【摘要】 目的 探讨腹腔镜胆囊切除手术CO 2 气腹对80岁以上老年患者呼吸循环的影响。 方法 总结80岁以上高危老年患者腹腔镜胆囊切除术麻醉36例，男15例，女21例，均采用气管插管、静脉-吸入复合全身麻醉。 结果 CO 2 气腹期间，血流动力学变化不大，与气腹前比较，P>0.05;EtCO 2 、FEV 1 、有效动力性胸肺顺应性(EDC)变化显著(P<0.05)，但属正常范围。 结论 CO 2 气腹可引起EtCO 2 升高、FEV 1 、EDC轻度下降及轻微的循环抑制，只要严密监测患者各项指标，及时调整处理，老年患者可以很好地耐受腹腔镜胆囊切除手术。

    关键词 腹腔镜胆囊切除术 气腹 气管插管 全身麻醉

    Influence of the laparoscopy cholecystectomy pneumoperitoneum process on respiration and circulation of elderly sufferers

    Zhang Baoxiang

    Department of Anesthesiology，Baotou Railroad Hospital，Baotou014040.

    【Abstract】 Objective To explore influences of laparoscopic cholecystectomy CO 2 pneumoperitoneum on res-piration and circulation of elderly sufferers over80years.Methods 36cases aged over80years were anesthetized by tracheal intubation and composited venous-inhalation anethesia to perform laparoscopic cholecystectomy ......