University of Utah Medical Center, University of Utah Hospital, Surgery, Salt Lake City, Utah, USA.
Curr Opin Crit Care. 2021 Apr 1;27(2):164-168. doi: 10.1097/MCC.0000000000000797.
Intra-abdominal hypertension (IAH) and its deleterious effects are present in at least one-third of ICU patients. Increased recognition of IAH has led to significant reduction in the incidence of abdominal compartment syndrome (ACS). Many questions remain regarding what therapeutic interventions truly reduce morbidity and mortality associated with IAH/ACS. Recent research sheds new light on the effects of IAH in individual organ systems and unique disease states. This paper will review recent research in IAH/ACS recognition, treatment, and management.
Recent research on IAH/ACS includes an improved understanding of the prevalence of IAH/ACS and confirmation of its independent association with organ failure. Specifically, new research adds clarity to the effects of IAH/ACS on individual organ systems and specific disease states. These results combine to improve the clinical ability to diagnose, monitor, and treat IAH/ACS.
There is significant research on the broad impact of IAH/ACS in the ICU setting. Focus on IAH/ACS has gone beyond the purview of intensivists and surgeons to include outstanding work by specialists in multiple sub-specialties. These advances have generated improvements in current treatment algorithms. We review recent IAH/ACS literature and have categorized the most pertinent results into organ system-specific contributions.
至少有三分之一的 ICU 患者存在腹腔内高压（IAH）及其有害影响。IAH 的认识增加导致了腹部间隔室综合征（ACS）的发病率显著降低。关于哪些治疗干预措施真正降低与 IAH/ACS 相关的发病率和死亡率，仍有许多问题尚未解决。最近的研究为 IAH 在各个器官系统和独特疾病状态中的影响提供了新的认识。本文将回顾 IAH/ACS 的认识、治疗和管理方面的最新研究进展。
最近关于 IAH/ACS 的研究包括对 IAH/ACS 的流行率有了更好的理解，并证实了其与器官衰竭的独立关联。具体而言，新的研究为 IAH/ACS 对各个器官系统和特定疾病状态的影响提供了更清晰的认识。这些结果结合起来提高了临床诊断、监测和治疗 IAH/ACS 的能力。
在 ICU 环境中，IAH/ACS 的广泛影响有大量的研究。对 IAH/ACS 的关注已经超出了重症监护医师和外科医生的范围，包括多个亚专科专家的杰出工作。这些进展推动了当前治疗算法的改进。我们回顾了最近的 IAH/ACS 文献，并将最相关的结果分类为针对特定器官系统的贡献。
