tailieunhanh - Báo cáo khoa học: "Intra-abdominal hypertension in patients with severe acute pancreatitis"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Intra-abdominal hypertension in patients with severe acute pancreatitis. | Available online http content 9 4 R452 Research Intra-abdominal hypertension in patients with severe acute pancreatitis Jan J De Waele1 Eric Hoste1 Stijn I Blot2 Johan Decruyenaere3 and Francis Colardyn4 Intensivist Intensive care unit Ghent University Hospital Gent Belgium 2Professor Intensive care unit Ghent University Hospital Gent Belgium 3Professor and Head Intensive care unit Ghent University Hospital Gent Belgium 4Professor and Chief Executive Officer Ghent University Hospital Gent Belgium Corresponding author Jan J De Waele Received 25 Mar 2005 Revisions requested 24 Apr 2005 Revisions received 3 Jun 2005 Accepted 6 Jun 2005 Published 6 Jul 2005 Critical Care 2005 9 R452-R457 DOI 86 cc3754 This article is online at http content 9 4 R452 2005 De Waele et al. licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is cited. Open Access Abstract Introduction Abdominal compartment syndrome has been described in patients with severe acute pancreatitis but its clinical impact remains unclear. We therefore studied patient factors associated with the development of intra-abdominal hypertension IAH the incidence of organ failure associated with IAH and the effect on outcome in patients with severe acute pancreatitis SAP . Methods We studied all patients admitted to the intensive care unit ICU because of SAP in a 4 year period. The incidence of IAH defined as intra-abdominal pressure 15 mmHg was recorded. The occurrence of organ dysfunction during ICU stay was recorded as was the length of stay in the ICU and outcome. Results The analysis included 44 patients and IAP measurements were obtained from 27 patients. IAH was found in 21 patients 78 . The maximum IAP in these patients averaged 27 mmHg. APACHE