| 腹腔镜胆囊切除术的麻醉管理 |
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| 引用本文： | 胡贵荣.腹腔镜胆囊切除术的麻醉管理[J].职业与健康,2008,24(24):2747-2748. |
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| 作者姓名： | 胡贵荣 |
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| 作者单位： | 内蒙古医学院附属人民医院,呼和浩特市,010020 |
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| 摘 要： | 目的观察腹腔镜胆囊切除术（LC）中,血氧饱和度（SpO2）、血压（BP）的变化特点。方法对40例胆囊结石、5例胆囊息肉患者选择气管插管静脉复合麻醉,其中5例加用硬膜外阻滞麻醉,术中观察SpO2、BP,分析术毕SpO2和拔气管导管时间。结果术中1例出现短时间SpO2下降〈85%,2例〈95%,93%以上维持在96%～100%,术毕有40例（88.9%）SpO2维持在99%～100%,4例（8.9%）维持在97%～98%,仅有1例为96%;术中有2例BP下降至（76～85）/（48～53）mm Hg,术后拔管时间最长50 min,最短为5 min内,平均18.1 min。结论腹腔镜胆囊切除术需CO2气腹下完成,对呼吸和循环系统有明显影响,术中连续监测SpO2、BP,有助于避免各种并发症发生。
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| 关 键 词： | 胆囊切除术 腹腔镜 麻醉管理 |
Anesthetic Management of Laparoscopic Cholecystectomy |
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| HU Gui-rong.Anesthetic Management of Laparoscopic Cholecystectomy[J].Occupation and Health,2008,24(24):2747-2748. |
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| Authors: | HU Gui-rong |
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| Institution: | The Affiliated People's Hospital of Inner Mongolia Medical College;Huhhot 010020;China |
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| Abstract: | Objective]To observe the changing characteristic of oxygen saturation(SpO2) and blood pressure(BP) during laparoscopic cholecystectomy(LC).Methods] 80 gallbladder calculus patients and 5 gallbladder polyp patients were anesthetize by tracheal intubation anesthesia and intravenous anesthesia.Among them,5 patients were given epidural blockade anaesthesia in addition.SpO2 and BP were observed during the surgery.SpO2 and the time of decannulating the endotracheal tube after the surgery were analyzed.Results]... |
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| Keywords: | Cholecystectomy Laparoscopic Anesthetic Management |
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