Burrows R, Edington J, Robbs J V
Intensive Care Unit, Addington Hospital, Durban.
S Afr Med J. 1995 Jan;85(1):46-8.
Four patients are described in whom massive abdominal distension after laparotomy led to increased airway and central venous pressure and severely reduced urine output. All cases were associated with massive fluid resuscitation and operative findings were a grossly oedematous bowel with free fluid under pressure in the abdomen. These findings are consistent with the diagnosis of intra-abdominal compartment syndrome. In 1 case trauma was remote from the abdomen indicating that abdominal surgery or trauma may not be a prerequisite for the development of the condition. Recognition of the features of the condition is essential as it can only be treated by decompression of the abdominal contents.
本文描述了4例患者，他们在剖腹手术后出现严重腹胀，导致气道压力和中心静脉压升高，尿量显著减少。所有病例均与大量液体复苏有关，手术所见为肠管严重水肿，腹腔内有受压的游离液体。这些发现符合腹腔间隔室综合征的诊断。在1例患者中，创伤部位远离腹部，这表明腹部手术或创伤可能不是该病症发生的必要条件。认识到该病症的特征至关重要，因为它只能通过腹腔内容物减压来治疗。
