Malbrain Manu
ZNA Stuivenberg, Lange Beeldekensstraat 267, B-2060 Antwerpen 6 Belgium.
F1000 Med Rep. 2009 Nov 16;1:86. doi: 10.3410/M1-86.
The abdominal compartment syndrome (ACS) was first described in surgical patients with abdominal aortic aneurysm repair, trauma, bleeding, or infection, but in recent years it has also been described in patients with other pathologies such as burn injury and sepsis and in medical patients. This F1000 Medicine Report is intended to provide critical care physicians a clear insight into the current state of knowledge regarding intra-abdominal hypertension (IAH) and ACS, and will focus primarily on the recent literature as well as on the definitions and recommendations published by the World Society of the Abdominal Compartment Syndrome. The definitions regarding increased intra-abdominal pressure (IAP) will be listed, followed by a brief but comprehensive overview of the different mechanisms of organ dysfunction associated with IAH. The gold standard measurement technique for IAP as well as recommendations for organ function support in patients with IAH and options for medical and surgical treatment of IAH and ACS will be discussed.
腹腔间隔室综合征（ACS）最初在接受腹主动脉瘤修复术、创伤、出血或感染的外科患者中被描述，但近年来在烧伤、脓毒症等其他病症患者以及内科患者中也有相关报道。这份F1000医学报告旨在为重症监护医师提供关于腹腔内高压（IAH）和ACS的当前知识现状的清晰见解，将主要关注近期文献以及腹腔间隔室综合征世界协会发布的定义和建议。将列出关于腹腔内压力（IAP）升高的定义，随后对与IAH相关的器官功能障碍的不同机制进行简要而全面的概述。还将讨论IAP的金标准测量技术以及IAH患者器官功能支持的建议，以及IAH和ACS的内科及外科治疗选择。
