BMJ Best Practice
最后审核时间: 十月 2018
最近更新时间: 一月 2018

小结

定义

病史和查体

关键诊断因素

  • 存在的危险因素
  • 腹胀
  • 少尿
  • 呼吸运动增强

危险因素

  • 过度液体复苏(24 小时内>3 L)
  • 大量输血(24 小时内>10 单位)
  • 腹部顺应性下降
  • 腹内感染/炎症

诊断性检查

首要检查

  • 经膀胱测量腹内压
  • 氧饱和度
  • 血清尿素氮和肌酐
  • 动脉血气
全部具体信息

需要考虑的检查

  • 气道峰值压力
  • 腹部 CT 扫描
  • 腹部超声
全部具体信息

新兴检查

  • 经腔静脉、直肠或腹腔测量腹内压
全部具体信息

治疗流程

急性

贡献者

Assistant Professor

Department of Surgery

Division of Burn/Trauma/Critical Care

University of Texas Southwestern Medical Center

Dallas

TX

利益冲突披露
MWC declares that he has no competing interests.

Surgical Critical Care Fellow

Department of Surgery

Division of Burn/Trauma/Critical Care

University of Texas Southwestern Medical Center

Dallas

Tx

利益冲突披露
JCP declares that he has no competing interests.

Dr Michael Cripps and Dr Jeffrey Perumean would like to gratefully acknowledge Dr Michaela West and Dr Gary An, previous contributors to this monograph. MW and GA are authors of a reference cited in this monograph.

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Director

Surgical ICUs

Orlando Regional Medical Center

Orlando

FL

利益冲突披露
MLC is an author of a number of references cited in this monograph. MLC is a member of the World Society of the Abdominal Compartment Syndrome.

Physician/Intensivist

Fremantle Hospital

Fremantle

Western Australia

Australia

利益冲突披露
BDK declares that he has no competing interests.

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