腹内压的变化对肠道氧合及功能的影响

以胃黏膜pH值及血浆D-乳酸为监测指标，观察腹高压患者的腹内压变化前后胃肠道氧合及功能的变化。本研究提示胃黏膜pH值可以反映胃肠道的缺血，且早于腹腔间隙综合征出现，可敏感反映腹高压时肠道氧舍情况；血浆D-乳酸可反映肠缺血再灌注时肠屏障功能状态。以上观察为临床提供简便易行的监测手段及治疗思路。

Intra--abdominal Pressure changes on Intestinal Oxygenation and Function

The gastric pH and plasma D--lactate as indicators for monitoring, observation of patients with intra--abdominal pressure abdominal pressure changes in the gastrointestinal tract before and after changes in oxygenation and function. These findings suggest that gastric pH of the gastrointestinal tract may reflect ischemia, and abdominal compartment syndrome occurs early, can be sensitive to reflect the abdominal pressure, intestinal oxygenation; plasma D--lactate may reflect intestinal ischemia--reperfusion intestinal barrier function status. Provide more than simple clinical observation and treatment monitoring tool ideas.