THE MEASUREMENT OF INTRA-ABDOMINAL PRESSURE AS A CRITERION FOR ABDOMINAL RE-EXPLORATION
THE MEASUREMENT OF INTRA-ABDOMINAL PRESSURE AS A CRITERION FOR ABDOMINAL RE-EXPLORATION
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DOI：
10.1097/00000658-198401000-00005
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发表时间：
1984-01-01
影响因子：
9
通讯作者：
NOLAN, SP
中科院分区：
文献类型：
--
作者：
KRON, IL;HARMAN, PK;NOLAN, SP
11例术后腹内压急性升高超过30 mmHg导致少尿。7例患者手术再探查和减压导致立即利尿。4例未再次探查的患者发生肾衰竭并死亡。如果术后早期腹内压升高超过25 mmHg，并伴有少尿、血压和心脏指数正常，患者应再次探查和腹部减压。
Acute elevation of intra-abdominal pressure above 30 mmHg caused oliguria in 11 postoperative patients. Operative re-exploration and decompression in seven patients resulted in immediate diuresis. Four patients who were not re-explored developed renal failure and died. If intra-abdominal pressure rises above 25 mmHg in the early postoperative period and is associated with oliguria and normal blood pressure and cardiac index, the patient should undergo re-exploration and decompression of the abdomen.