Bodnár Zsolt, Sipka Sándor, Tidrenczel Edit, Amador Marchante Maria
Torrevieja Egyetemi Oktatókórház (Hospital de Torrevieja) Általános Sebészeti Osztály (Servicio de Cirugía General) Carretera CV-95, s/n 03186 Torrevieja (Alicante) Spanyolország.
Debreceni Egyetem, Orvos- és Egészségtudományi Centrum Belgyógyászati Intézet, Regionális Immunológiai Laboratórium Debrecen.
Orv Hetil. 2014 Nov 2;155(44):1748-57. doi: 10.1556/OH.2014.30030.
Intra-abdominal hypertension and abdominal compartment syndrome are frequent findings among severe surgical ill patients. In spite of the fast diagnostic methods and effective therapeutic procedures the mortality is high. The causing factors lead to increased intra-abdominal pressure and abdominal compartment syndrome. It can be defined as adverse physiologic consequences that occur as a result of an acute increase in the intra-abdominal pressure. The most common causes are retroperitoneal haemorrhage, pancreatitis, bowel obstruction, tense ascites, peritonitis and serious visceral edema due to massive fluid resuscitation. The affected systems are cardiovascular, respiratory, renal, central nervous systems, splanchnic organs, and finally the whole body. The diagnostic method is the intra-abdominal pressure monitoring. The bases of the treatment are adequate fluid resuscitation, non-surgical management and decompression. The authors review the topic including the international and Hungarian references based on their ten years experience.
腹内高压和腹腔间隔室综合征在重症外科患者中很常见。尽管有快速的诊断方法和有效的治疗手段，但死亡率仍然很高。致病因素会导致腹内压升高和腹腔间隔室综合征。它可被定义为因腹内压急性升高而产生的不良生理后果。最常见的原因是腹膜后出血、胰腺炎、肠梗阻、张力性腹水、腹膜炎以及大量液体复苏导致的严重内脏水肿。受影响的系统包括心血管系统、呼吸系统、肾脏、中枢神经系统、内脏器官，最终累及全身。诊断方法是腹内压监测。治疗的基础是充分的液体复苏、非手术治疗和减压。作者基于他们十年的经验对该主题进行了综述，包括国际和匈牙利的参考文献。
