在重症患者的腹腔综合征
Hyunseok Jang1, Naa Lee1, Euisung Jeong1
1Division of Trauma, Department of Surgery, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, Korea.
Acute and critical care
|December 5, 2023
概括
腹腔内高血压 (IAH) 可以导致器官衰竭. 定期监测和及时干预,包括非手术方法和潜在的减压腹腔切除术,对于管理IAH和预防严重并发症至关重要.
科学领域:
- 关键护理医学 关键护理医学
- 手术科学 手术科学
- 腹部病理生理学 腹部病理生理学
背景情况:
- 腹腔内高血压 (IAH) 是一种具有潜在致命后果的严重疾病,包括腹腔综合征和多器官衰竭.
- IAH是由诸如减少腹壁顺应,增加腹内含量和系统性问题等因素引起的.
- 精确的腹内压力测量和患者定位对于管理至关重要.
研究的目的:
- 强调定期监测腹腔内压力的重要性.
- 审查IAH目前的诊断和治疗策略.
- 讨论在IAH管理中手术干预的复杂性.
主要方法:
- 对IAH的诊断和管理策略的文献综述.
- 强调非手术干预:鼻胃管解压,皮间排水,流体管理.
- 在诊断和治疗中整合护理点超声波.
主要成果:
- 非手术治疗对于管理IAH至关重要.
- 护理点超声波可以提高诊断准确度和治疗指导.
- 消压性腹腔切除术是一种绝对的治疗方法,但具有重大风险.
结论:
- 定期监测和及时干预是管理IAH的关键.
- 经常需要一种多学科的方法,结合医疗和手术策略.
- 仔细考虑风险与益处在决定IAH手术干预时至关重要.
相关概念视频
Acute Pancreatitis II: Clinical Manifestations and Management
126
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
126
Flail Chest-II
177
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
177
Acute Respiratory Failure-III
187
Hypercapnic respiratory failure, also known as Type 2 or ventilatory respiratory failure, is a severe condition characterized by the body's inability to effectively remove carbon dioxide (CO2) from the bloodstream. It leads to an arterial CO2 pressure (PaCO2) exceeding 45 mmHg and a blood pH above 7.35. This situation indicates that the body's ventilatory demand, or the ventilation needed to maintain normal PaCO2 levels, surpasses its supply or the maximum gas flow achievable without...
187
Flail Chest-I
193
Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
193
Abdominal Regions and Quadrants
8.3K
To promote clear communication, for instance, about the location of a patient's abdominal pain or a suspicious mass, anatomists and clinicians typically use imaginary lines to categorize the abdominopelvic cavity into either four quadrants or nine regions to identify organs in the cavity.
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
8.3K
Inflammatory Bowel Disease II: Crohn's Disease
255
Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
255


