Objective To explore prevention of abdominal compartment syndrome(ACS) after surgical operation of abdominal giant incisional hernia (AGIH). Methods The clinical data of 4 cases of ACS after surgical operation of AGIH in our hospital from March 2005 to May 2010 were analyzed retrospectively. Results Intra-abdominal pressure of all the cases were increased to varying degrees. One patient had cardiac, lung and renal dysfunction, and one suffered from cardiac and lung dysfunction, and 2 were associated with pulmonary infection and renal dysfunctioa Three cases were cured, and one died. Conclusion Intra-abdominal hypertension after surgical operation of AGIH is the main cause of ACS. Perioperative reasonable measures of prevention are of great importance to prevent the occurrence of ACS and improve its prognosis.%目的 探讨巨大腹壁切口疝术后致腹腔室隔综合征的防治措施.方法 对2005年3月至2010年5月期间4例巨大腹壁切口疝术后并发腹腔室隔综合征的临床资料进行回顾性分析.结果 4例腹腔压力均不同程度增高,合并心、肺、肾功能障碍1例,合并心、肺功能障碍1例,合并肺部感染、肾功能不全2例；死亡1例,治愈3例.结论 巨大腹壁切口疝术后腹内压增高是导致腹腔室隔综合征的主要因素,围手术期合理的防治措施是防止该病发生及决定其治疗预后的关键.
展开▼
