IAP。膀胱内压（IVP）作为IAP金标准的作用已成为一个有争议的问题。本综述将聚焦于先前描述的间接IAP测量技术，并提出不易出错的IVP测量新修订方法。将讨论具有成本效益的测压筛查技术，以及未来使用微芯片换能器的一些选择。
