摘要
腹腔室隔综合征(ACS)是指各种病理状态下腹腔压力升高,累及心血管系统、呼吸系统和泌尿系统。主要病理生理改变是心排血量减少、周围循环阻力增加、少尿、无尿、呼吸道阻力增加、肺顺应性下降、甚至缺氧都有可能发生,如果不予治疗,ACS可以引起致死性的器官功能衰竭,相反,经予腹腔减压后可以迅速逆转以上的病理生理变化。本文就ACS的分类及病因,病理生理变化、诊断和治疗等方面进行总结探讨,以指导临床实践。
Abdominal compartment syndrome （ACS） means increased intre-abdominal pressure, and influence on cardiovascular system, respiratory system and urinary system. The pathophysiologieal changes of ACS are deereased cardiac output deerease, inereased peripheral circulatory resistance, oliguria, anufia, increased respiratory tract resistance, deereased lung compliance and hypoxemia. Fatal organ funetional failure would happen without treatment. Decreasing intra-abdominal pressure can reverse these pathophysiogieal changes immediately. This article reviewed classification, etiology, pathophysiogieal changes, diagnosis and treatment of ACS in order to guide clinical practice.
出处
《医学综述》
2008年第24期3769-3772,共4页
Medical Recapitulate
关键词
腹腔室隔综合征
分类
病因
诊断
治疗
Abdominal compartment syndrome
Classification
Etiology
Diagnosis
Treatment
