Reske Alexander P, Schreiter Dierk, Höhne Claudia
Uniklinikum Dresden.
Anasthesiol Intensivmed Notfallmed Schmerzther. 2009 May;44(5):336-42; quiz 343. doi: 10.1055/s-0029-1224779. Epub 2009 May 13.
The increase in intra-abdominal pressure may be followed by a renal, gut, respiratory and cardial dysfunction and an increase in intra-cranial pressure. The review focuses risk factors and pathophysiological consequences of intra-abdominal hypertension and of abdominal compartment syndrome. Patients with intra-abdominal hypertension and abdominal compartment syndrome are critical ill and need special anesthesiological care due to risk of pulmonary aspiration, hemodynamic disturbances and difficult mechanical ventilation.
腹内压升高可能会继发肾、肠道、呼吸及心脏功能障碍,以及颅内压升高。本综述聚焦于腹内高压和腹腔间隔室综合征的危险因素及病理生理后果。腹内高压和腹腔间隔室综合征患者病情危重,由于存在肺误吸、血流动力学紊乱及机械通气困难等风险,需要特殊的麻醉护理。