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目的:探讨无腹部损伤的出血性休克病人的复苏过程中可发生的腹腔间隔综合征(ACS)的诊治。方法:回顾了非腹部创伤而发展为ACS 6例出血性休克病人,对手术前后各观察值进行配对t检验。结果:6例中2例合并筋膜间隔综合征。入院至腹部减压平均时间生存者为3小时,死亡者25小时。腹部减压前平均输液量为晶体液19±5 L,红细胞悬液29±10 u。术前膀胱内压平均为33±3 mmHg。术后吸气压及碱缺失获得改善。结论:出血性休克病人复苏中需常规监测膀胱内压,早期发现及治疗ACS,可提高患者生存率。
Objective: To investigate the diagnosis and treatment of peritoneal septum syndrome (ACS) that may occur during the resuscitation of hemorrhagic shock without abdomen injury. METHODS: Six non-abdominal trauma patients with recurrent hemorrhagic shock were enrolled in the study. Paired t tests were performed on each observation before and after surgery. Results: Two of 6 patients had fascia-septum syndrome. Admitted to the abdomen to reduce the average time for survival of 3 hours, 25 hours of death. The average volume of fluid transfusions before the abdomen was 19 ± 5 L for the crystalloid and 29 ± 10 for the red blood cell suspension. Preoperative bladder pressure averaged 33 ± 3 mmHg. Postoperative inspiratory pressure and alkaline deficiencies improved. Conclusion: Bladder pressure should be routinely monitored in the recovery of hemorrhagic shock patients. Early detection and treatment of ACS can improve the survival rate of patients.