Division of Obstetric Anesthesiology, Department of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN, USA.
Department of Anesthesiology, The University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Acta Obstet Gynecol Scand. 2019 Nov;98(11):1386-1397. doi: 10.1111/aogs.13638. Epub 2019 Jun 18.
Normal pregnancy leads to a state of chronically increased intra-abdominal pressure. Obstetric and non-obstetric conditions may increase intra-abdominal pressure further, causing intra-abdominal hypertension and abdominal compartment syndrome, which leads to maternal organ dysfunction and a compromised fetal state. Limited medical literature exists to guide treatment of pregnant women with these conditions. In this state-of-the-art review, we propose a diagnostic and treatment algorithm for the management of peripartum intra-abdominal hypertension and abdominal compartment syndrome, informed by newly available studies.
正常妊娠会导致腹腔内压力长期升高。产科和非产科情况可能会进一步增加腹腔内压力，导致腹腔内高压和腹腔间隔室综合征，从而导致母体器官功能障碍和胎儿状态受损。目前针对这些情况的孕妇治疗的医学文献有限。在这篇最新综述中，我们根据新的研究结果，提出了围产期腹腔内高压和腹腔间隔室综合征的诊断和治疗算法。
