Platell C, Hall J, Dobb G
University Department of Surgery, Royal Perth Hospital, Western Australia.
Intensive Care Med. 1990;16(5):328-9. doi: 10.1007/BF01706359.
A 19-year-old male developed renal failure after a laparotomy for liver trauma (urinary output of 30 ml/h, plasma creatinine 220 mumol/l). Surgical decompression of the abdomen was performed without any attempt at correcting the underlying pathology. This reduced the intraabdominal pressure (IAP) from 40 to 24 cm H2O and resulted in a massive diuresis (530 ml/h). Twenty-four hours later the plasma creatinine peaked at 280 mumol/l and then returned to within the normal range. This case report confirms that there is a direct relationship between IAP and renal function.
一名19岁男性在因肝外伤行剖腹手术后出现肾衰竭（尿量30毫升/小时，血浆肌酐220微摩尔/升）。在未尝试纠正潜在病因的情况下进行了腹部手术减压。这使腹内压（IAP）从40厘米水柱降至24厘米水柱，并导致大量利尿（530毫升/小时）。24小时后，血浆肌酐峰值达到280微摩尔/升，随后恢复到正常范围内。本病例报告证实IAP与肾功能之间存在直接关系。
