García-Ureña Miguel Ángel, López-Monclús Javier, Robín Álvaro
Hospital Universitario del Henares, Universidad Francisco de Vitoria, Coslada, España.
Hospital Universitario del Henares, Universidad Francisco de Vitoria, Coslada, España.
Med Intensiva. 2014 Apr;38(3):170-2. doi: 10.1016/j.medin.2013.09.005. Epub 2013 Dec 4.
The new published guidelines of compartment syndrome are supposed to be a helpful tool in order to make decisions in patients with abdominal hypertension. From a surgical perspective of view, an important effort has been made in order to reach consensus in different phases in which there is no clear answer in evidence-based medicine. It is mandatory the use of a universal classification of open abdomen and there are three main concepts that must be observed: make a decompressive laparotomy when conservative measures have failed, attempt to closure the abdomen as soon as possible and the use of negative-pressure treatments that facilitates the management of an open abdomen. Although most of recommendations that have been delivered are not high grades, the present guide is an important assistant for the management of intra-abdominal hypertension and several lines of investigation are opened in order to answer the doubts that have been addressed.
新发布的骨筋膜室综合征指南旨在成为处理腹腔高压患者时的有用工具。从外科角度来看，为在循证医学尚无明确答案的不同阶段达成共识已做出了重要努力。必须采用通用的开放性腹部分类方法，有三个主要概念必须遵守：保守措施失败时进行减压剖腹术，尽快尝试关闭腹腔，以及使用负压治疗以促进开放性腹部的管理。尽管已发布的大多数建议级别不高，但本指南是管理腹腔内高压的重要辅助工具，并且开启了多条调查途径以解答所提出的疑问。
