用筋膜修复术治疗继发于产科出血的腹腔隔室综合征
Use of a fascial prosthesis for management of abdominal compartment syndrome secondary to obstetric hemorrhage作者机构：Department of Obstetrics and Gynecology University of Alabama at Birmingham 618 South 19th Street OHB 340 Birmingham AL 35233 United States Dr.
出 版 物：《世界核心医学期刊文摘（妇产科学分册）》 (Core Journal in Obstetrics/Gynecology)
年 卷 期：2006年第2卷第10期
页 面：59-59页
学科分类：1002[医学-临床医学] 100211[医学-妇产科学] 10[医学]
主 题：隔室综合征 产科出血 修复术 产科大出血 羊水栓塞 腹腔探查 减压手术 腹腔内压
摘 要：BACKGROUND: Massive obstetric hemorrhage can be catastrophic, with considerable maternal morbidity and mortality. CASE: A 41-year-old term gravida experienced massive postpartum hemorrhage attributed to an amniotic fluid embolism with rapid development of disseminated intravascular coagulation and resultant abdominal compartment syndrome. In this critically ill patient, a fascial prosthesis used for abdominal wall closure was placed to expedite multiple abdominal explorations and packing. Additionally, this device facilitated fascial closure once the abdominal compartment syndrome was resolved. CONCLUSION: Abdominal compartment syndrome resulting from overwhelming obstetric hemorrhagemay necessitate emergent decompressive laparotomy to alleviate increased intra-abdominal pressure and end-organ dysfunction. The fascial prosthesis allows a staged abdominal wall closure to be performed once the abdominal compartment syndrome is resolved.
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