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目的:研讨腹腔间隙综合症在大面积烧伤中的临床治疗效果。方法:选取我院2010年9月-2011年9月收治的大面积烧伤伴有腹腔间隙综合症的患者9例,对其诊断治疗进行统计分析。结果:大面积烧伤合并腹腔间隙综合症的患者,主要的临床症状表现为中心静脉压上升,心率增加、低血压、心输出量下降、呼吸困难、腹胀、高碳酸血症、低氧血症、膀胱内压升高、少尿或是无尿等。在进行及时的治疗及处理后,患者的临床症状及体征,呼吸困难、腹胀、低血压、少尿、心率增快均得到明显的缓解。结论:在大面积烧伤的情况下,明确腹腔间隙综合征的主要临床表现同休克的临床表现存在相似之处,但两种疾病的生理及发病机制、治疗方式均有所不同,大面积重度烧伤的患者在进行抗休克治疗调节体液平衡的情况时,会导致合并腹腔间隙综合征的发生,在进行诊断及治疗时易会造成腹腔间隙综合征的漏诊、误诊。
Objective: To investigate the clinical effect of abdominal syndrome in extensive burns. Methods: Nine patients with large area burn accompanied by abdominal cavity syndrome admitted in our hospital from September 2010 to September 2011 were selected for statistical analysis of their diagnosis and treatment. Results: The main clinical symptoms in patients with extensive burn complicated with abdominal cavity syndrome were as follows: increased central venous pressure, increased heart rate, hypotension, decreased cardiac output, dyspnea, bloating, hypercapnia, hypoxemia, Increased bladder pressure, oliguria or no urine. In the timely treatment and treatment, the patient’s clinical signs and symptoms, dyspnea, bloating, hypotension, oliguria, increased heart rate were significantly alleviated. Conclusions: In the case of extensive burn, it is clear that the main clinical manifestations of IPS are similar to the clinical manifestations of shock. However, the physiology, pathogenesis and treatment of the two diseases are different. Large area severe burn Of patients in the anti-shock treatment of body fluid balance adjustment can lead to the occurrence of complications of the abdominal cavity syndrome, diagnosis and treatment in the easy to cause misdiagnosis, misdiagnosis of the abdominal cavity syndrome.