腹腔开放合并肠空气瘘的防治

摘要

Open abdomen therapy can reduce intra-abdominal pressure ,help to eliminate infection or nec-rotic tissue,timely stop bleeding ,and detect complications as intestinal fistula .Currently,open abdomen therapy has become an important treatment for damage control of severe trauma ,severe intra-abdominal infection ,and abdominal compartment syndrome .However,there are still some complications after open abdomen therapy ,especially seconda-ry intestinal injury or enteroatmospheric fistula .Once the enteroatmospheric fistula occurs ,treatment strategy should be adjusted to stage treatment ,and the application of enteral nutrition support should be taken into account during the whole process .%腹腔开放能够减轻腹腔内压力，便于清除感染坏死组织，及时止血，及时发现肠外瘘等并发症，目前腹腔开放疗法已成为应用损害控制理念救治严重创伤、重度腹腔感染、腹腔间隙综合征的重要治疗手段。但腹腔开放仍有一些并发症，尤其是继发肠空气瘘，一旦发生肠空气瘘，则需要调整治疗思路，建议采用阶段性治疗策略，同时重视此过程中肠内营养的应用。