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经鼻胃管减压后,巨大的胃扩张和无尿得到解决。

Massive gastric dilatation and anuria resolved with naso-gastric tube decompression.

机构信息

Servicio de Nefrología, Hospital Universitario La Paz, Paseo de la Castellana 261, 28046 Madrid, Spain.

出版信息

Int Urol Nephrol. 2010 Sep;42(3):831-4. doi: 10.1007/s11255-009-9698-7. Epub 2009 Dec 30.

DOI:10.1007/s11255-009-9698-7
PMID:20041295
Abstract

We report for the first time a case of acute kidney injury associated with severe gastric distention after a laparoscopic Nissen-Rossetti fundoplication of the stomach for hiatal hernia. An abdominal compartment syndrome secondary to intra-abdominal hypertension was suspected. Naso-gastric tube decompression resulted in immediate resaturation of the diuresis and progressive recovery of renal function.

摘要

我们首次报告了一例腹腔镜 Nissen-Rossetti 胃底折叠术治疗食管裂孔疝后严重胃扩张并发急性肾损伤的病例。怀疑发生了由腹腔内高压引起的腹腔间隔室综合征。鼻胃管减压导致立即再水化和肾功能的逐渐恢复。

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本文引用的文献

1
Acute abdomen and acute kidney injury: a common entity, a not so rare link?急腹症与急性肾损伤:一种常见病症,一种并非罕见的关联?
NDT Plus. 2008 Oct;1(5):357-8. doi: 10.1093/ndtplus/sfn099. Epub 2008 Jul 15.
2
Normotensive ischemic acute kidney injury as a manifestation of intra-abdominal hypertension.正常血压性缺血性急性肾损伤作为腹腔内高压的一种表现形式。
Int Urol Nephrol. 2009 Dec;41(4):1043-5. doi: 10.1007/s11255-008-9487-8. Epub 2008 Oct 25.
3
Abdominal compartment syndrome: a concise clinical review.腹腔间隔室综合征:简明临床综述。
急性大量胃扩张:转移性膀胱癌的一种罕见表现。
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Acute gastric dilatation causing respiratory distress.急性胃扩张导致呼吸窘迫。
JRSM Short Rep. 2011 May;2(5):41. doi: 10.1258/shorts.2011.011017. Epub 2011 May 23.
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Acute kidney dysfunction secondary to the abdominal compartment syndrome.
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Results from the International Conference of Experts on Intra-abdominal Hypertension and Abdominal Compartment Syndrome. I. Definitions.腹腔内高压与腹腔间隔室综合征国际专家会议结果。I. 定义。
Intensive Care Med. 2006 Nov;32(11):1722-32. doi: 10.1007/s00134-006-0349-5. Epub 2006 Sep 12.
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Intra-abdominal hypertension is an under-appreciated cause of acute renal failure.腹腔内高压是急性肾衰竭一个未得到充分认识的病因。
Nephrol Dial Transplant. 2006 Dec;21(12):3567-70. doi: 10.1093/ndt/gfl496. Epub 2006 Aug 25.
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Abdominal compartment syndrome.腹腔间隔室综合征
Curr Opin Crit Care. 2005 Aug;11(4):333-8. doi: 10.1097/01.ccx.0000170505.53657.48.
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Intra-abdominal hypertension in the critically ill: it is time to pay attention.危重症患者的腹腔内高压:是时候引起关注了。
Curr Opin Crit Care. 2005 Apr;11(2):156-71. doi: 10.1097/01.ccx.0000155355.86241.1b.
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Intra-abdominal hypertension and the abdominal compartment syndrome.腹腔内高压与腹腔间隔室综合征
Anaesthesia. 2004 Sep;59(9):899-907. doi: 10.1111/j.1365-2044.2004.03712.x.