Title: Diagnosis and treatment of abdominal compartment syndrome in severe posttrauma
Abstract: Objective To evaluate the diagnosis and treatment of abdominal compartment syndrome(ACS) after severe trauma.Methods The clinical data from patients with ACS after severe trauma within about two and half years were retrospectively reviewed.Ten patients were subjected to abdominal decompression.The abdominal wall was split in 1 patients suffered from electric injury,part of organs in the abdominal cavity were revealed and the small intestinal wall was obviously swelling.If the abdominal wall had been sewed up by force,the intra-abdominal hypertension should be very high.Thus,this patient was also operated by abdominal decompression and combined in this study.Results Eleven patients were operated by abdominal decompression.One patient died from acidosis and multi-organ failure.The rest patients healed up with delayed abdominal closure or skin flap grafting.Conclusions The condition of patients with ACS after severe trauma is always dangerous and complicated.Early diagnosis and temporal abdominal closure are the key of rescue.Following damage control principles and rational nutritional support are also very important.
Publication Year: 2012
Publication Date: 2012-01-01
Language: en
Type: article
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