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目的ICU危重患者并发腹内高压征的临床特点进行分析探讨,为今后的临床诊治与预防工作提供可靠的参考依据。方法随机抽取在2010年2月-2014年2月间我院ICU收治的危重患者并发腹内高压征临床病例45例。对其临床资料进行回顾性分析。结果 45例患者中腹内压在10-15mm Hg之间者5例,在15-26mm Hg之间者30例。在26-35mm Hg之间者8例,>35mm Hg者2例,经早期干预治疗,在1-2周内症状改善,腹内压降至安全范围者42例。有2例患者并发多脏器功能衰竭死亡,l例放弃治疗自动出院。结论对腹内高压征患者给予早期合理的干预治疗,可有效改善其症状,降低腹内压,提高疗效。
Objective ICU critically ill patients with intra-abdominal hypertension clinical features analysis and discussion for the future clinical diagnosis and prevention work to provide a reliable reference. Methods Forty-five clinical cases of critically ill patients complicated with intra-abdominal hypertension admitted to our hospital from February 2010 to February 2014 were randomly selected. The clinical data were retrospectively analyzed. Results 45 cases of patients with intra-abdominal pressure in 10-15mm Hg in 5 cases, 15-26mm Hg in 30 cases. In 26-35mm Hg in 8 cases,> 35mm Hg in 2 cases, after early intervention in 1-2 weeks to improve symptoms, intra-abdominal pressure dropped to safety in 42 cases. 2 patients died of multiple organ failure, 1 patient gave up the treatment of automatic discharge. Conclusion Early treatment of patients with intra-abdominal hypertension can improve the symptoms, reduce the intra-abdominal pressure and improve the curative effect.