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目的总结特重度烧伤合并腹腔间隙综合征(ACS)的临床诊治特点,提高治愈率。方法对2002年1月—2008年12月笔者单位收治的9例特重度烧伤合并腹腔间隙综合症的患者进行了统计分析,7例患者给予胃肠减压,5例患者行肛管排气,4例患者行血液透析和血液滤过,2例患者行剖腹减压,2例患者行腹壁减张。结果本组病例腹内压均升高,皆出现高热和不同程度的烦躁、腹胀及心率、呼吸增快,3例患者出现恶心、呕吐,3例患者有不同程度的胸闷、气短,2例患者伴有腹痛。治愈7例,死亡2例。结论早察觉、早诊断和早治疗腹内高压是避免腹腔间隙综合征发生的关键。
Objective To summarize the clinical diagnosis and treatment of extra-severe burn combined with abdominal cavity syndrome (ACS) and improve the cure rate. Methods Nine patients with extra-severe burn combined with abdominal cavity syndrome who were admitted to our hospital from January 2002 to December 2008 were analyzed statistically. Seven patients underwent gastrointestinal decompression and five patients underwent anal canal exhaust. Four patients underwent hemodialysis and hemofiltration. Two patients underwent cesarean decompression and two patients underwent abdominal wall decompression. Results The intra-abdominal pressure of the patients in this group increased, all of them had high fever and varying degree of irritability, abdominal distension and heart rate, respiration increased, 3 patients had nausea and vomiting, 3 patients had different degrees of chest tightness and shortness of breath, 2 patients Accompanied by abdominal pain. Seven cases were cured and two died. Conclusion Early detection, early diagnosis and early treatment of intra-abdominal pressure is the key to avoid the occurrence of abdominal cavity syndrome.