嚴重創傷后腹腔間隙綜合征行腹腔擴容術1例報道_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 孫士錦 ,  張連陽

第三軍醫大學大坪醫院野戰外科研究所全軍戰創傷中心創傷、燒傷與復合傷國家重點實驗室（重慶 400042）;

Corresponding?author：

張連陽, Email: dpzhangly@163.com

Keywords：

腹腔間隙綜合征; 腹腔擴容術; 創傷; 損傷; 負壓封閉技術

DOI：

10.7507/1007-9424.20150076

Video：

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Abstract Full text Figures/Tables Video References Cited by

目的總結腹腔擴容術（IAVI）治療創傷后腹腔間隙綜合征（ACS）的效果及其關鍵技術。方法回顧性分析2011年5月筆者所在醫院收治的1例嚴重創傷后ACS患者的臨床資料。結果該例患者先行IAVI，手術時間為80 min，術中出血50 mL，手術順利。術后監測膀胱壓（1次/4 h），于IAVI后14 d行腹壁創面植皮以形成計劃性腹疝。該例患者術后無出血、感染等并發癥發生，恢復順利，于術后20 d出院。于出院后9個月再行改良雙側腹直肌推徙術治療巨大計劃性腹疝。行改良雙側腹直肌推徙術后該患者獲訪24個月，隨訪期間腹壁疝無復發，未見其他不適。結論 IAVI能夠有效防治ACS，提高嚴重創傷患者的生存率。

Citation： 孫士錦, 張連陽. 嚴重創傷后腹腔間隙綜合征行腹腔擴容術1例報道. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2015, 22(3): 281-283. doi: 10.7507/1007-9424.20150076 Copy

1.	?Malbrain ML, Cheatham ML, Kirkpatrick A, et al. Results from the international conference of experts on intra-abdominal hyperten-sion and abdominal compartment syndrome. Ⅰ. definitions. Inten-sive Care Med, 2006, 32(11):1722-1732.
2.	Balogh ZJ, van Wessem K, Yoshino O, et al. Postinjury abdominal compartment syndrome:are we winning the battle?. World J Surg, 2009, 33(6):1134-1141.
3.	Balogh ZJ, Lumsdaine W, Moore EE, et al. Postinjury abdominal compartment syndrome:from recognition to prevention. Lancet, 2014, 384(9952):1466-1475.
4.	王正剛, 張連陽. 腹腔間隙綜合征治療進展. 創傷外科雜志, 2012, 14(3):277-280.
5.	Carlotti AP, Carvalho WB. Abdominal compartment syndrome:a review. Pediatric Critical Care Medicine, 2009, 10(1):115-120.
6.	中華醫學會創傷學分會創傷急救與多發傷學組. 創傷后腹腔高壓癥/腹腔間隙綜合征診治規范. 中華創傷雜志, 2012, 28(11):961-964.
7.	張連陽. 腹部外科的新方法——腹腔擴容術. 中華消化外科雜志, 2011, 10(1):6-8.
8.	孫士錦, 李陳成, 李英才, 等. 腹腔擴容術防治創傷后腹腔間隙綜合征. 創傷外科雜志, 2013, 15(3): 240-243.
9.	孫士錦, 張連陽. 改良雙側腹直肌推徙術治療巨大計劃性腹疝. 中華消化外科雜志, 2013, 12(7): 524-526.
10.	孫士錦, 楊越濤, 吳文元, 等. 改良腹直肌推徙術治療腹腔擴容術后巨大計劃性腹疝. 中華創傷雜志, 2014, 30(9):873-876.
11.	Lee JC, Peitzman AB. Damage-control laparotomy. Curr Opin Crit Care, 2006, 12(4):346-350.
12.	張連陽. 正確應用損害控制性剖腹術. 創傷外科雜志, 2009, 11(1):1-3.
13.	張連陽. 應重視開放腹腔手術. 中華臨床醫師雜志:電子版, 2012, 6(21):6649-6651.
14.	Balogh ZJ, Lepp?niemi A. Patient populations at risk for intra-abdominal hypertension and abdominal compartment syndrome. Am Surg, 2011, 77 Suppl 1:12-16.
15.	張連陽. "創傷后腹腔高壓癥/腹腔間隙綜合征診治規范"解讀. 中華創傷雜志, 2012, 28(11):965-968.

1. ?Malbrain ML, Cheatham ML, Kirkpatrick A, et al. Results from the international conference of experts on intra-abdominal hyperten-sion and abdominal compartment syndrome. Ⅰ. definitions. Inten-sive Care Med, 2006, 32(11):1722-1732.
2. Balogh ZJ, van Wessem K, Yoshino O, et al. Postinjury abdominal compartment syndrome:are we winning the battle?. World J Surg, 2009, 33(6):1134-1141.
3. Balogh ZJ, Lumsdaine W, Moore EE, et al. Postinjury abdominal compartment syndrome:from recognition to prevention. Lancet, 2014, 384(9952):1466-1475.
4. 王正剛, 張連陽. 腹腔間隙綜合征治療進展. 創傷外科雜志, 2012, 14(3):277-280.
5. Carlotti AP, Carvalho WB. Abdominal compartment syndrome:a review. Pediatric Critical Care Medicine, 2009, 10(1):115-120.
6. 中華醫學會創傷學分會創傷急救與多發傷學組. 創傷后腹腔高壓癥/腹腔間隙綜合征診治規范. 中華創傷雜志, 2012, 28(11):961-964.
7. 張連陽. 腹部外科的新方法——腹腔擴容術. 中華消化外科雜志, 2011, 10(1):6-8.
8. 孫士錦, 李陳成, 李英才, 等. 腹腔擴容術防治創傷后腹腔間隙綜合征. 創傷外科雜志, 2013, 15(3): 240-243.
9. 孫士錦, 張連陽. 改良雙側腹直肌推徙術治療巨大計劃性腹疝. 中華消化外科雜志, 2013, 12(7): 524-526.
10. 孫士錦, 楊越濤, 吳文元, 等. 改良腹直肌推徙術治療腹腔擴容術后巨大計劃性腹疝. 中華創傷雜志, 2014, 30(9):873-876.
11. Lee JC, Peitzman AB. Damage-control laparotomy. Curr Opin Crit Care, 2006, 12(4):346-350.
12. 張連陽. 正確應用損害控制性剖腹術. 創傷外科雜志, 2009, 11(1):1-3.
13. 張連陽. 應重視開放腹腔手術. 中華臨床醫師雜志:電子版, 2012, 6(21):6649-6651.
14. Balogh ZJ, Lepp?niemi A. Patient populations at risk for intra-abdominal hypertension and abdominal compartment syndrome. Am Surg, 2011, 77 Suppl 1:12-16.
15. 張連陽. "創傷后腹腔高壓癥/腹腔間隙綜合征診治規范"解讀. 中華創傷雜志, 2012, 28(11):965-968.

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嚴重創傷后腹腔間隙綜合征行腹腔擴容術1例報道

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