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腹腔间隔室综合征的影像学评估:最新的教育性综述

Radiologic evaluation of abdominal compartment syndrome: an updated educational review.

作者信息

Lombardi Alecio F, Thompson Cole P, Zulfiqar Maria, Jain Ayana, Krishnan Ishaan, Sandrasegaran Kumaresan

机构信息

Mayo Clinic, Scottsdale, USA.

出版信息

Abdom Radiol (NY). 2025 Aug 18. doi: 10.1007/s00261-025-05148-8.

Abstract

Abdominal compartment syndrome (ACS) is a life-threatening condition characterized by sustained increased intra-abdominal pressure (IAP) greater than 20 mmHg leading to organ dysfunction. Although intraabdominal pressure measurements, usually with an intravesical catheter, remains the diagnostic gold standard, ACS is frequently underdiagnosed due to its nonspecific clinical presentation and overlap with other critical illnesses. This review provides an overview of the pathophysiology, clinical features and imaging findings of ACS and emphasizes the importance of raising this diagnosis of ACS on CT scans performed on ill patients.

摘要

腹腔间隔室综合征(ACS)是一种危及生命的病症,其特征为腹腔内压力(IAP)持续升高超过20 mmHg,导致器官功能障碍。尽管通常使用膀胱内导管测量腹腔内压力仍是诊断的金标准,但由于其临床表现不具特异性且与其他危重病重叠,ACS常常被漏诊。本综述概述了ACS的病理生理学、临床特征和影像学表现,并强调了在对患病患者进行的CT扫描中提高对ACS诊断的重要性。

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