将腹内压测量作为再次开腹探查的标准。
The measurement of intra-abdominal pressure as a criterion for abdominal re-exploration.
作者信息
Kron I L, Harman P K, Nolan S P
出版信息
Ann Surg. 1984 Jan;199(1):28-30. doi: 10.1097/00000658-198401000-00005.
Abstract
Acute elevation of intra-abdominal pressure above 30 mmHg caused oliguria in 11 postoperative patients. Operative re-exploration and decompression in seven patients resulted in immediate diuresis. Four patients who were not re-explored developed renal failure and died. If intra-abdominal pressure rises above 25 mmHg in the early postoperative period and is associated with oliguria and normal blood pressure and cardiac index, the patient should undergo re-exploration and decompression of the abdomen.
摘要
腹腔内压力急性升高至30 mmHg以上导致11例术后患者出现少尿。7例患者接受手术再次探查及减压后立即出现利尿。4例未接受再次探查的患者发生肾衰竭并死亡。如果术后早期腹腔内压力升至25 mmHg以上，并伴有少尿以及血压和心脏指数正常，患者应接受腹部再次探查及减压。
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