摘要
恶性腹水源性腹腔间隔室综合征(MAACS)是癌性腹水大量增加而引起的腹腔间隔室综合征,是在恶性肿瘤继发腹水的基础上引起机体全身继发性改变,并导致心、肺、肾等脏器功能衰竭。其范畴属于肿瘤急症,需要尽快减压治疗,早期减压可挽救生命,并为后续抗肿瘤治疗提供时机。目前MAACS临床研究报道较少,探索MAACS相关改变对于指导临床肿瘤治疗具有重要的临床意义。本文对MAACS的病因、减压方法及安全性、减压前后呼吸循环系统以及甲状腺激素和细胞因子的变化规律、对中心静脉压的影响和减压后的后续治疗进行述评。
Malignant ascites-induced abdominal compartment syndrome(MAACS)is a kind of abdominal compartment syndrome(ACS)caused by large increase of cancerous ascites.It is based on secondary ascites in malignant tumors,which causes the body to undergo secondary stress relief,and can lead to the early systemic changes of cardiac,pulmonary and renal organ functions,Its category belongs to tumor emergency,need to decompress as soon as possible.Early decompression can save lives,and provide opportunity for follow-up anti-tumor treatment.At present,there are few clinical studies on MAACS,and it is very important to explore related changes of MAACS to guide clinical tumor treatment.This paper reviews the etiology,decompression methods and safety of MAACS,the changes of respiratory circulation,thyroid hormone and cytokine before and after decompression,the influence on CVP and the subsequent treatment after decompression.
作者
尉继伟
王宏业
Yu Jiwei;Wang Hongye(Department of General Surgery,the Affiliated Hospital of Shanxi Datong University,Datong 037005,China)
出处
《中华转移性肿瘤杂志》
2019年第4期5-11,共7页
Chinese Journal of Metastatic Cancer
基金
山西省重点研发计划(指南)项目(201603D321054)
关键词
腹腔间隔室综合征
腹水
恶性肿瘤
Abdominal compartment syndrome
Ascites
Malignancy
