在准食道和腹膜修复后的腹腔综合征
Shawn A Brophy1, Samuel Minor2, Daniel G French3
1Division of Thoracic Surgery, Department of Surgery, University of Calgary, Calgary, Alberta, Canada.
腹腔综合征 (ACS) 是修复后的一种罕见并发症. 预防性切除术可能有助于预防患有大腹膜或先天性腹膜的患者的ACS.
科学领域:
- 腹部外科手术 腹部外科手术
- 胃肠病学 胃肠病学
- 临界护理医学 临界护理医学
背景情况:
- 腹腔综合征 (ACS) 被定义为持续的腹内压力≥20mmHg与器官功能障碍.
- 手术后的ACS可以发生在修复后,特别是在失去域的中.
- 虽然在切口和Bochdalek先天性隔膜 (CDHs) 中描述了ACS,但ACS对准食道 (PEHs) 或Morgagni CDHs没有充分记录.
研究的目的:
- 在PEH和Morgagni CDH的腹腔镜修复后报告术后ACS病例.
- 为了突出复杂的修复中ACS的潜在风险.
- 建议在特定患者群体中预防ACS的预防措施.
主要方法:
- 一名患者的病例报告,该患者正在进行腹腔镜修复腹腔管和Morgagni先天性腹膜.
- 在术后监测腹腔综合征的迹象和症状.
- 关于失域和ACS的文献综述.
主要成果:
- 患者在经过腹腔镜修复PEH和Morgagni CDH后出现了术后腹部部位综合征.
- 这一案例代表了在修复这些特定类型后出现ACS的新例.
- 这些发现强调了认识到ACS作为潜在并发症的重要性.
结论:
- 在接受大型PEH或CDH修复的精选患者中,应考虑预防性大脑切除术.
- 腹腔综合征是一种罕见但严重的并发症,需要保持警.
- 早期考虑预防性干预措施可能会减轻复杂修复的风险.
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