• 1.上海市黃浦區(qū)中心醫(yī)院外科（上海200002);;
  • 2.哈爾濱醫(yī)科大學第一臨床醫(yī)學院普外科（哈爾濱150001）;

目的研究腹腔內高壓和腹腔間室綜合征的概念及其病理生理變化。方法采用文獻回顧的方法對腹腔內高壓和腹腔間室綜合征的概念及病理生理學進展加以綜述。結果腹腔內高壓和腹腔間室綜合征的概念已逐漸被接受,其病理生理變化主要有： ①胃腸血流減少； ②呼吸道阻力增加，肺順應性下降； ③心輸出量減少，周圍循環(huán)阻力增加； ④少尿甚至無尿； ⑤顱內壓升高； ⑥肝臟血流減少； ⑦腹壁順應性降低。結論腹腔內高壓和腹腔間室綜合征的概念應用增多,最易累及呼吸系統(tǒng)、心血管系統(tǒng)和泌尿系統(tǒng)，其次是胃腸道、中樞神經(jīng)系統(tǒng)、肝臟和腹壁。心輸出量減少和肺順應性下降是引起臟器功能障礙的始動因素。

引用本文： 楊新平綜述姜洪池審校. 腹腔內高壓與腹腔間室綜合征. 中國普外基礎與臨床雜志, 2002, 9(6): 451-453. doi: 復制

版權信息： ?四川大學華西醫(yī)院華西期刊社《中國普外基礎與臨床雜志》版權所有，未經(jīng)授權不得轉載、改編

1. Grubben AC, van Baardwijk AA，Broering DC，et al. Pathophysiology and clinical significance of the abdominal compartment syndrome[Ｊ]. Zentralbl Chir,2001； 126（8）∶605.
2. Tons C,Schachtrupp A,Rau M,et al.Abdominal compartment syndrome: prevention and treatment[Ｊ]. Chirurg,2000； 71（8）∶918.
3. Sanchez NC, Tenofsky PL, Dort JM, et al. What is normal intraabdominal pressure? [Ｊ]. Am Surg,2001； 67（3）∶243.
4. Kirkpatrick AW, Brenneman FD, Mclean RF, et al. Is clinical examination an accurate indicator of raised intraabdominal pressure? [Ｊ]. Can J Surg,2000； 43（3）∶207.
5. Varela JE, Cohn SM, Giannotti GD, et al. Nearinfrared spectroscopy reflects changes in mesenteric and systemic perfusion during abdominal compartment syndrome[Ｊ]. Surgery, 2001； 129（3）∶363.
6. Joynt GM, Ramsay SJ, Buckley TA. Intraabdominal hypertensionmplications for the intensive care physician[Ｊ]. Ann Acad Med Singapore,2001； 30（3）∶310.
7. Offner PJ, de Souza AL, Moore EE, et al. Avoidance of abdominal compartment syndrome in damagecontrol laparotomy after trauma[Ｊ]. Arch Surg,2001； 136（6）∶676.
8. Ertel W, Oberholzer A, Platz A, et al. Incidence and clinical pattern of the abdominal compartment syndrome after “damagecontrol” laparotomy in 311 patients with severe abdominal and/or pelvic trauma[Ｊ]. Crit Care Med, 2000； 28（6）∶1747.
9. Sieh KM, Chu KM, Wong J. Intraabdominal hypertension and abdominal compartment syndrome[Ｊ]. Langenbecks Arch Surg,2001； 386（1）∶53.
10. Berger P, Nijsten MW, Paling JC, et al. The abdominal compartment syndrome: a complication with many faces[Ｊ]. Neth J Med,2001； 58（5）∶197.
11. Blevins DV, Khanduja KS. Abdominal compartment syndrome with massive lowerextremity edema caused by colonic obstruction and distension[Ｊ]. Am Surg,2001； 67（5）∶451.
12. Kopelman T, Harris C, Miller R,et al. Abdominal compartment syndrome in patients with isolated extraperitoneal injuries[Ｊ]. J Trauma,2000； 49（4）∶744.
13. Loi P, de Backer D, Vincent JL. Abdominal compartment syndrome[Ｊ]. Acta Chir Belg,2001； 101（2）∶59.
14. Doty JM, Saggi BH, Blocher CR, et al. Effects of increased renal parenchymal pressure on renal function[Ｊ]. J Trauma,2000； 48（5）∶874.
15. Doty JM, Saggi BH, Sugerman HJ, et al. Effect of increased renal venous pressure on renal function[Ｊ]. J Trauma, 1999； 47（6）∶1000.
16. Citerio G, Vascotto E, Villa F, et al. Induced abdominal compartment syndrome increases intracranial pressure in neurotrauma patients: a prospective study[Ｊ]. Crit Care Med,2001； 29（7）∶1466.
17. Moulton RJ. Abdominal compartment syndrome in the head injured patient[Ｊ]. Crit Care Med,2001； 29（7）∶1487.
18. Pottecher T, Segura P, Launoy A. Abdominal compartment syndrome[Ｊ]. Ann Chir,2001； 126（3）∶192.
19. Chen RJ, Fang JF, Chen MF. Intraabdominal pressure monitoring as a guideline in the nonoperative management of blunt hepatic trauma[Ｊ]. J Trauma,2001； 51（1）∶44.
20. Hut’an M, Salapa M, Vandriakova R, et al. Rupture of the laparotomy incision and its suture using Ventrofilm[Ｊ]. Rozhl Chir,2001； 80（3）∶124.
21. Cohen M, Morales R Jr, Fildes J, et al. Staged reconstruction after gunshot wounds to the abdomen [Ｊ]. Plast Reconstr Surg,2001； 108（1）∶83.
22. Fenn CH, Butler PE. Abdominoplasty woundhealing complications: assisted closure using foam suction dressing [Ｊ]. Br J Plast Surg, 2001； 54（4）∶348.
