Chen Michelle Y, Parr Kathleen G
Anesthesia and Critical Care Medicine, George Washington University School of Medicine and Health Sciences, Washington, USA.
Cureus. 2022 Jul 2;14(7):e26515. doi: 10.7759/cureus.26515. eCollection 2022 Jul.
Abdominal compartment syndrome (ACS) is a potentially fatal condition and a known cause of morbidity and mortality in critically ill patients. It can be primary, due to abdominal trauma and/or surgical procedures, or secondary, due to excessive abdominal fluid and/or bowel edema. Intra-abdominal hypertension (IAH) is defined as intra-abdominal pressure (IAP) greater than 12 mm Hg. ACS occurs when increased IAP results in organ dysfunction.Although IAPs are known to increase in cardiac surgery, ACS is uncommon, and reports are limited in the literature. We describe a fatal case of presumed ACS during an aortic valve and root replacement with coronary artery bypass grafting (CABG).
腹腔间隔室综合征（ACS）是一种潜在的致命疾病，也是危重症患者发病和死亡的已知原因。它可以是原发性的，由腹部创伤和/或外科手术引起，也可以是继发性的，由腹腔内液体过多和/或肠水肿引起。腹内高压（IAH）定义为腹腔内压力（IAP）大于12 mmHg。当IAP升高导致器官功能障碍时，就会发生ACS。虽然已知心脏手术中IAP会升高，但ACS并不常见，文献报道也有限。我们描述了一例在主动脉瓣和根部置换并冠状动脉旁路移植术（CABG）期间疑似ACS的致命病例。
