Diagnosis and treatment of abdominal compartment syndrome secondary to fulminant acute pancreatitis

VernacularTitle:暴发性胰腺炎并发腹腔间隔室综合征的诊治经验
Author: Ke LI ; Qingfeng JIANG ; Huanzhou XUE ; Quan SHEN ; Yuwei TIAN
Publication Type:Journal Article
Keywords: Pancreatitis,acute necrotizing; Abdominal compartment syndrome
From: Chinese Journal of Hepatobiliary Surgery 2013;(5):356-358
CountryChina
Language:Chinese
Abstract: Objective To study the treatment of abdominal compartment syndrome(ACS) secondary to fulminant acute pancreatitis (FAP).Method A retrospective study was conducted from Jan.2009 to Dec.2011 to analyze the therapeutic results of 18 patients with ACS secondary to FAP.Results Three out of 7 patients who received non-operative therapy died (mortality rate 42.9％).Three out of 11 patients treated with early surgery died (mortality rate 27.3％),which was significantly better than those patients treated conservatively.Conclusion A reduction in intra-abdominal pressure improved the function of the viscera in the treatment of ACS secondary to FAP.The decompressive effects of early surgery was efficacious,and it reduced the mortality rate.