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  • 标题:Abdominal Compartment Syndrome: Improving Outcomes With A Multidisciplinary Approach – A Narrative Review
  • 本地全文:下载
  • 作者:Martin Padar ; Annika Reintam Blaser ; Peep Talving
  • 期刊名称:Journal of Multidisciplinary Healthcare
  • 印刷版ISSN:1178-2390
  • 电子版ISSN:1178-2390
  • 出版年度:2019
  • 卷号:12
  • 页码:1061-1074
  • DOI:10.2147/JMDH.S205608
  • 出版社:Dove Medical Press Ltd
  • 摘要:Abdominal compartment syndrome (ACS) refers to a severe increase in intra-abdominal pressure associated with single or multiorgan failure. ACS with specific pathophysiological processes and detrimental outcomes may occur in a variety of clinical conditions. Patients with ACS are predominantly managed in critical care settings, however, a wide range of multidisciplinary interventions are frequently required from medical, surgical, radiological and nursing specialties. The medical management, aiming to prevent the progression of intra-abdominal hypertension to ACS, is extensively reviewed. Timing and techniques of surgical decompression techniques, as well as management of open abdomen, are outlined. In summary, the current narrative review provides data on history, definitions, epidemiology and pathophysiology of the syndrome and highlights the importance of multidisciplinary approach in the management of ACS in adults.
  • 关键词:intra-abdominal hypertension; abdominal compartment syndrome; abdominal decompression; decompressive laparotomy; damage control surgery; open abdomen
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