Previous Next


№4' 2014


International Medical Journal, Vol. 20., Iss. 4, 2014, P. 80−82.


Lysenko V. Y., Brick R. P.

Kharkiv Medical Academy of Postgraduate Education, Ukraine

Intraabdominal hypertension has received much attention in the literature because of its substantial increase results in abdominal compartment syndrome leading to violations of vital body functions. Diabetic ketoacidosis is the cause of secondary abdominal compartment syndrome. The purpose of the work was to study the dynamics of intraabdominal pressure in patients with diabetic ketoacidosis during intensive care. The study involved 85 patients with diabetes mellitus in the stage of decompensation and ketoacidosis. Patients in group 1 (n = 42, mean age 53.5±6.2) underwent traditional treatment, including infusion−metabolic, insulin therapy according to current guidelines. Patients in group 2 (n = 43, mean age 53.5±6.2 years) were performed further enteric oxygenation. Intra−abdominal pressure was measured in the bladder procedure according to Kron І. L. et al. Development of intraabdominal hypertension syndrome is observed in the early stages of decompensation of diabetes before clinical manifestations. The greatest impact on intraabdominal pressure is provided by oxygen supply of the tissues. In the treatment of patients in group 2 revealed more rapid normalization of intra−abdominal pressure and restored the functional state of the intestine, allowing earlier transfer of patients on enteral fluid intake and reduction of the volume of infusion. Intraabdominal hypertension syndrome is an important component of the pathogenesis of diabetic ketoacidosis. Enteric oxygenation improves the functional state of the intestine, reduces intraabdominal pressure and facilitates transfer of patients on enteral nutrition and fluid intake in earlier periods.

Key words: diabetic ketoacidosis, intraabdominal hypertension, intensive care, enteral oxygenation.

Go on Top