| 腹腔镜不同气腹压力对新生儿及小婴儿循环功能的影响 |
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| 引用本文： | 胡博,李戈,戴春娟,叶祖萍,牛军,刘金柱. 腹腔镜不同气腹压力对新生儿及小婴儿循环功能的影响[J]. 陕西医学杂志, 2012, 41(5): 546-547,556 |
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| 作者姓名： | 胡博 李戈 戴春娟 叶祖萍 牛军 刘金柱 |
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| 作者单位： | 1. 天津市儿童医院儿童外科(天津 300074)
2. 天津中医药大学公共卫生教研室 |
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| 摘 要： | 目的:探讨新生儿及小婴儿腹腔镜手术中,不同CO2气腹压力对循环功能的影响。方法:20例腹腔镜手术患儿在全麻下,分别予以5mmHg和10mmHg气腹压力建立人工CO2气腹,并记录0、5和10mmHg气腹压下循环动力学指标。结果:气腹后患儿心率、平均动脉压明显增高,并且随着气腹压的增高,心率、平均动脉也逐渐增高,但血氧饱和度数值在气腹前后无明显变化。结论:腹腔镜手术时在满足手术操作空间需要的前提下,尽量降低气腹压力以减少对患儿循环功能的影响。
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| 关 键 词： | 麻醉 心血管系统/病理生理学 气腹,人工 腹腔镜检查 婴儿,新生 |
Circulatory function changes in different CO2 pneumoperitoneum pressure in neonates and younger infants undergoing laparoscopy |
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| Affiliation: | Department of Pediatric Surgery,Tianjin Children’s Hospital(Tianjin 300074) Hu Bo Li Ge Dai Chunjuan et al |
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| Abstract: | Objective: To observe circulatory function changes in different CO2 pneumoperitoneum pressure in neonates and younger infants undergoing laparoscopy.Methods: Twenty patients with laparoscopy were performed under general anesthesia.Hemodynamic data were measured in different co2 pneumoperitoneum pressure(0mmHg,5mmHg and 10mmHg).Results: HR and MAP were significantly increased with increasing of pneumoperitoneum pressure after peritoneal insufflation,and SPO2 was not changed significantly.Conclusion: Lower pneumoperitoneum pressure should be used in neonates and younger infants undergoing laparoscopy.The lower pneumoperitoneum pressure be chosed,the little influence circulatory function more little. |
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| Keywords: | Anesthesia Cardiovascular system/physiopathology Pneumoperitoneum artificial Laparoscopy Infant newborn |
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