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KMID : 1148020140390040267
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조선대학교의대논문집
2014 Volume.39 No. 4 p.267 ~ p.271
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Successful Percutaneous Catheter Decompression for Prevention of Abdominal Compartment Syndrome in a Patient with Spontaneous Retroperitoneal Hemorrhage
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Choi Young
Park Mahn-Won
Her Sung-Ho
Kim Chan-Joon
Cho Jung-Sun
Park Gyung-Min
Kim Tae-Seok
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Abstract
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Treatment of spontaneous retroperitoneal hemorrhage (SRH) is mainly conservative. However, if intra-abdominal hypertension (IAH) or abdominal compartment syndrome (ACS) develops, the treatment strategy should be more aggressive. Surgical decompression has been the gold standard; however, it is very invasive and highly morbid. Thus, percutaneous catheter drainage (PCD) has been introduced as an alternative therapeutic option. We report on a case of successful PCD for prevention of progression of IAH to ACS in a patient with SRH after coronary stent implantation. This case showed that PCD can be an efficacious and safe method for treatment of IAH with impending ACS
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KEYWORD
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Spontaneous retroperitoneal hemorrhage, Intraabdominal hypertension, Abdominal compartment syndrome, Percutaneous catheter decompression
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