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目的 对妇产科疾病并发腹腔闭室综合征 (ACS) 35例患者腹腔减压的治疗作用进行观察 ,并探讨ACS与多器官功能障碍综合征 (MODS)的关系。方法 通过测量膀胱压力 (IBP)动态观察 35例妇产科疾病并发ACS患者的腹腔内压力 (LAP)与治疗效果的关系 ,及对患者各脏器功能的监测 ,了解ACS与MODS的关系。结果 35例患者治疗前IBP(3 5 5± 1 1 5 )kPa ,显著高于治疗后IBP(1 1 5± 0 35 2 )kPa(P <0 0 1 ) ;循环指标中HR及CVP在治疗后较治疗前显著降低 (P <0 0 1 ) ;呼吸指标RR在治疗前后显著改善 ,PaO2 明显上升 (P <0 0 1 )。本组治愈 30例 ,5例因并发MODS死亡。结论 妇产科疾病在一定条件下可并发ACS ,并促使多个脏器发生功能障碍 ,而导致MODS ,若不及时处理 ,低氧血症逐步加重 ,极易发展为MODS而致死亡
Objective To observe the therapeutic effect of abdominal decompression in 35 cases of obstetrics and gynecology diseases complicated with celiac compartment syndrome (ACS) and to explore the relationship between ACS and multiple organ dysfunction syndrome (MODS). Methods The relationship between the intra-abdominal pressure (LAP) in 35 patients with obstetrics and gynecology and ACS and the therapeutic effect was observed by measuring the bladder pressure (IBP). The relationship between ACS and MODS was also investigated. Results The 35 patients had an IBP of 35 5 ± 1 1 5 kPa before treatment, which was significantly higher than that of IBP after treatment (P 1 0 1 5 ± 0 35 2) kPa (P 0 01). HR and CVP (P <0.01). The respiratory index RR was significantly improved before and after treatment, PaO2 was significantly increased (P <0.01). The group cured 30 cases, 5 cases died of concurrent MODS. Conclusions Obstetrics and Gynecology diseases can be complicated with ACS under certain conditions and promote dysfunction of multiple organs, which may lead to MODS. If not treated in time, the hypoxemia will be aggravated gradually and easily lead to MODS death