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腹腔间隙综合征(abdominal compartment syndrome,ACS)指任何原因引起的腹内压(intra-abdominal pressure,IAP)增高所导致的心血管、肺、肾、胃肠以及颅脑等多器官系统的功能障碍。ACS可发生于严重的创伤、大面积烧伤、腹部手术以及重症胰腺炎等任何需要大量液体复苏的患者~([1])。ACS临床征象与原发病症状相似,容易被混淆而延误诊治,导致严重后果。我科2009年以来共收治3例烧伤合并ACS患者,对其诊治体会总结如下。
Abdominal compartment syndrome (ACS) refers to dysfunction of cardiovascular, pulmonary, renal, gastrointestinal and cranial brain and other organ systems caused by any cause of increased intra-abdominal pressure (IAP) . ACS can occur in any patient who requires extensive fluid resuscitation such as severe trauma, extensive burns, abdominal surgery, and severe pancreatitis ~ (1). ACS clinical signs and symptoms of the original disease is similar, easily confused and delayed diagnosis and treatment, leading to serious consequences. Our department since 2009 treated a total of 3 cases of burn patients with ACS, the diagnosis and treatment of their experience is summarized as follows.