Interpretation of emergency expert consensus on diagnosis and treatment of intra-abdominal hypertension and abdominal compartment syndrome in adults in China(2024)
Intra-abdominal hypertension(IAH)and abdominal compartment syndrome(ACS)are frequently encountered emergencies that pose serious challenges to emergency physicians.Since the diagnosis and treatment guideline of IAH/ACS released by the World Society of the Abdominal Compartment Syndrome in 2013,resear-ches during the last 10 years have added new evidence to the clinical practice in this area.Chinese experts were as-sembled by the Emergency Medicine Branch of Chinese Medical Association and other organizations and compre-hensively summarized the definition,epidemiology,etiology,diagnosis,treatment,and prevention measures of IAH/ACS.They drafted the"Emergency expert consensus on diagnosis and treatment of intra-abdominal hyper-tension and abdominal compartment syndrome in adults in China(2024)"(hereinafter referred to as"Consen-sus"),proposing a total of 22 recommendations,based on domestic and international guidelines,research findings during the past decade,as well as the unique characteristics of emergency practice.The"Consensus"emphasized that emergency medical staff should pay close attention to IAH/ACS and be proficient in standardized screening,diagnosis and treatment protocols.It emphasized adopting comprehensive diagnostic and treatment measures,in-cluding elimination of underlying causes,reduction of intra-abdominal pressure(IAP)and organ support,etc.and recommended stratified diagnosis and treatment measures according to the IAP level and the severity of organ dys-function.In addition,traditional Chinese medicine treatment,point-of-care ultrasound application,and prevention and blocking measures were added in the"Consensus",providing more comprehensive guidance for the diagnosis and treatment of emergency IAH/ACS patients.