Braun Georg, Schäfer Kristina
Medizinische Klinik 3, Universitätsklinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.
Internistisches Intensivzentrum, Universitätsklinikum Augsburg, Augsburg, Deutschland.
Med Klin Intensivmed Notfmed. 2022 Nov;117(8):658-666. doi: 10.1007/s00063-022-00958-w. Epub 2022 Oct 10.
In critically ill patients an intra-abdominal hypertension (IAH) is a frequent phenomenon. An IAH is defined as an intra-abdominal pressure (IAP) persistently ≥ 12 mm Hg and an abdominal compartment syndrome is defined as an IAP with a persistent pressure ≥ 20 mm Hg in combination with newly occurring organ failure. The bladder pressure serves as a surrogate parameter for the IAP, which should be measured noninvasively in a standardized manner. An undetected and untreated IAH worsens the prognosis of critically ill patients.
在危重症患者中,腹腔内高压(IAH)是一种常见现象。IAH被定义为腹腔内压力(IAP)持续≥12 mmHg,而腹腔间隔室综合征被定义为IAP持续≥20 mmHg并伴有新出现的器官功能衰竭。膀胱压力作为IAP的替代参数,应以标准化方式进行无创测量。未被发现和未治疗的IAH会使危重症患者的预后恶化。