Kryvoruchko I A, Ivanova Iu V, Povelichenko M S, Andreieshchev S A
Klin Khir. 2014 May(5):5-8.
Investigations were conducted in 53 patients, operated on in 2013 yr for abdominal sepsis (AS). The patients state severity was determined in accordance to the systemic inflammatory reaction and the polyorgan insufficiency severity. In 28 patients (group I) AS was diagnosed, in 14 (group II)--severe AS, in 11 (group III)--a septic shock. Tactics of surgical management of the patients have included two main measures: the infection origin control (source control), and control of the affected organ function and systemic defense mechanisms (damage control). In all the patients in AS the intraabdominal pressure rising was revealed. Syndrome of intraabdominal hypertension was noted in 10 (18.9%) patients (in 4--while presence of severe AS, and in 6--in septic shock). Lethality was the highest in intraabdominal hypertension degrees III and IV (11 of 25 patients have died).
对2013年接受腹部脓毒症（AS）手术的53例患者进行了调查。根据全身炎症反应和多器官功能不全的严重程度确定患者的病情严重程度。28例患者（I组）被诊断为AS，14例（II组）为严重AS，11例（III组）为感染性休克。患者的手术治疗策略包括两项主要措施：控制感染源（源头控制），以及控制受影响器官的功能和全身防御机制（损伤控制）。在所有AS患者中均发现腹内压升高。10例（18.9%）患者出现腹腔高压综合征（4例为严重AS患者，6例为感染性休克患者）。腹腔高压III度和IV度患者的死亡率最高（25例患者中有11例死亡）。
