Abdominal compartment syndrome

被引:10
作者
Bertram P. [1 ,2 ]
Schachtrupp A. [1 ]
Rosch R. [1 ]
Schumacher O. [1 ]
Schumpelick V. [1 ]
机构
[1] Chirurgische Universitätsklinik und Poliklinik, RWTH Aachen
[2] Chirurgische Universitätsklinik und Poliklinik, RWTH Aachen, Aachen
来源
Der Chirurg | 2006年 / 77卷 / 7期
关键词
Abdominal compartment syndrome; Bladder pressure; Laparotomy; Temporary abdominal closure;
D O I
10.1007/s00104-006-1197-0
中图分类号
学科分类号
摘要
Abdominal compartment syndrome (ACS) is characterized by a persistent pathologic increase in intra-abdominal pressure (IAP) exceeding 20 mmHg with consecutive dysfunction of multiple organ systems. The main causes of ACS are abdominal trauma, obstruction, infection, and sepsis, but it may also be initiated by extra-abdominal diseases. The gold standard for diagnosis is repeated assessment of the IAP measurements of bladder pressure. The incidence of ACS is up to 15% in operative ICUs and the therapy of choice for it is decompressive laparotomy. Nevertheless, mortality is high, up to 60%. © Springer Medizin Verlag 2006.
引用
收藏
页码:573 / 579
页数:6
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