国际妇产科学杂志

国际妇产科学杂志 ›› 2011, Vol. 38 ›› Issue (3): 218-221.

• 论著 • 上一篇    下一篇

40例产科腹腔间室综合征回顾性分析

李智泉, 王晨虹   

  1. 518028 深圳，南方医科大学附属深圳妇幼保健院 产科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2011-06-15 发布日期:2011-06-15
  • 通讯作者: 王晨虹

A Retrospective Analysis of 40 Cases Obstetrical Abdominal Compartment Syndrome

LI Zhi-quan，WANG Chen-hong   

  1. Department of Obstetrics, Nanfang Medical University，Shenzhen Maternal and Children Healthcare Hospital Affiliated to Southern Medical University，Guangdong Shenzhen 518028，China
  • Received:1900-01-01 Revised:1900-01-01 Published:2011-06-15 Online:2011-06-15
  • Contact: WANG Chen-hong

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摘要： 目的：探讨产科腹腔间室综合征（ACS）的危险因素、临床特点、诊断和治疗转归，以提高其早期确诊率。方法：回顾性分析40例产科ACS患者的临床资料。对患者分别采取单纯保守治疗及剖宫产。结果：ACS危险因素以羊水过多、蛋白尿和低蛋白血症为主；主要临床特点为腹胀和少尿；实验室检查以腹腔积液和血尿酸升高为主，分别占37.5%和50%。误诊率35%。全部治愈。结论：产科ACS的主要病因是各种原因引起的急性羊水过多和子痫前期的毛细血管渗漏综合征，通过积极的预防和早期诊断及治疗，可以改善其临床结局。

关键词: 腹腔, 危险因素, 先兆子痫, 腹膜疾病, 综合征, 回顾性研究

Abstract: Objective：To improve the accuracy of early diagnosis of obstetrical abdominal compartment syndrome （ACS） by investigating its risk factors，clinical characteristics，diagnosis and treatment outcome. Methods：The clinical data of forty obstetrical abdominal compartment syndrome patients were retrospectively analyzed. The cases received conservative treatment and cesarean-section separately. Results：The prevalence of hydramnios，proteinuria and hypoalbuminemia were the highest among the risk factors； Abdominal distention and oliguria were the major clinical characteristics；Primary laboratory abnormalities were massive ascites（37.5%） and hyperuricemia（50%）. Of forty cases，14 cases（35%，14/40）were misdiagnosed. All cases experienced rehabilitation discharge. Conclusions：Acute hydramnios due to various causes and capillary leak syndrome complicated by preeclampsia are the leading cause of the obstetrical abdominal compartment syndrome，early clinical identification and quickly effcient treatment play a key role in improving prognosis．

Key words: Abdominal cavity, Risk factors, Pre-eclampsia, Peritoneal diseases, Syndrome, Retrospective studies