创伤后腹腔高压症/腹腔间隙综合征诊治规范

被引：23

作者：

张连阳

周健

孙士锦

白祥军

李幼生

张茂

机构：

[1] 中华医学会创伤学分会创伤急救与多发伤学组

[2] 第三军医大学附属大坪医院野战外科研究所全军战创伤中心,创伤、烧伤与复合伤国家重点实验室

[3] 武汉华中科技大学同济医学院附属同济医院创伤科

[4] 南京军区南京总医院全军普通外科研究所

[5] 浙江医科大学附属第二医院急诊科

来源：

中华创伤杂志 | 2012年 / 11期

关键词：

D O I：

暂无

中图分类号：

R641 [创伤];

学科分类号：

100227 [皮肤病学];

摘要：

<正>严重创伤失血性休克、烧伤、腹部创伤等在救治过程中常出现腹腔高压症(intra-abdominalhypertension,IAH),甚至发生腹腔间隙综合征(abdominalcompartment syndrome,ACS),出现多脏器功能障碍。在ICU中,IAH和ACS的发生率分别为35%和5%,ACS死亡率为38%～72%。本规范参照世界ACS协会(World Society of the ACS,WSACS)的共识,并结合近年来进展,适用于严重创伤后IAH/ACS的患者,旨在帮助创伤外科、重症医学科及各外科专科的临床医师正确认识创伤后IAH/ACS,提高创伤后IAH/ACS的诊断、预防和治疗水平,降低危重患者的死亡率。按照WSACS的

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