妇科腹腔镜手术CO2气腹对血气的影响
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中图分类号:R713
文献标识码: A
文章编号: 1672-3783(2010)-03-0006-03
【摘 要】目的 研究与探讨妇科腹腔镜手术CO2气腹对血气分析的影响及处理。方法 选择68例腹腔镜手术的患者,在建立CO2气腹前后30 min,不同气腹压力下进行血气分析比较,回顾性分析了两组患者不同的CO2气腹压力在手术前后不同时段对患者血气的影响。结果 两组患者PaCO2、PH值、PCO2及BE差异有统计学意义。结论 腹腔镜手术CO2气腹前后对血气有影响,不同气腹压力对血气的变化存在差异,故术中尽量降低气腹压力有一定意义。
【关键词】腹腔镜手术 CO2气腹 血气分析
The Influence of CO2 pneumoperitoneum to Blood Gas analysis During
Laparoscopic Operation in Department of Gynecology
LI Zi-ying,HAO Shu-lan,HAN Chun-ying
Department of gynecology, the traditional Chinese medical hospital
of Shouguang,Shandong,262700,China
【Abstract】Objective To investigate the influence of CO2 pneumoperitoneum to blood gas analysis and management during laparoscopic operation in department of gynecology.Methods 68 cases were selected to perform the laparoscopic operation. The blood gas analysis was compared under the different abdominal pressure 30 minutes before and after CO2 pneumoperitoneum, and the influence of different pneumoperitoneum pressure to blood gas analysis were analyzed retrospectively at the different stage of operation between two sets ......
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