Harrisson S E, Smith J E, Lambert A W, Midwinter M J
Academic Department of Military Surgery and Trauma, Royal Centre for Defence Medicine, Birmingham, UK.
Emerg Med J. 2008 Mar;25(3):128-32. doi: 10.1136/emj.2007.050344.
Compartment syndromes can occur in many body regions. Abdominal compartment syndrome, initially described many years ago, has become increasingly recognised in critical care patients. The key points regarding its definition, pathophysiology, aetiology and treatment are described and discussed. Abdominal compartment syndrome is defined as an intra-abdominal pressure >20 mm Hg with evidence of organ dysfunction. At risk patients should be identified in the emergency department and early monitoring of intra-abdominal pressure instituted. Interventions in the emergency department potentially contribute to the development of abdominal compartment syndrome during subsequent phases of care. The need to ensure an early multidisciplinary approach in the management of this complex condition is essential for the best possible patient outcome.
骨筋膜室综合征可发生于身体的许多部位。腹部骨筋膜室综合征早在多年前就有描述，在重症监护患者中越来越受到认可。本文描述并讨论了其定义、病理生理学、病因及治疗的要点。腹部骨筋膜室综合征的定义为腹腔内压力>20 mmHg且伴有器官功能障碍的证据。应在急诊科识别出高危患者，并尽早开始监测腹腔内压力。急诊科的干预措施可能会在后续治疗阶段促使腹部骨筋膜室综合征的发生。对于这种复杂病症的管理，确保早期采用多学科方法对于实现最佳患者预后至关重要。
