| 腹膜后腹腔镜手术对全麻患者呼吸及循环的影响 |
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| 引用本文： | 张红艳,赵黎丽,王俊晖.腹膜后腹腔镜手术对全麻患者呼吸及循环的影响[J].腹腔镜外科杂志,2007,12(5):441-442. |
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| 作者姓名： | 张红艳 赵黎丽 王俊晖 |
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| 作者单位： | 南昌大学第一附属医院,江西,南昌,330006;南昌大学第一附属医院,江西,南昌,330006;南昌大学第一附属医院,江西,南昌,330006 |
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| 摘 要： | 目的:了解腹膜后腹腔镜手术对全麻患者呼吸及循环的影响。方法:选择60例患者择期行腹膜后腹腔镜泌尿外科手术,ASAⅠ～Ⅱ级。观察气腹前、气腹后30、60、90min的MAP、HR、pH、PaCO2、PETCO2、Pa-PETCO2的变化。结果:气腹后患者MAP和HR无显著变化(P>0.05),气腹后较气腹前pH降低,PaCO2、PETCO2、Pa-PETCO2升高(P<0.05),气腹后各时间点以上指标无显著差异(P>0.05)。结论:气腹后PaCO2、PETCO2上升,pH下降,但不呈进行性的变化。
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| 关 键 词： | 腹腔镜术 麻醉 全身 腹膜后 高碳酸血症 |
| 文章编号： | 1009-6612（2007）05-0441-02 |
| 修稿时间： | 2007-04-09 |
Effects of retroperitoneal laparoscopic surgery on the cardiovascular and respiratory systems |
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| ZHANG Hong-yan,ZHAO Li-li,WANG Jun-hui.Effects of retroperitoneal laparoscopic surgery on the cardiovascular and respiratory systems[J].Journal of Laparoscopic Surgery,2007,12(5):441-442. |
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| Authors: | ZHANG Hong-yan ZHAO Li-li WANG Jun-hui |
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| Institution: | The First Affiliated Hospital of Nanchang University,Nanchang 330006,China |
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| Abstract: | Objective:To observe the effects of retroperitoneal laparoscopic surgery on the cardiovascular and respiratory systems.Methods:Sixty patients(ASAⅠ - Ⅱ) scheduled for retroperitoneal laparoscopic surgery under general anesthesia were studied. MAP,HR,pH,PaCO2,PETCO2,Pa-PETCO2 were observed before and after CO2 insufflation.Results:MAP and HR were not significantly different before and after CO2 insufflation(P>0.05).After CO2 insufflation pH was reduced, PaCO2,PETCO2 and Pa-PETCO2 were increased(P<0.05).There was no significant difference at different time after CO2 insufflation.Conclusions:After CO2 insufflation PaCO2 and PETCO2 are increased and pH was reduced. But the change isn' t progressive. |
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| Keywords: | Laparoscopy Anesthesia general Retroperitoneal Hypercapnia |
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