Chiles Kris T, Feeney Colin M
Department of Emergency Medicine, Alameda County Medical Center - Highland Campus, Oakland, CA, USA.
Indian J Anaesth. 2011 Jul;55(4):384-7. doi: 10.4103/0019-5049.84867.
A 48 year old male admitted to the intensive care unit after a cardiac arrest complicated by a stroke intra-operatively during automatic implantable cardioverter defibrillator placement. He post-operatively developed a rigid abdomen, elevated peak and plateau pressures, hypoxia and renal insufficiency. He was diagnosed with abdominal compartment syndrome with an intra-abdominal compartment pressure of 40mmHg. The patient was administered 10 mg of intravenous cisatracuriumbesylate in preparation for bedside surgical abdominal decompression. Cisatracurium eliminated the patients need for surgical intervention by reducing his abdominal compartment pressures to normal and improving his hypoxia and renal function. This case illustrates that neuromuscular blockade should be attempted in patients with abdominal compartment syndrome prior to surgical intervention.
一名48岁男性在植入自动植入式心脏复律除颤器期间发生心脏骤停并术中并发中风后被收入重症监护病房。他术后出现腹部僵硬、峰值和平台压升高、缺氧和肾功能不全。他被诊断为腹腔间隔室综合征，腹腔内压为40mmHg。该患者接受了10mg静脉注射苯磺顺阿曲库铵，为床边手术腹部减压做准备。顺阿曲库铵通过将患者的腹腔内压降至正常并改善其缺氧和肾功能，消除了患者进行手术干预的必要性。该病例表明，对于腹腔间隔室综合征患者，在手术干预前应尝试进行神经肌肉阻滞。
