ABDOMÝNAL KOMPARTMAN SENDROMUNUN SERUM ÜRE VE KREATÝNÝN ÜZERÝNE ETKÝSÝ

THE EFFECTS OF ABDOMINAL COMPARTMENT SYNDROME ON THE SERUM UREA AND CREATININ LEVELS

BACKGROUND: The purpose of this study was to assess the effects of abdominal compartment syndrome (ACS) on the kidneys.
METHODS: Intra abdominal pressures (lAP) were indirectly measured through urinary bladdel: The patients were categorised into four groups according to lAP levels. Serum urea and creatinin levels and lAP were measured once a day. Abdominal decompression was planned according to lAP as well as clinical assessment.
RESULTS: The number of patients in this study was 25. Serum urea and creatinin levels were highest in the group IV (group in which abdominal pressure was above 31cmH2O) (t> O.05). Five of the 25 patients were died and anuria developed in these five patients before death. In three offive patients abdominal decompression operations were performed.
CONCLUSION: IAH is an unusual and often lethal syndrome. The most important treatment is abdominal decompression and we conclude that it should be done in patients with lAP 30 cmH2O or above to protect renalfunction.