摘要
阐述严重烧伤后围休克期并发腹腔间隙综合征(ACS)与全身炎症反应综合征(SIRS)的相关性。临床分析认为,SIRS是致ACS的主要原因之一,ACS是SIRS未及时有效控制和超量补液导致;另从循证医学角度论证ACS发生机制的新认识,认为"单纯补液过多导致ACS"的论断具有片面性;最后对严重烧伤后围休克期并发ACS的治疗提出了切实可行的思路及展望。
To explain the correlation between abdominal compartment syndrome (ACS) and systemic inflammatory response syndrome (SIRS) on perishock stage after severe burn. By clinical analysis, we hold that the ACS is secondary to SIRS when SIRS did not get timely and effective control or with excessive fluid infusion, and demonstrate the new mechanism of ACS from the point view evidence-based medicine. We believe "rehydration too much lead to ACS" is the one-sided view. Finally, prospect and practical idea are put forward to the treatment of ACS in patients with serious burn during peri-shoek stage.
出处
《中华损伤与修复杂志(电子版)》
CAS
2012年第5期49-52,共4页
Chinese Journal of Injury Repair and Wound Healing(Electronic Edition)
关键词
严重烧伤
围休克期
全身炎症反应综合征
腹腔间隙综合征
Serious burns
Perishock stage
Systemic inflammatory response syndrome
Abdominalcompartment syndrome