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严姝瑛,王雪英,张翔宇.腹内压监测在ARDS中的临床研究[J].同济大学学报（医学版）,2012,33(3):113-116. [点击复制]
YAN Shu-ying,WANG Xue-ying,ZHANG Xiang-yu.Intra-abdominal pressure monitoring in acute respiratory distress syndrome[J].同济大学学报（医学版）,2012,33(3):113-116. [点击复制]

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腹内压监测在ARDS中的临床研究
严姝瑛¹,王雪英¹,张翔宇²
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(1.上海建工医院心内科,上海200083;2.同济大学附属第十人民医院重症医学科,上海200072)

摘要:

急性肺损伤/急性呼吸窘迫综合征(ALI/ARDS)是重症监护室(ICU)中常见的危重症,至今仍然有很高的病死率。而引起ARDS的常见病因往往也会造成患者腹内压(IAP)的变化。当腹内压(IAP)急剧升高可影响呼吸、循环系统的生理功能,严重时可发生腹腔间隔室综合征(ACS)、器官衰竭和死亡。因此对ALI/ARDS患者常规腹内压监测是必要的。现就腹内压监测在急性呼吸窘迫综合征中的临床研究进展进行综述。

关键词: 腹内压呼气末正压急性肺损伤急性呼吸窘迫综合征

DOI：10.3969/j.issn1008-0392.2012.03.027

基金项目:上海市科委资助项目（10411964800);上海市卫生局资助项目（2009143)

Intra-abdominal pressure monitoring in acute respiratory distress syndrome

YAN Shu-ying¹,WANG Xue-ying¹,ZHANG Xiang-yu²

(1.Dept.of Cardiology,Shanghai Jiangong Hospital,Shanghai 200083,China;2.Dept.of Critical Care Medicine,Tenth People’s Hospital,Tongji University,Shanghai 200072,China)

Abstract:

Acute lung injury(ALI)or acute respiratory distress syndrome(ARDS)is a common critical condition in intensive care units and causes high mortahty.The causes associated with ALI/ ARDS often lead to the changes of intra-abdominal pressure(IAP).The acute elevation of IAP negatively affects the function of respiratory and circulation systems and results in abdominal compartment syndrome(ACS),organ failure and even death.Therefore,it is necessary to monitor the intra-abdominal pressure routinely for patients with ALI/ARDS.In this article we review the latest progress on IAP monitoring in patients with ALI/ARDS.

Key words: intra-abdominal pressure positive end-expiratory pressure acute lung injury acute respiratory distress syndrome