[Pathophysiology and clinical significance of the abdominal compartment syndrome].
Different causes, for example posttraumatic and postoperative complications, can lead to an elevated intra-abdominal pressure. Increased intraabdominal pressure effects cardiovascular, pulmonary and renal systems. The abdominal compartment syndrome can be defined as organ failure caused by an increased intra-abdominal pressure. Clinically the syndrome is characterised by a tensely distended abdomen, oliguria or anuria and/or inadequate ventilation. Early decompression by simple laparotomy and delayed closure is the treatment of choice. If untreated the abdominal compartment syndrome is lethal. Even treated it has a high morbidity and mortality as shown in our series where 2 out of 7 patients with this syndrome died despite surgical decompression.
Grubben
A C
AC
Maaslandziekenhuis Sittard, Abteilung für Chirurgie, Akademisches Lehrkrankenhaus der Universität Maastricht, Niederlande, Germany. grubben@usa.net
van Baardwijk
A A
AA
Broering
D C
DC
Hoofwijk
A G
AG
D000005:Abdomen; D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003161:Compartment Syndromes / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D005260:Female; D006801:Humans; D006874:Hydrostatic Pressure; D007362:Intensive Care Units; D007813:Laparotomy; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000150:complications; D011183:Postoperative Complications; D011312:Pressure; D001743:Urinary Bladder / Q000502:physiology
Pathophysiologie und Bedeutung des abdominellen Kompartmentsyndroms.