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烧伤患者腹腔间隔室综合征:证据基础管理指南和算法的介绍。

Abdominal compartment syndrome in burns patients: Introduction of an evidence-based management guideline and algorithm.

机构信息

From the St Andrews Centre for Plastic Surgery and Burns (B.S., C.S., N.M., D.B., N.E.-M., O.S.), Broomfield Hospital; and Department of Surgery (N.R.), Broomfield Hospital, Chelmsford, United Kingdom.

出版信息

J Trauma Acute Care Surg. 2021 Jun 1;90(6):e146-e154. doi: 10.1097/TA.0000000000003131.

Abstract

Abdominal compartment syndrome is a serious potential complication of burn injury, and carries high morbidity and mortality. Although there are generalised published guidelines on managing the condition, to date no management algorithm has yet been published tailored specifically to the burn injury patient. We set out to examine the literature on the subject in order to produce an evidence based management guideline, with the aim of improving outcomes for these patients. The guideline covers early detection and assessment of the condition as well as optimum medical, surgical and postoperative management. We believe that this guideline provides a much needed benchmark for managing burns patients with raised intra-abdominal pressure, as well as providing a template for further research and improvements in care.

摘要

腹部间隔室综合征是烧伤损伤的一种严重潜在并发症,具有较高的发病率和死亡率。尽管已经有关于管理该疾病的一般性发布指南,但迄今为止,还没有专门针对烧伤损伤患者的管理算法。我们旨在研究该主题的文献,以制定基于证据的管理指南,旨在改善这些患者的预后。该指南涵盖了该疾病的早期发现和评估,以及最佳的医疗、手术和术后管理。我们相信,该指南为管理腹部压力升高的烧伤患者提供了非常需要的基准,同时也为进一步的研究和护理改进提供了模板。

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