Clinical analysis of abdominal compartment syndrome in patients with serious burn injury.
- Author:
Zhen-qiang SONG
1
;
Run-xiu WANG
;
Qing-wen NONG
;
Yuan LIN
;
Da-en LIU
;
Li-ming ZHANG
;
Li FENG
Author Information
- Publication Type:Journal Article
- MeSH: Abdomen; pathology; Adult; Aged; Burns; complications; therapy; Compartment Syndromes; etiology; surgery; Female; Humans; Male; Middle Aged
- From: Chinese Journal of Burns 2006;22(6):462-465
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo summarize the clinical management of abdominal compartment syndrome (ACS) in burn patients with severe burn injury.
METHODSTwelve serious burn patients with abdominal compartment syndrome hospitalized in our center from January 2001 to April 2005 were enrolled in the study. Among them 3 patients were treated with conservative method, 4 with escharectomy of abdominal wall, 5 with laparotomy for decompression. The clinical results were analyzed statistically. Bladder pressure, central venous pressure, systolic blood pressure and arterial blood oxygen partial pressure (PaO2 ) were measured and compared before and after operation.
RESULTSAmong these 12 patients, 5 died with the overall mortality of 41.67%. But only 3 died among 9 patients undergone operation. Most of patients were oliguric,with abnormal bladder pressure, central venous pressure, and systolic blood pressure 24 hours before operation. But these parameters were significantly improved after operation ( P <0. 01).
CONCLUSIONEarly abdominal escharectomy and timely abdominal decompression are vital for the management of ACS in burn patients.
