Clinical analysis of abdominal compartment syndrome in patients with serious burn injury / 中华烧伤杂志
Chinese Journal of Burns
;
(6): 462-465, 2006.
Article
in Chinese
| WPRIM
| ID: wpr-331543
ABSTRACT
<p><b>OBJECTIVE</b>To summarize the clinical management of abdominal compartment syndrome (ACS) in burn patients with severe burn injury.</p><p><b>METHODS</b>Twelve serious burn patients with abdominal compartment syndrome hospitalized in our center from January 2001 to April 2005 were enrolled in the study. Among them 3 patients were treated with conservative method, 4 with escharectomy of abdominal wall, 5 with laparotomy for decompression. The clinical results were analyzed statistically. Bladder pressure, central venous pressure, systolic blood pressure and arterial blood oxygen partial pressure (PaO2 ) were measured and compared before and after operation.</p><p><b>RESULTS</b>Among these 12 patients, 5 died with the overall mortality of 41.67%. But only 3 died among 9 patients undergone operation. Most of patients were oliguric,with abnormal bladder pressure, central venous pressure, and systolic blood pressure 24 hours before operation. But these parameters were significantly improved after operation ( P <0. 01).</p><p><b>CONCLUSION</b>Early abdominal escharectomy and timely abdominal decompression are vital for the management of ACS in burn patients.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pathology
/
General Surgery
/
Therapeutics
/
Burns
/
Compartment Syndromes
/
Abdomen
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
Language:
Chinese
Journal:
Chinese Journal of Burns
Year:
2006
Type:
Article
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