Zhu XW, Tang ZH, Pan GD. Clinical value of intra-abdominal pressure monitoring and prognosis in severe acute pancreatitis patients with intra-abdominal hypertension.
Shijie Huaren Xiaohua Zazhi 2016;
24:1602-1607. [DOI:
10.11569/wcjd.v24.i10.1602]
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Abstract
AIM: To assess the clinical value of intra-abdominal pressure monitoring in severe acute pancreatitis patients with intra-abdominal hypertension (IAH).
METHODS: Clinical data for 30 patients with severe acute pancreatitis and intra-abdominal hypertension were analyzed retrospectively, including the relation of intra-abdominal pressure with abdominal perfusion pressure, blood lactic acid, C-reaction protein (CRP), acute physiology and chronic health evaluation II score (APACHE II), days in intensive care unit, number of affected organs, and risk factors for prognosis.
RESULTS: Abdominal perfusion pressure (APP) was negatively correlated with intra-abdominal pressure (IAP) pre- and post-treatment. IAP was positively correlated with blood lactic acid (BLA), CRP, APACHE II, days in ICU, and number of affected organs (P < 0.05). IAP was negatively correlated with prognosis (P < 0.05). IAP, APACHE II, and number of affected organs were independent risk factors for prognosis in severe acute pancreatitis patients with IAH.
CONCLUSION: IAP, APACHE II, and number of affected organs are independent risk factors for prognosis in severe acute pancreatitis patients with IAH.
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