Post-traumatic abdominal compartment syndrome diagnosis and treatment of.docVIP

 PAGE \* MERGEFORMAT 16 Post-traumatic abdominal compartment syndrome diagnosis and treatment of Of: Li Zhanfei, Baixiang Jun, Zou Quan, Qiu [Abstract] Objective To analyze post-traumatic abdominal compartment syndrome (ACS), clinical features, summarize the diagnosis and treatment. Methods From August 2000 ~ March 2008 our department treated 17 cases of post-traumatic ACS clinical data to analyze the incidence of risk factors, clinical types and treatment measures. Results after 17 cases of ACS trauma patients, 6 patients due to pancreatic and (or caused by delayed diagnosis of duodenal injury. According to the lesion type, 17 cases in 9 cases of abdominal type , 8 cases of type .17 retroperitoneal surgery patients underwent laparotomy, 4 patients died, the mortality rate of 23.5%. Conclusion timely processing of abdominal trauma, reduce misdiagnosis, select the appropriate resuscitation measures to help reduce the incidence of post-traumatic ACS. damage in patients with ACS according to type, select the appropriate individual trauma surgery program to help reduce complications and mortality after ACS. [Keywords:] abdominal injuries abdominal compartment syndrome Abstract: Objective To investigate the clinical characteristics of abdominal compartment syndrome (ACS) after trauma and explore effective therapy.Methods Clinical data of 17 trauma patients with ACS admitted in our department during August 2000 to March 2008 were collected.The etiology, diagnosis, treatment approaches and outcome of these patients were analyzed.Results Traffic injury and falling injury were the most common causes of ACS after trauma.ACS occurred due to delayed therapy of pancreatic and / or duodenum injury in 6 cases.Nine cases were peritoneal cavity type, 8 were post peritoneal type.All patients underwent laparotomy, and 4 patients died with mortality rate of 23.5%. Conclusion Prompt treatment of abdominal injury and appropriate shock resuscitation may reduce the occur