Vegar-Brozovic V, Stoic-Brezak J
University Hospital Center Zagreb, School of Medicine, Clinic of Anesthesiology and Intensive Care, Zagreb, Croatia.
Transplant Proc. 2006 Apr;38(3):833-5. doi: 10.1016/j.transproceed.2006.01.077.
For over a century, raised intra-abdominal compartment syndrome (ACS) has been known. The physiology and clinical results of this syndrome produce significant morbidity and quite high mortality rates. Increased intra-abdominal pressure causes progressive hypoperfusion and ischemia of the intestines as well as other peritoneal and retroperitoneal structures, including the pulmonary, cardiovascular, renal, splanchnic, and central nervous systems. The most effective prevention of ACS is early recognition and preemptive interventions, as well the choice of appropriate abdominal closures with constant care and surveillance in intensive care units.
一个多世纪以来,人们已经认识到腹内压升高综合征(ACS)。该综合征的生理学和临床结果会导致显著的发病率和相当高的死亡率。腹内压升高会导致肠道以及其他腹膜和腹膜后结构(包括肺、心血管、肾、内脏和中枢神经系统)逐渐出现灌注不足和缺血。预防ACS最有效的方法是早期识别和预防性干预,以及在重症监护病房选择合适的腹部闭合方式并持续进行护理和监测。