Savvin Iu N, Zubritskiĭ V F, Osipov I S, Shchelokov A L, Zabelin M V, Kriukov A A
Voen Med Zh. 2006 Nov;327(11):26-30, 96.
The results of measurement and dynamics of intra-abdominal pressure obtained in 129 patients with acute destructive pancreatitis are presented. It was revealed that in 78% cases the pancreatonecrosis is accompanied by increase in intra-abdominal pressure (IAP); the intra-abdominal hypertension have developed in 9,3% patients. The prolonged intra-abdominal hypertension in the patients with progressive pancreatonecrosis requires the performance of laparotomy, which contributes to decrease in intra-abdominal pressure. The dependence between IAP value and dissemination of pancreatogenic inflammatory process in abdominal cavity and retroperitoneal space as well as between IAP level and condition gravity according to APACHE II scale was revealed.
本文展示了对129例急性坏死性胰腺炎患者腹腔内压力的测量结果及动态变化。结果显示，78%的病例中胰腺坏死伴有腹腔内压力（IAP）升高；9.3%的患者出现了腹腔内高压。进展性胰腺坏死患者的持续性腹腔内高压需要进行剖腹手术，这有助于降低腹腔内压力。研究还揭示了IAP值与腹腔及腹膜后间隙胰腺源性炎症过程扩散之间的关系，以及IAP水平与根据APACHE II评分的病情严重程度之间的关系。
