腹腔压力与液体复苏 .pptVIP

感谢大家观看第31页,共31页，2024年2月25日，星期天**Theabdominalwalliscompliantbelow25mmHg,butIAPrisesrapidlythereafter?EarlyabdominaldecompressionisessentialtoavoidACS?PersistentelevationsinIAPleadtoorganfailureandincreasedmorbidityandmortalityFigure2.Distinctionsbetweennormalintra-abdominalpressure(IAP),intra-abdominalhypertension(IAH)andabdominalcompartmentsyndrome(ACS).TheshadedareaillustratingIAHmayundergoshiftstotherightorleftdependingontheclinicalscenario.**其结果是导致每搏输出量的减少而代偿性的使心率增快和MAP下降。**需高PEEP维持氧合,腹腔减压术可迅速改善肺部变化。**Fi