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Updated: Jul 15, 2026

A Novel Non-invasive Method for the Detection of Elevated Intra-compartmental Pressures of the Leg
Published on: May 31, 2019
[Clinical analysis of abdominal compartment syndrome in patients with serious burn injury]
Zhen-qiang Song1, Run-xiu Wang, Qing-wen Nong
1The Center of Plastic & Burn and Rehabilitation, the First Affiliated Hospital of Guangxi Medical University, Nanning 530021, PR China.
Objective:
To summarize the clinical management of abdominal compartment syndrome (ACS) in burn patients with severe burn injury.
Methods:
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.
Results:
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).
Conclusion:
Early abdominal escharectomy and timely abdominal decompression are vital for the management of ACS in burn patients.
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