Balogh Zsolt J, Leppäniemi Ari
Department of Traumatology, John Hunter Hospital and University of Newcastle, Newcastle, NSW 2130, Australia.
Am Surg. 2011 Jul;77 Suppl 1:S12-6.
Intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) are critical care conditions with significant morbidity and mortality. The surgical measure to treat ACS (decompressive laparotomy) is hazardous and results in an open abdomen with potential major complications such as fistulas, abscesses, and large ventral hernias. As a result of the complicated natural history of IAH/ACS as well as significant morbidity and mortality, prevention is a logical approach to this complex problem. Knowledge of the patient populations at high risk for developing IAH/ACS is crucial. The aim of this review is to discuss the high-risk populations for acute IAH/ACS among surgical patients.
腹腔内高压（IAH）和腹腔间隔室综合征（ACS）是具有显著发病率和死亡率的重症监护病症。治疗ACS的外科手术措施（减压剖腹术）具有危险性，会导致开放性腹腔，并引发潜在的重大并发症，如瘘管、脓肿和大型腹侧疝。由于IAH/ACS复杂的自然病程以及显著的发病率和死亡率，预防是解决这一复杂问题的合理方法。了解发生IAH/ACS的高危患者群体至关重要。本综述的目的是讨论外科手术患者中急性IAH/ACS的高危人群。
