国际妇产科学杂志

国际妇产科学杂志 ›› 2014, Vol. 41 ›› Issue (3): 221-224.

• 综述 • 上一篇    下一篇

围生期腹腔间隔室综合征

李伟杰，陈娟娟，何青，谢玉珍，李映桃   

  1. 510150 广州医科大学附属第三医院妇产科，广东省产科重大疾病重点实验室
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2014-06-15 发布日期:2014-06-15
  • 通讯作者: 李映桃

Abdominal Compartment Syndrome during Perinatal Period

LI Wei-jie，CHEN Juan-juan，HE Qing，XIE Yu-zhen，LI Ying-tao   

  1. Department of Obstetrics and Gynecology，Key Laboratory for Major Obstetric Disease of Guangdong Province，The Third Affiliated Hospital of Guangzhou Medical University，Guangzhou 510150，China
  • Received:1900-01-01 Revised:1900-01-01 Published:2014-06-15 Online:2014-06-15
  • Contact: LI Ying-tao

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摘要： 腹腔内压力（IAP）增加会导致全身多器官功能障碍，当妊娠合并严重内外科疾病以及出现严重妊娠并发症时，常会出现腹腔间隔室综合征（ACS）或腹腔内高压（IAH），从而导致孕产妇和围生儿死亡的风险增加。诊断及预防ACS或IAH的关键措施在于监测IAP，而孕产妇正常IAP的标准及检测方法尚未明确，目前认为膀胱内压法仍是检测孕产妇IAP的金标准。对于重症孕产妇应进行IAP监测，早期发现早期处理，避免ACS的发生；一旦诊断为ACS，应尽早干预，必要时行外科手术进行减压。

关键词: 腹腔, 压力, 围生期, 腹腔间隔室综合征

Abstract: The increase in intra-abdominal pressure（IAP） will lead to multiple organ dysfunctions. There will be often complicated with abdominal compartment syndrome（ACS） or intra-abdominal high pressure（IAH），if pregnancy with serious internal medical or surgical diseases，or with serious complications. Furthermore，it will lead to an increased risk of maternal and perinatal mortality. Key measures for the diagnosis and prevention of ACS or IAH is monitoring IAP，the pregnancy maternal normal IAP standards and testing methods are not yet clear，that the bladder pressure method is still the gold standard of detection maternal IAP. For severe maternal IAP monitoring，we should do early detection and early treatment to avoid the occurrence of ACS. Once diagnosis of ACS，we should do early intervention，and the surgical decompression if it proves necessary.

Key words: Abdominal cavity, Pressure, Perinatal care, Abdominal compartment syndrome