Publication in refereed journal
香港中文大学研究人员 ( 现职)
Professor Charles David GOMERSALL (麻醉及深切治疗学系) |
Professor Gavin Matthew JOYNT (麻醉及深切治疗学系) |
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摘要Introduction: Intra-abdominal hypertension is now well recognized in intensive care patients. Increasing knowledge of the incidence, causes, pathophysiology and outcome of intra-abdominal hypertension has resulted in earlier and more definitive management of the condition in the last decade. Although these advances appear to have improved outcome, many issues remain controversial. Methods: A literature review of relevant papers was conducted. Conclusions: The incidence of intra-abdominal hypertension varies widely depending on the intra-abdominal pressure used to define the condition and the sub-group investigated. Monitoring intra-abdominal pressure by measuring urinary bladder pressure is simple and sufficiently accurate. It has been suggested that intra-abdominal hypertension occurs when intra-abdominal pressure exceeds http://aims.cuhk.edu.hk/converis/portal/Publication/1O to http://aims.cuhk.edu.hk/converis/portal/Publication/12mmHg. Abdominal compartment syndrome is a severe form of intra-abdominal hypertension and occurs when intra-abdominal pressure exceeds 20-25mmHg and associated organ failure is evident. Intra-abdominal hypertension has potentially damaging effects on the gastrointestinal, cardiovascular, renal, respiratory and central nervous systems. There is an association between intra-abdominal hypertension and multiple organ failure, but causation has not yet been convincingly shown. Expert consensus suggests that an acute increase of IAP to above 20-25mmHg and/or evidence of abdominal compartment syndrome is an indication for surgical decompression.
着者Joynt G.M., Gomersall C.D.
期刊名称CRITICAL CARE AND SHOCK
出版年份2003
月份8
日期http://aims.cuhk.edu.hk/converis/portal/Publication/1
卷号6
期次3
出版社Indonesian Society of Critical Care Medicine
出版地Indonesia
页次http://aims.cuhk.edu.hk/converis/portal/Publication/13http://aims.cuhk.edu.hk/converis/portal/Publication/1 - http://aims.cuhk.edu.hk/converis/portal/Publication/138
国际标準期刊号http://aims.cuhk.edu.hk/converis/portal/Publication/14http://aims.cuhk.edu.hk/converis/portal/Publication/10-7767
语言英式英语