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食管引流型喉罩在腹腔镜胆囊手术麻醉中的应用
引用本文:王耀明,朱跃坤,王科,王爱民,陈永喜. 食管引流型喉罩在腹腔镜胆囊手术麻醉中的应用[J]. 中国血液流变学杂志, 2011, 21(3): 443-445,511. DOI: 10.3969/j.issn.1009-881X.2011.03.021
作者姓名:王耀明  朱跃坤  王科  王爱民  陈永喜
作者单位:苏州市吴中人民医院麻醉科,江苏苏州,215128
摘    要:目的 探讨食管引流型喉罩(PLMA)在腹腔镜胆囊切除术中应用的有效性和安全性,为第三代喉罩应用于该类微创手术提供参考.方法 40例择期行腹腔镜胆囊切除手术患者,ASAⅠ~Ⅱ级,体重指数<25kg/m2,随机分为气管导管组(T组)和食管引流型喉罩组(P组),每组20例.P组常规放置胃管并测定气道密闭压.观察两组插管(罩...

关 键 词:食管引流型喉罩  腹腔镜  气管插管  胆囊切除术

Application of Proseal Laryngeal Mask Airway for Ventilation in Laparoscopic Cholecystectomy
WANG Yao-ming,ZHU Yue-kun,WANG Ke,WANG Ai-ming,CHEN Yong-xi. Application of Proseal Laryngeal Mask Airway for Ventilation in Laparoscopic Cholecystectomy[J]. Chinese Journal of Hemorheology, 2011, 21(3): 443-445,511. DOI: 10.3969/j.issn.1009-881X.2011.03.021
Authors:WANG Yao-ming  ZHU Yue-kun  WANG Ke  WANG Ai-ming  CHEN Yong-xi
Affiliation:(Suzhou Wuzhong People's Hospital,Suzhou,Jiangsu,215128,China)
Abstract:Objective To discuss the efficiency and safety of proseal laryngeal mask airway(PLMA) for ventilation during laparoscopic cholecystectomy, and to provide reference for further studying of PLMA in microinvasive surgery. Method Forty ASA I -II adult patients undergoing selective laparoscopic cholecystectomy were randomly divided into proseal laryngeal mask airway group(PLMA,n=20) and intratracheal intubation group(IT, n=20).The airway seal pleasure was monitored using the nasogastric tube in PLMA group.In both groups,the successful rates and the operating time were compared.And the Bp, HR changes in intubation and extubation were measured.Effects of variations in CO2 pneumoperitoneum pressure on respiratory parameter variation were monitored.Also,complications in/after operations were compared in both groups. Results PLMA and tracheal intubation in two groups were inserted successfully, and the inserting-time was similar.The hemodynamics of PLMA group changed less than of IT group,and had more less complications in PLMA group. The respiratory parameter variation in both group had no significance.In PLMA group,the airway seal pleasure was higher than the peak inspiratory pressures(PIP) after CO2 pneumoperitoneum. Conclusion It is safe and convenient to use PLMA for ventilation with effective ventilation,stable anesthesia and less complication.
Keywords:proseal laryngeal mask  intratracheal tube  laparoscopy  cholecystectomy
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