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Operative und interventionelle Gefäßmedizin pp 1–5Cite as

Abdominelles Kompartmentsyndrom

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Zusammenfassung

Zahlreiche Erkrankungen können eine intra-abdominellen Hypertension oder manifestes abdominellen Kompartmentsyndrom (ACS) verursachen. Dem Gefäßchirurgen begegnet das ACS meist im Rahmen des rupturierten Bauchaortenaneurysmas. Die Prävalenz liegt hier bei 6,8–8 %. Die Auswirkungen des erhöhten intra-abdominellen Drucks sind vielfältig und betreffen zahlreiche Organsysteme. Die Diagnose beruht auf der klinischen Einschätzung und der Messung des intra-abdominellen Drucks über einen Blasenkatheter. Liegt dieser dauerhaft über 20 mmHg und geht mit einer neu aufgetretenen Organdysfunktion einher, liegt definitionsgemäß ein abdominelles Kompartmentsyndrom vor. Da die Letalität des manifesten ACS mit 39–62 % auch bei zeitgerechter, aggressiver Therapie (operative Dekompression) sehr hoch ist, kommt der konservativen Behandlung mit Senkung der intra-abdominellen Hypertension eine überragende Bedeutung zu.

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Notes

  1. 1.

    International übliche Abkürzungen: intra-abdominal pressure (IAP).

  2. 2.

    International übliche Abkürzungen: intra-abdominal hypertension (IAH) und abdominal compartment syndrome (ACS).

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Authors and Affiliations

  1. Klinik und Poliklinik für Gefäßmedizin, Universitäres Herz- und Gefäßzentrum Hamburg, Hamburg, Deutschland

    Axel Larena-Avellaneda

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  1. Axel Larena-Avellaneda
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Correspondence to Axel Larena-Avellaneda .

Editor information

Editors and Affiliations

  1. Klinik und Poliklinik für Gefäßmedizin, Universitäres Herzzentrum GmbH, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany

    Eike Sebastian Debus

  2. Radiologie, Allgemeines Krankenhaus Harburg Abt. Diagnostische und Interventionelle, Hamburg, Germany

    Walter Gross-Fengels

Section Editor information

  1. Klinik und Poliklinik für Gefäßmedizin, Universitäres Herz- und Gefäßzentrum Hamburg, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland

    Eike Sebastian Debus

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Larena-Avellaneda, A. (2019). Abdominelles Kompartmentsyndrom. In: Debus, E., Gross-Fengels, W. (eds) Operative und interventionelle Gefäßmedizin. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-45856-3_44-1

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  • DOI: https://doi.org/10.1007/978-3-662-45856-3_44-1

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-45856-3

  • Online ISBN: 978-3-662-45856-3

  • eBook Packages: Springer Referenz Medizin

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