Abdmninal compartment syndrome complicating with severe cutepancreatitis
- VernacularTitle:急性重症胰腺炎并发腹腔室隔综合征的分型及其临床意义
- Author:
Jianquan CAI
- Publication Type:Journal Article
- Keywords:
Pancreatitis;
Abdominal compartment syndrome;
Intra-abdominal hypertension
- From:
Journal of Chongqing Medical University
2003;0(06):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate different types abdominalcompartment syndrome(ACS)complicating with severe acute pancreatitis(SAP).Methods:The clinical features and therapeutic principles of 2 types of ACS complicating with SAP weresummarized in 3 typical cases.Results:Type I ACS(gut type)was mainly caused by gastroin-testinaldysfunction.with gastrointestinal gas or liquid accumulation,chiefly ffecting respiratoryfunction.Type II ACS(retro-peritoneal type)was mainly caused by retro-peritoneal necrosis orexudation.chiefly affecting cardiovascular and renal function.Observation of clinical manifestationsand CT scanning could obtain differential diagnosis.Type I ACS could effectively be treated with liquid,electrical and gut balancing while type II ACS needed prompt decompression.Conclusion:Different types of ACS complicating with SAP have different clinical features and need different treatments.Summarizing different types of ACS complicating with SAP may improve the understanding and therapy of this pathophysiological procedure.
