Hypoperfusion, Shock States, and Abdominal Compartment Syndrome (ACS)

被引：25

作者：

Ameloot, Koen ^{[1
]}

Gillebert, Carl ^{[1
]}

Desie, Nele ^{[1
]}

Malbrain, Manu L. N. G. ^{[1
,2
]}

机构：

[1] Ziekenhuis Netwerk Antwerpen, Intens Care Unit, B-2060 Antwerp 6, Belgium

[2] Ziekenhuis Netwerk Antwerpen, High Care Burn Unit, B-2060 Antwerp 6, Belgium

来源：

SURGICAL CLINICS OF NORTH AMERICA | 2012年 / 92卷 / 02期

关键词：

Shock; Abdominal compartment syndrome; Hypoperfusion; INCREASED INTRAABDOMINAL PRESSURE; END-DIASTOLIC VOLUME; LEG-RAISING MANEUVER; FLUID RESPONSIVENESS; CLINICAL EXAMINATION; CURRENT INSIGHTS; HYPERTENSION; PRELOAD; PULMONARY; HEMODYNAMICS;

D O I：

10.1016/j.suc.2012.01.009

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Cardiovascular dysfunction and failure are commonly encountered in patients with intra-abdominal hypertension or abdominal compartment syndrome. Accurate assessment and optimization of preload, afterload, and contractility are essential to restoring end-organ perfusion and maximizing patient survival. Application of a goal-directed resuscitation strategy, including abdominal decompression, when indicated, improves cardiac function, reverses end-organ failure, and minimizes intra-abdominal hypertension-related patient morbidity and mortality.

引用

页码：207 / +

页数：15

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