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Abdominal compartment syndrome

  • 概述
  • 理论
  • 诊断
  • 治疗
  • 随访
  • 资源
最后审阅： 6 Sep 2026
最后更新： 17 Sep 2026

小结

定义

病史和体格检查

关键诊断因素

  • abdominal distension
  • oliguria
  • increased respiratory effort
  • hypotension
完整详情

危险因素

  • excessive fluid resuscitation
  • massive blood transfusion
  • decreased abdominal compliance
  • intra-abdominal infection/inflammation
  • hemoperitoneum
  • ileus
  • pneumoperitoneum
  • loss of abdominal domain
  • comorbid cirrhosis
  • retroperitoneal hematoma
完整详情

诊断性检查

首要检查

  • transbladder measurement of intra-abdominal pressure
  • oxygen saturation
  • BUN and creatinine
  • ABG
完整详情

需考虑的检查

  • peak airway pressure
  • abdominal CT scan
  • abdominal ultrasound
完整详情

新兴检查

  • muscle contraction sensors
  • continuous intragastric pressure monitoring

治疗流程

急症处理

all patients

撰稿人

作者

Patrick B. Murphy, MD, MPH, MSc, FRCSC, FACS

Associate Professor

Medical College of Wisconsin

Milwaukee, WI

利益声明

PBM declares that the Medical College of Wisconsin receives honorariums for educational material provided to Boston Scientific.

Courtney Pokrzywa, MD

Surgical Critical Care/Acute Care Surgery Fellow

Medical College of Wisconsin

Milwaukee, WI

利益声明

CP declares that she has no competing interests.

鸣谢

Dr Patrick B. Murphy and Dr Courtney Pokrzywa would like to gratefully acknowledge Dr Michael W. Cripps, Dr Jeffrey C. Perumean, Dr Michaela West, and Dr Gary An, previous contributors to this topic.

利益声明

MWC has received compensation from Grifols for participation in their Advisory Board and has been compensated with stock options by TraumaCare.AI, Inc. for serving on their Advisory Board. JCP declares that he has no competing interests. MW and GA are authors of a reference cited in this topic.

同行评议者

Bart De Keulenaer, MD, FJFICM

Physician/Intensivist

Fremantle Hospital

Fremantle

Western Australia

Australia

利益声明

BDK declares that he has no competing interests.

William Kirke Rogers, MD

Associate Professor of Anesthesiology and Critical Care Medicine

University of Minnesota

Minneapolis, MN

利益声明

WKR declares that he has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

参考文献

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

关键文献

The World Society of the Abdominal Compartment Syndrome. WSACS consensus guidelines summary. Apr 2021 [internet publication].全文

Montalvo-Jave EE, Espejel-Deloiza M, Chernitzky-Camaño J, et al. Abdominal compartment syndrome: current concepts and management. [in spa]. Rev Gastroenterol Mex (Engl Ed). 2020 Oct-Dec;85(4):443-51.全文  摘要

参考文献

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
  • Abdominal compartment syndrome images

  • 鉴别诊断

    • Shock
    • Acute tubular necrosis
    • Acute kidney injury
    更多 鉴别诊断

  • 指南

    • Intra-abdominal hypertension and the abdominal compartment syndrome: updated consensus definitions and clinical practice guidelines
    • Intra-abdominal hypertension and the open abdomen: nursing guidelines from the Abdominal Compartment Society
    更多 指南
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