[The effects of abdominal compartment syndrome on the serum urea and creatinine levels].
BACKGROUND
The purpose of this study was to assess the effects of abdominal compartment syndrome (ACS) on the kidneys.


METHODS
Intra abdominal pressures (IAP) were indirectly measured through urinary bladder. The patients were categorised into four groups according to IAP levels. Serum urea and creatinine levels and IAP were measured once a day. Abdominal decompression was planned according to IAP as well as clinical assessment.


RESULTS
The number of patients in this study was 25. Serum urea and creatinine levels were highest in the group IV (group in which abdominal pressure was above 31 cmH2O) (t > 0.05). Five of the 25 patients were died and anuria developed in these five patients before death. In three of five patients abdominal decompression operations were performed.


CONCLUSIONS
ACS is an unusual and often lethal syndrome. The most important treatment is abdominal decompression and we conclude that it should be done in patients with IAP 30 cmH2O or above to protect renal function.
Küçük
Hasan Fehmi
HF
Dr. Lütfi Kirdar Eğitim ve Araştirma Hastanesi II. Cerrahi Kliniği Cevizli Kartal/Istanbul.
Cevik
Ayhan
A
Kurt
Necmi
N
Bildik
Nejdet
N
Gülmen
Mustafa
M
D000005:Abdomen; D000293:Adolescent; D000328:Adult; D000368:Aged; D003161:Compartment Syndromes / Q000097:blood* / Q000503:physiopathology* / Q000601:surgery; D003404:Creatinine / Q000097:blood*; D019299:Decompression, Surgical; D004638:Emergency Treatment; D005260:Female; D006801:Humans; D007668:Kidney / Q000293:injuries / Q000503:physiopathology; D007677:Kidney Function Tests; D008297:Male; D008875:Middle Aged; D011312:Pressure; D012720:Severity of Illness Index; D014508:Urea / Q000097:blood*; D001743:Urinary Bladder / Q000503:physiopathology
D014508:Urea; D003404:Creatinine