Effect of fluid resuscitation on intra-abdominal compartment syndrome in severe abdominal injury patients
CHEN Rong-jian
GONG Yue-hua
XU Zhen-qi
WEI An-qing
PENG Xiao-ling
HUANG Qiang
Abstract：Objective To investigate the effect of fluid resuscitation on abdominal compartment syndrome (ACS)in severe abdominal injury patients.Methods Intra-abdominal pressure(IAP)was measured through the bladder manometry in 70 critically ill patients from Jul.2011 to Jul.2014.Daily fluid balance and cumulative fluid balance amounts were compared between the damage control resuscitation(DCR)group and the conventional therapy group.Results The daily fluid balance amount was significantly increased on the 1st,2nd day after admission in the conventional therapy group compared with that of the DCR group:(2 780 ±690) mL vs(1 728 ±275) mL, (1 415 ±1 000)mL vs(910 ±1 200)mL;there was no significant difference in daily fluid balance amount on the 3rd day after admission between the two groups;the cumulative fluid balance amounts were remarkably increased in the conventional therapy group from the 1st to 3rd day after admission than those of the DCR group:(2 780 ±690)mL vs(1 728 ±275)mL,(4 510 ±1 149)mL vs(3 250 ±1 724)mL,(5 246 ±1 490)mL vs(4 170 ±1 926)mL.The mortal-ity and complication of the DCR group were significantly lower than those of the conventional therapy group.Conclusion Severe abdominal injury patients should be treated by DCR actively.DCR can lessen the cumulative fluid balance a-mount,lower the IAH/ACS rate and shorten the hospital stay.
Keywords：abdominal injuryfluid resuscitationabdominal compartment syndrome
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 18-20 )