Prospective characterization and selective management of the abdominal compartment syndrome
Prospective characterization and selective management of the abdominal compartment syndrome
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DOI:
10.1016/s0002-9610(97)00201-8
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发表时间:
1997-12-01
影响因子:
3
通讯作者:
Burch, JM
中科院分区:
文献类型:
--
作者:
Meldrum, DR;Moore, FA;Burch, JM
BACKGROUND: The abdominal compartment syndrome (ACS) is now recognized as a frequent confounder of surgical critical care following major trauma; however, few prospective data exist concerning its characterization, evolution, and response to decompression,METHODS: Acutely injured patients with an injury severity scale (ISS) score >15 requiring emergent laparotomy and intensive care unit (ICU) admission were prospectively evaluated for the devel opment of ACS. The syndrome was defined as an intra-abdominal pressure (IAP) >20 mm Hg complicated by one of the following: peak airway pressure (PAP) >40 cm H2O, oxygen delivery index (DO2I)