[Clinical analysis of abdominal compartment syndrome in patients with serious burn injury].
OBJECTIVE
To summarize the clinical management of abdominal compartment syndrome (ACS) in burn patients with severe burn injury.


METHODS
Twelve serious burn patients with abdominal compartment syndrome hospitalized in our center from January 2001 to April 2005 were enrolled in the study. Among them 3 patients were treated with conservative method, 4 with escharectomy of abdominal wall, 5 with laparotomy for decompression. The clinical results were analyzed statistically. Bladder pressure, central venous pressure, systolic blood pressure and arterial blood oxygen partial pressure (PaO2 ) were measured and compared before and after operation.


RESULTS
Among these 12 patients, 5 died with the overall mortality of 41.67%. But only 3 died among 9 patients undergone operation. Most of patients were oliguric,with abnormal bladder pressure, central venous pressure, and systolic blood pressure 24 hours before operation. But these parameters were significantly improved after operation ( P <0. 01).


CONCLUSIONS
Early abdominal escharectomy and timely abdominal decompression are vital for the management of ACS in burn patients.
Song
Zhen-qiang
ZQ
The Center of Plastic & Burn and Rehabilitation, the First Affiliated Hospital of Guangxi Medical University, Nanning 530021, PR China.
Wang
Run-xiu
RX
Nong
Qing-wen
QW
Lin
Yuan
Y
Liu
Da-en
DE
Zhang
Li-ming
LM
Feng
Li
L
D000005:Abdomen / Q000473:pathology; D000328:Adult; D000368:Aged; D002056:Burns / Q000150:complications* / Q000628:therapy*; D003161:Compartment Syndromes / Q000209:etiology* / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged