目的:总结严重创伤后并发腹腔间室综合征(abdominal compartment syndrome,ACS)的诊治经验。方法:回顾分析近两年半时间内严重创伤后并发ACS病人的临床资料,10例行开腹减压者入组;1例为电击伤致腹壁裂开、腹腔脏器外露,腹壁裂口处组织呈焦痂、挛缩状态,外露小肠肿胀明显,还纳后强行关腹势必会形成腹腔内高压状态,因此亦行腹腔临时关闭,故入组一并讨论。结果:11例均行腹腔开放减压,1例术后死于酸中毒、多脏器功能衰竭,其余病人二期行关腹或皮瓣移植术后出院。结论:腹部严重创伤合并ACS的病人伤情危重、复杂,早期诊断和及时的开腹减压是抢救的关键,遵循损伤控制原则和给予合理的营养支持治疗是改善预后的重要措施。 Objective: To summarize the diagnosis and treatment of severe post traumatic abdominal compartment syndrome (ACS). Methods: The clinical data of patients with severe traumatic brain injury complicated with ACS in the last two and a half years were retrospectively analyzed. Ten patients underwent open decompression. One case was caused by electrical injury such as abdominal wall rupture, abdominal visceral organ, Was eschar, contracture state, the obvious swelling of the small intestine, but also satisfied that after the closure of the abdomen is bound to form a high intra-abdominal pressure state, it also temporarily closed the abdominal cavity, it is also included in the discussion group. Results: All the 11 patients underwent open abdominal decompression. One patient died of acidosis and multiple organ failure after operation. The rest of the patients were discharged after the second stage of abdomen or skin flap transplantation. Conclusion: Severe trauma patients with ACS are critically ill and complicated. Early diagnosis and timely decompression of laparotomy are the keys to rescue. To follow the principle of injury control and to provide reasonable nutritional support is an important measure to improve prognosis.