文档介绍：腹腔压力监测腹腔高压及腹间隔室综和征诊治
几个概念
IAP
IAH
ACS
腹腔内压力
Intra-abdominal Pressure
正常IAP: 0-5 mm Hg
腹腔高压症
Intra-abdominal Hypertension
IAP≥12 mm Hg *
腹间隔室综合征Abdominal Compartment Syndrome
IAP ≥ 20 mm Hg 出现一个或多个脏器功能衰竭
*Malbrain M L; Deeren D; De Potter, et al. .Current opinion in Critical Care. 2005,11(2):156-171 .
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IAH/ACS
IAP决定于
脏器容积
占位性损伤
出血 积液 肿瘤
腹壁顺应性
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Definition of WSACS
WSACS Current opinion in Critical Care. 2005,11(2):156-171 .
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正常值
WSACS：5-7mmHg
Intensive Care Med (2009) 35:969–976
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正常值
Comparison of IAP among different weight groups
Intensive Care Med (2009) 35:969–976
7-14mmHg
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IAH发病率
IAH 发生率约 50%
ACS病死率：40-100％
IAP正常 ％
IAH %
ACS %
IAH中发生ACS ％
Malbrain ML, Chiumello D, Pelosi P, et al. CCM, 2005, 33(2) :315-322
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Malbrain, Intensive Care Medicine (2004):
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The higher the IAP
the poorer the survival rate
Malbrain ML, Chiumello D, Pelosi P, et al. CCM, 2005, 33(2) :315-322
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