The measurement of intra-abdominal pressure as a criterion for abdominal re-exploration.

作者: IRVING L. KRON , P. KENT HARMAN , STANTON P. NOLAN

DOI: 10.1097/00000658-198401000-00005

关键词: Cardiac indexAbdomenBlood pressureAbdominal compartment syndromeMedicineIntra-Abdominal HypertensionOliguriaAbdominal decompressionDecompressionSurgeryAnesthesia

摘要: Acute elevation of intra-abdominal pressure above 30 mmHg caused oliguria in 11 postoperative patients. Operative re-exploration and decompression seven patients resulted immediate diuresis. Four who were not re-explored developed renal failure died. If rises 25 the early period is associated with normal blood cardiac index, patient should undergo abdomen.

参考文章(8)
John Doppman, Richard M. Rubinson, S David Rockoff, John S. Vasko, Robert Shapiro, Andrew G. Morrow, Mechanism of obstruction of the infradiaphragmatic portion of the inferior vena cava in the presence of increased intra-abdominal pressure. Investigative Radiology. ,vol. 1, pp. 37- 53 ,(1966) , 10.1097/00004424-196601000-00027
P. KENT HARMAN, IRVING L. KRON, H. DAVID McLACHLAN, ARTHUR E. FREEDLENDER, STANTON P. NOLAN, Elevated intra-abdominal pressure and renal function. Annals of Surgery. ,vol. 196, pp. 594- 597 ,(1982) , 10.1097/00000658-198211000-00015
Maurizio Guazzi, Alvise Polese, Fabio Magrini, Cesare Fiorentini, Maria T. Olivari, Negative influences of ascites on the cardiac function of cirrhotic patients The American Journal of Medicine. ,vol. 59, pp. 165- 170 ,(1975) , 10.1016/0002-9343(75)90350-2
Jack Kashtan, Jerry F. Green, Eric Q. Parsons, James W. Holcroft, Hemodynamic effects of increased abdominal pressure Journal of Surgical Research. ,vol. 30, pp. 249- 255 ,(1981) , 10.1016/0022-4804(81)90156-6
WILLIAM O. RICHARDS, WILLIAM SCOVILL, BAEKHYO SHIN, WILLIAM REED, Acute renal failure associated with increased intra-abdominal pressure. Annals of Surgery. ,vol. 197, pp. 183- 187 ,(1983) , 10.1097/00000658-198302000-00010
Ranniger K, Switz Dm, LOCAL OBSTRUCTION OF THE INFERIOR VENA CAVA BY MASSIVE ASCITES. American Journal of Roentgenology. ,vol. 93, pp. 935- ,(1965)
Shenasky Jh nd, The renal hemodynamic and functional effects of external counterpressure. Surgery gynecology & obstetrics. ,vol. 134, pp. 253- 258 ,(1972)