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腹腔间隔室综合征

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最后审阅： 28 Oct 2023
最后更新： 11 Nov 2022

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 腹胀
  • 少尿
  • 呼吸运动增强
  • 低血压
更多 关键诊断因素

危险因素

  • 过度液体复苏（24 小时内＞3 L）
  • 大量输血（24 小时内＞10 单位）
  • 腹部顺应性下降
  • 腹内感染/炎症
  • 腹腔积血
  • 肠梗阻
  • 腹腔积气
  • 腹容积不足
  • 合并肝硬化
  • 腹膜后血肿
更多 危险因素
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诊断性检查

首要检查

  • 经膀胱测量腹内压
  • 血氧饱和度
  • 血清尿素和肌酐
  • 动脉血气
更多 首要检查

需考虑的检查

  • 气道峰值压力
  • 腹部 CT 扫描
  • 腹部超声
更多 需考虑的检查

新兴检查

  • 经腔静脉、直肠或腹腔测量腹内压
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治疗流程

急症处理

所有患者

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撰稿人

作者

Michael W. Cripps, MD

Assistant Professor

Department of Surgery

Division of Burn/Trauma/Critical Care

University of Texas Southwestern Medical Center

Dallas

TX

利益声明

MWC has been reimbursed by Hemosonics and Instrumentation Laboratory for consultancy.

Jeffrey C. Perumean, MD

Surgeon/Surgical Intensivist

Advanced Surgical Associates/Banner Health

Division of Trauma/Critical Care

Mesa

AZ

利益声明

JCP declares that he has no competing interests.

鸣谢

Dr Michael Cripps and Dr Jeffrey Perumean would like to gratefully acknowledge Dr Michaela West and Dr Gary An, previous contributors to this topic. 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.

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