Chabot Elizabeth, Nirula Ram
School of Medicine, University of Utah, Salt Lake City, Utah, USA.
Department of Surgery, University of Utah, Salt Lake City, Utah, USA.
Trauma Surg Acute Care Open. 2017 Sep 3;2(1):e000063. doi: 10.1136/tsaco-2016-000063. eCollection 2017.
The term "open abdomen" refers to a surgically created defect in the abdominal wall that exposes abdominal viscera. Leaving an abdominal cavity temporarily open has been well described for several indications, including damage control surgery and abdominal compartment syndrome. Although beneficial in certain patients, the act of keeping an abdominal cavity open has physiologic repercussions that must be recognized and managed during postoperative care. This review article describes these issues and provides guidelines for the critical care physician managing a patient with an open abdomen.
“开放性腹部”一词指的是腹壁上通过手术造成的使腹腔脏器外露的缺损。对于包括损伤控制手术和腹腔间隔室综合征在内的多种适应证，暂时保持腹腔开放已得到充分描述。尽管对某些患者有益，但保持腹腔开放这一行为会产生一些生理影响，在术后护理期间必须予以认识和处理。这篇综述文章描述了这些问题，并为管理开放性腹部患者的重症监护医生提供了指导方针。
