Áp lực nội bụng, tăng huyết áp nội bụng và thai kỳ: một bài tổng quan

Rosaleen Chun1, Andrew W Kirkpatrick2,3,4
1Department of Anesthesia, Foothills Medical Centre, University of Calgary, Calgary, Canada
2Department of Critical Care Medicine, Foothills Medical Centre, Alberta Health Services, Calgary, Canada
3Department of Surgery, Foothills Medical Centre, Alberta Health Services, Calgary, Canada
4Regional Trauma Services Program, Foothills Medical Centre, Alberta Health Services, Calgary, Canada

Tóm tắt

Trong vài thập kỷ qua, đã có nhiều tiến bộ trong việc nhận diện và phòng ngừa hội chứng khoang bụng (ACS) và tiền thân của nó, tăng huyết áp nội bụng (IAH). Cũng đã có một sự bùng nổ tương đối về kiến thức trong các lĩnh vực hồi sức, chấn thương và phẫu thuật, cùng với sự ra đời của một hội chuyên về lĩnh vực này, Hiệp hội Thế giới về Hội chứng Khoang Bụng (WSACS). Tuy nhiên, hiện tượng áp lực nội bụng (IAP), IAH và ACS trong thai kỳ gần như chưa được nhận diện hay đánh giá đầy đủ về sự hiện diện, ảnh hưởng và quản lý. Bài viết này nhấn mạnh tầm quan trọng và sự liên quan của IAP trong những sản phụ đang bị bệnh nặng, sự thiếu hụt các giá trị IAP chuẩn trong thai kỳ hiện nay, cùng với một cái nhìn tổng quan về mối quan hệ tiềm ẩn giữa IAH và các bệnh lý của người mẹ như tiền sản giật - sản giật và tác động tiềm tàng của nó đối với sự phát triển của thai nhi. Cuối cùng, các hướng dẫn hiện tại về đo lường IAP đã bị đặt dấu hỏi, vì chúng không tính đến tử cung đang mang thai và tác động cơ học của nó lên áp lực nội khoang.

Từ khóa

#hội chứng khoang bụng #tăng huyết áp nội bụng #áp lực nội bụng #thai kỳ #tiền sản giật

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