23. Maxwell RA, Fabian TC, Croce MA, et al. Secondary abdominal compartment syndrome: an underappreciated manifestation of severe hemorrhagic shock [Ｊ]. J Trauma, 1999； 47（6）∶995.
  1. 1. Grubben AC, van Baardwijk AA，Broering DC，et al. Pathophysiology and clinical significance of the abdominal compartment syndrome[Ｊ]. Zentralbl Chir,2001； 126（8）∶605.
  2. 2. Tons C,Schachtrupp A,Rau M,et al.Abdominal compartment syndrome: prevention and treatment[Ｊ]. Chirurg,2000； 71（8）∶918.
  3. 3. Sanchez NC, Tenofsky PL, Dort JM, et al. What is normal intraabdominal pressure? [Ｊ]. Am Surg,2001； 67（3）∶243.
  4. 4. Kirkpatrick AW, Brenneman FD, Mclean RF, et al. Is clinical examination an accurate indicator of raised intraabdominal pressure? [Ｊ]. Can J Surg,2000； 43（3）∶207.
  5. 5. Varela JE, Cohn SM, Giannotti GD, et al. Nearinfrared spectroscopy reflects changes in mesenteric and systemic perfusion during abdominal compartment syndrome[Ｊ]. Surgery, 2001； 129（3）∶363.
  6. 6. Joynt GM, Ramsay SJ, Buckley TA. Intraabdominal hypertensionmplications for the intensive care physician[Ｊ]. Ann Acad Med Singapore,2001； 30（3）∶310.
  7. 7. Offner PJ, de Souza AL, Moore EE, et al. Avoidance of abdominal compartment syndrome in damagecontrol laparotomy after trauma[Ｊ]. Arch Surg,2001； 136（6）∶676.
  8. 8. Ertel W, Oberholzer A, Platz A, et al. Incidence and clinical pattern of the abdominal compartment syndrome after “damagecontrol” laparotomy in 311 patients with severe abdominal and/or pelvic trauma[Ｊ]. Crit Care Med, 2000； 28（6）∶1747.
  9. 9. Sieh KM, Chu KM, Wong J. Intraabdominal hypertension and abdominal compartment syndrome[Ｊ]. Langenbecks Arch Surg,2001； 386（1）∶53.
  10. 10. Berger P, Nijsten MW, Paling JC, et al. The abdominal compartment syndrome: a complication with many faces[Ｊ]. Neth J Med,2001； 58（5）∶197.
  11. 11. Blevins DV, Khanduja KS. Abdominal compartment syndrome with massive lowerextremity edema caused by colonic obstruction and distension[Ｊ]. Am Surg,2001； 67（5）∶451.
  12. 12. Kopelman T, Harris C, Miller R,et al. Abdominal compartment syndrome in patients with isolated extraperitoneal injuries[Ｊ]. J Trauma,2000； 49（4）∶744.
  13. 13. Loi P, de Backer D, Vincent JL. Abdominal compartment syndrome[Ｊ]. Acta Chir Belg,2001； 101（2）∶59.
  14. 14. Doty JM, Saggi BH, Blocher CR, et al. Effects of increased renal parenchymal pressure on renal function[Ｊ]. J Trauma,2000； 48（5）∶874.
  15. 15. Doty JM, Saggi BH, Sugerman HJ, et al. Effect of increased renal venous pressure on renal function[Ｊ]. J Trauma, 1999； 47（6）∶1000.
  16. 16. Citerio G, Vascotto E, Villa F, et al. Induced abdominal compartment syndrome increases intracranial pressure in neurotrauma patients: a prospective study[Ｊ]. Crit Care Med,2001； 29（7）∶1466.
  17. 17. Moulton RJ. Abdominal compartment syndrome in the head injured patient[Ｊ]. Crit Care Med,2001； 29（7）∶1487.
  18. 18. Pottecher T, Segura P, Launoy A. Abdominal compartment syndrome[Ｊ]. Ann Chir,2001； 126（3）∶192.
  19. 19. Chen RJ, Fang JF, Chen MF. Intraabdominal pressure monitoring as a guideline in the nonoperative management of blunt hepatic trauma[Ｊ]. J Trauma,2001； 51（1）∶44.
  20. 20. Hut’an M, Salapa M, Vandriakova R, et al. Rupture of the laparotomy incision and its suture using Ventrofilm[Ｊ]. Rozhl Chir,2001； 80（3）∶124.
  21. 21. Cohen M, Morales R Jr, Fildes J, et al. Staged reconstruction after gunshot wounds to the abdomen [Ｊ]. Plast Reconstr Surg,2001； 108（1）∶83.
  22. 22. Fenn CH, Butler PE. Abdominoplasty woundhealing complications: assisted closure using foam suction dressing [Ｊ]. Br J Plast Surg, 2001； 54（4）∶348.
  23. 23. Maxwell RA, Fabian TC, Croce MA, et al. Secondary abdominal compartment syndrome: an underappreciated manifestation of severe hemorrhagic shock [Ｊ]. J Trauma, 1999； 47（6）∶995.