5 cases of severe multiple trauma complicated with abdominal compartment syndrome monitoring and nursing care.docVIP

 PAGE \* MERGEFORMAT 11 5 cases of severe multiple trauma complicated with abdominal compartment syndrome monitoring and nursing care [Keywords:] multiple trauma; abdominal compartment syndrome; monitoring; Care Richards first described in 1983, abdominal compartment syndrome (Abdominal compartement syndrome, ACS), more cases so far have been reported, the disease mortality rate in the foreign reports 62.5% to 75.0% [1]. Correct assessment of serious multiple trauma patient’s condition and prognosis is critical care medicine Trauma facing an important issue is to further reduce the severe multiple trauma patient mortality the key. The scholars study confirmed that severe multiple trauma with intra-abdominal pressure (IAP) closely related, but the IAP changes are often in severe treatment of patients with multiple trauma is ignored [2]. abdominal compartment syndrome is caused by a variety of reasons for intra-abdominal pressure is increased to a certain extent, caused by cardiovascular, kidney, liver, gastrointestinal and brain and other organ dysfunction syndrome (MODS). intra-abdominal pressure changes were positively correlated with the disease, with the increase of intra-abdominal pressure and increased the function of various organs [3 ], then produce a series of pathophysiological changes and symptoms, or even MODS, a serious life-threatening. The survey found that ACS occurs after severe trauma rate of 1% to 15% [4]. severe multiple trauma patients with multiple due to traffic accidents, high fall, crushing and other factors caused heavy abdominal congestion, edema, hemorrhage, to intra-abdominal pressure, severe abdominal distension, oliguria, respiratory distress as the main feature. ACS has not been taken seriously is a very dangerous outcome of concurrent disease, due to severe illness Benedict complex, so for abdominal trauma, pelvic fracture, retroperitoneal hematoma complicated with severe multiple trauma patients with intra-abdominal pressu