Szturz P, Chýlek V, Kula R
Anestesiologicko-resuscitacní klinika FN Ostrava-Poruba.
Vnitr Lek. 2007 Sep;53(9):972-8.
Intraabdominal hypertension is frequently observed both in surgical and non-surgical patients hospitalised at intensive care units. This clinical syndrome of multifactorial etiology is characterised by increased intraabdominal tension with subsequent development of organ dysfunctions. It is reflected in impaired cardiovascular, pulmonary, renal, splanchnic and neurological functions which improve after the abdominal decompression. Patients with intraabdominal hypertension can be relatively easily identified by measuring tension in the bladder the primary purpose of which is early detection of clinically less severe stages and also the detection of the most sever forms of abdominal compartment syndrome. The objective of subsequent surgical or conservative treatment is to prevent organ dysfunction and subsequent multi-organ failure.
腹内高压在入住重症监护病房的手术患者和非手术患者中均很常见。这种病因多因素的临床综合征的特征是腹内压力升高，随后出现器官功能障碍。它表现为心血管、肺、肾、内脏和神经功能受损，在腹部减压后这些功能会得到改善。通过测量膀胱内压力可以相对容易地识别腹内高压患者，其主要目的是早期发现临床症状较轻的阶段，以及检测最严重形式的腹腔间隔室综合征。后续手术或保守治疗的目的是预防器官功能障碍和随后的多器官功能衰竭。
