关键词: 腹腔间隔室综合征, 并发症, 回顾性研究, 预后, 回肠造口

Abstract: Objective To investigate new treatment method “ILEOSTOMY” for abdominal compartment syndrome （ACS）. Methods Retrospectively reviewed clinical data of patients with ACS from May, 2017 through to March, 2022 admitted in Department General Surgery, and Department of Obstacles and Gynecology, Sun Yat-sen memorial hospital, Sun Yat-sen University. Patients included 6 cases of SAP（severe acute pancreatitis, SAP）, 2 cases of pancreas trauma, and 7 cases of abdominal or pelvic surgical complications. All patients received routine treatment plus with “ILEOSTOMY” aimed for quickly decreasing the Intra-abdominal Hypertension （IAH）. Clinical data of Intra-abdominal pressure （IAP）, urine output, heart rate, breath rate and survival were collected and analyzed. Results IAH in most patients （13/15, 86.67%） were adjusted to normal level soon postoperatively. Twelve cases survived while other 3 cases who suffered MOF （Multiple Organ Failure, MOF） or MODS（multiple organ dysfunction syndrome, MODS） dead postoperatively. Conclusion “ILEOSTOMY” along with routinely suggested operation modality for selected ACS patient might be a good choice. More clinical data should be needed in the future.

Key words: abdominal compartment syndrome, ileostomy, treatment