Mayer D, Veith F J, Lachat M, Pfammatter T, Hechelhammer L, Rancic Z
Clinic for Cardiovascular Surgery, University Hospital of Zurich, Zurich, Switzerland.
Minerva Chir. 2010 Jun;65(3):329-46.
Intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) are frequently encountered in critically ill patients and carry a high morbidity and mortality risk. Despite these facts, IAH/ACS are still overlooked by many physicians and therefore timely diagnosis is not made and treatment is often inadequate. All clinicians should be aware of the risk factors predicting IAH/ACS, the profound implications and derangements on all organ systems, the clinical presentation, the appropriate measurement of intra-abdominal pressure to detect IAH/ACS and the current treatment options for these detrimental syndromes. This comprehensive review provides knowledge about known facts, unresolved issues and future directions for research to improve patient survival and long-term outcome.
腹内高压(IAH)和腹腔间隔室综合征(ACS)在危重症患者中经常出现,具有很高的发病率和死亡风险。尽管如此,IAH/ACS仍被许多医生忽视,因此未能及时诊断,治疗往往也不充分。所有临床医生都应了解预测IAH/ACS的危险因素、对所有器官系统的深远影响和紊乱、临床表现、检测IAH/ACS的腹内压合适测量方法以及这些有害综合征的当前治疗选择。这篇综述提供了关于已知事实、未解决问题和未来研究方向的知识,以改善患者的生存率和长期预后。