Diagnostics and treatment of hypertension syndrome for patients with non-penetrating intra-abdominal injury

Annotation: The results of measuring intra-abdominal pressure of 84 patients suffering from non-penetrating intra-abdominal injury are presented. It was observed that in cases of non-penetrating intra-abdominal injury intra-abdominal pressure had been rising in 58,33% of cases. Dynamics of intra-abdominal hypertension in correlation with the method of surgical treatment was analyzed. When surgery was completed with overusing in 65,12% of cases the rise of i ntra-abdomi nal pressure to more than 15 mmHg was observed; decrease of abdominal perfusion pressure lower than 65 mm Hg was observed in 25,58% of cases, at that 16,28% of injured developed intra-abdominal hypertension syndrome. When temporary closure of abdominal space was executed intra-abdominal pressure did not exceeded 11,5±4,8 mm Hg. A statistically significant correlation was identified between intra-abdominal pressure and occurrence of developing multiple-organ failure, severity condition of injured as of APACHE II, SOFA, ISS scale (p