Plantefeve G, Hellmann R, Pajot O, Thirion M, Bleichner G, Mentec H
Hôpital Victor Dupouy, ArgenteuiL, France.
Acta Clin Belg. 2007;62 Suppl 1:162-7.
Abdominal compartment syndrome and intra-abdominal hypertension are frequently associated with peritonitis. The aim of this study is to establish the relationship between intra-abdominal hypertension and intra-abdominal sepsis especially in critically ill patients.
Relevant information was identified through a Medline search (1966-October 2006). The terms used were "intra-abdominal sepsis", "peritonitis", "abdominal compartment syndrome", "intra-abdominal hypertension" and "relaparotomy for sepsis". The search was limited to English- and French-language publications.
Only a few clinical trials exist on this specific topic. Further investigations are required to define the incidence of intra-abdominal hypertension in intra-abdominal sepsis, and the prognostic impact of this setting and finally the potential specific treatment. Abdominal compartment syndrome is more likely linked to the abdominal surgery than to peritonitis itself.
Intra-abdominal pressure monitoring can be valuable in critically ill patients with suspicion of persisting intra-abdominal sepsis after surgical peritonitis treatment.
腹腔间隔室综合征和腹腔内高压常与腹膜炎相关。本研究的目的是确定腹腔内高压与腹腔内感染之间的关系，尤其是在危重症患者中。
通过医学文献数据库检索（1966年至2006年10月）获取相关信息。使用的检索词为“腹腔内感染”、“腹膜炎”、“腹腔间隔室综合征”、“腹腔内高压”和“因感染而行再次剖腹手术”。检索仅限于英文和法文出版物。
关于这一特定主题的临床试验很少。需要进一步研究来确定腹腔内感染时腹腔内高压的发生率、这种情况对预后的影响以及最终可能的特异性治疗方法。腹腔间隔室综合征更可能与腹部手术有关，而非腹膜炎本身。
对于怀疑在外科治疗腹膜炎后仍存在腹腔内感染的危重症患者，监测腹腔内压力可能有价值。
