在急性胰腺炎中,腹腔内高血压和腹腔综合征
Anuraag Jena1, Anupam Kumar Singh2, Rakesh Kochhar3
1Department of Gastroenterology, Topiwala National Medical College and B Y L Nair Hospital, Mumbai 400 008, India.
腹腔内高血压 (IAH) 和腹腔综合征 (ACS) 是急性胰腺炎 (AP) 的严重并发症. 通过腹内压力 (IAP) 监测和多模式治疗进行早期诊断对于改善患者的治疗结果至关重要.
科学领域:
- 胃肠病学和肝病学 胃肠学和肝病学
- 关键护理医学 关键护理医学
- 手术重症监护手术重症监护
背景情况:
- 在急性胰腺炎 (AP) 患者中经常观察到腹腔内高血压 (IAH) 和腹腔综合征 (ACS).
- 这些情况是严重AP的指标,与显著的发病率和死亡率相关.
- 增加的腹内压力 (IAP) 会对多个器官系统产生负面影响.
研究的目的:
- 审查IAH和ACS在AP中的重要性.
- 在AP中讨论IAH/ACS的病理生理学和诊断挑战.
- 在AP中概述IAH/ACS目前的管理策略.
主要方法:
- 文献综述,重点关注急性胰腺炎中的IAH和ACS.
- 分析病理生理学,诊断和治疗方式.
- 强调腹腔内压力监测的作用.
主要成果:
- 在AP患者中,IAH影响30-60%,ACS影响15-30%.
- 病理生理学涉及流体管理,水,骨髓和流体收集.
- 目前的诊断标记缺乏灵敏度和特异性,突出显示了IAP监测的必要性.
结论:
- IAH/ACS是AP的关键,未被认可的并发症.
- 通过IAP监测进行早期诊断至关重要.
- 管理需要采用多模式的方法,包括医疗和手术干预.
更多相关视频
00:20A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing
Published on: July 4, 2019
07:38Preparing a Mice Model of Severe Acute Pancreatitis via a Combination of Caerulein and Lipopolysaccharide Intraperitoneal Injection
Published on: May 10, 2024
相关概念视频
Acute Pancreatitis II: Clinical Manifestations and Management
Acute Pancreatitis I: Introduction
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
Chronic Pancreatitis I: Introduction
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
Chronic Pancreatitis II: Collaborative Care
Assessment:
Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications
Appendicitis-I: Introduction
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
