Sleep Disorders Research Program, Division of Sleep Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA 02115, USA.
Crit Care. 2009;13(6):199. doi: 10.1186/cc8136. Epub 2009 Nov 6.
Intra-abdominal hypertension is increasingly recognized to be both prevalent and clinically important in medical and surgical intensive care units. Intra-abdominal pressure (IAP) can impact organ function throughout the body, and it can also complicate standard measurements used in intensive care units. The article by Krebs and colleagues reports the effect of IAP on respiratory function, gas exchange and hemodynamic function. Their results show a relatively small effect of modestly elevated IAP on these variables in their patient population. However, their work raises several questions for clinicians and researchers regarding the pathophysiology and management of IAP.
腹腔内高压在医疗和外科重症监护病房中越来越被认为是普遍存在且具有重要临床意义的。腹腔内压力（IAP）可以影响全身器官的功能，并且还会使重症监护病房中使用的标准测量方法变得复杂。Krebs 及其同事的文章报告了 IAP 对呼吸功能、气体交换和血液动力学功能的影响。他们的结果表明，在他们的患者群体中，适度升高的 IAP 对这些变量的影响相对较小。然而，他们的工作提出了一些关于 IAP 的病理生理学和管理的问题，供临床医生和研究人员探讨。
