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Secondary Abdominal Compartment Syndrome Recognized in Operating Room in Severely Injured Patients / 대한구급학회지
Article de En | WPRIM | ID: wpr-770916
Bibliothèque responsable: WPRO
ABSTRACT
For trauma patients with severe shock, massive fluid resuscitation is necessary. However, shock and a large amount of fluid can cause bowel and retroperitoneal edema, which sometimes leads to abdominal compartment syndrome in patients without abdomino-pelvic injury. If other emergent operations except intraabdomen are needed, a distended abdomen is likely to be recognized late, leading to multiple organ dysfunction. Herein, we report two cases of a 23-year-old woman who was in a car accident and a 53-year old man who was pressed on his leg by a pressing machine; severe brain swelling and popliteal vessel injury were diagnosed, respectively. They were both in severe shock and massive fluid resuscitation was required in the emergency department. Distended abdomen was recognized in both the female and male patients immediately after neurosurgical operation and immediately before orthopaedic operation in the operating room, respectively. Decompressive laparotomy revealed massive ascites with retroperitoneal edema.
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Mots clés
Texte intégral: 1 Indice: WPRIM Sujet Principal: Blocs opératoires / Ascites / Réanimation / Choc / Oedème cérébral / Oedème / Service hospitalier d'urgences / Abdomen / Hypertension intra-abdominale / Laparotomie Limites du sujet: Female / Humans / Male langue: En Texte intégral: The Korean Journal of Critical Care Medicine Année: 2016 Type: Article
Texte intégral: 1 Indice: WPRIM Sujet Principal: Blocs opératoires / Ascites / Réanimation / Choc / Oedème cérébral / Oedème / Service hospitalier d'urgences / Abdomen / Hypertension intra-abdominale / Laparotomie Limites du sujet: Female / Humans / Male langue: En Texte intégral: The Korean Journal of Critical Care Medicine Année: 2016 Type: Article